What should I do if bed bugs bite in a bed?

What should I do if bed bugs bite in a bed? - briefly

Treat the bites with gentle cleansing, an anti‑itch ointment, or an oral antihistamine to relieve symptoms. Then wash all linens in hot water, vacuum the mattress and surrounding area, and initiate a targeted pest‑control program to eliminate the insects.

What should I do if bed bugs bite in a bed? - in detail

Bed‑bug bites can cause itching, swelling, and discomfort, so immediate care and long‑term control are essential.

First, cleanse the affected area with mild soap and cool water to remove any irritants. Pat the skin dry, then apply a topical antihistamine or hydrocortisone cream to reduce inflammation and itching. If the reaction is severe, an oral antihistamine may be taken according to the package directions; consult a pharmacist or physician for dosage guidance.

Next, assess the sleeping surface for evidence of infestation. Look for live insects, shed skins, or small dark spots (fecal stains) on mattress seams, box‑spring corners, and headboard. Use a flashlight to inspect crevices, fabric folds, and nearby furniture. If any signs are found, isolate the bed:

  1. Strip the mattress and box spring of all bedding; launder sheets, pillowcases, and blankets in hot water (≥ 60 °C) and tumble‑dry on high heat for at least 30 minutes.
  2. Encase the mattress and box spring in zippered, bed‑bug‑proof covers designed to trap insects inside for a year.
  3. Vacuum the mattress surface, bed frame, and surrounding area thoroughly; empty the vacuum bag into a sealed plastic bag and discard it outside the home.
  4. Steam‑treat fabric items and the mattress edges with a handheld steamer reaching temperatures of 50–60 °C for several minutes.
  5. Place interceptors under each leg of the bed to monitor and capture any remaining bugs.

For the room, reduce clutter that can harbor insects, wash curtains and removable upholstery, and seal cracks in walls or baseboards. Consider applying a professional‑grade residual insecticide to baseboards, headboard, and cracks, following label instructions and safety precautions. If the problem persists or spreads to other rooms, engage a licensed pest‑control service for comprehensive eradication, which may include heat‑treatment or fumigation.

Finally, monitor the situation daily for new bites or insect activity. Maintain the protective mattress encasements, continue using interceptors, and repeat laundering of bedding weekly for at least two months to break the life cycle. If allergic reactions develop—such as extensive swelling, difficulty breathing, or infection—seek medical attention promptly.