What should I do if bedbug bites do not heal?

What should I do if bedbug bites do not heal? - briefly

Seek medical evaluation for persistent lesions, as a doctor may prescribe topical steroids, antihistamines, or antibiotics, and arrange for allergy testing if needed. Concurrently, inspect your environment, eliminate the infestation with professional pest control, and launder all bedding and clothing at high temperatures.

What should I do if bedbug bites do not heal? - in detail

Bedbug bites that linger beyond a week often indicate secondary infection, allergic reaction, or continued exposure. Take the following actions:

  • Inspect the sleeping area – Examine mattress seams, box springs, headboard, and nearby furniture for live insects, shed skins, or dark spots (fecal matter). Use a flashlight and a magnifying glass. Eliminate any infestation before treating the skin.

  • Clean the affected skin – Wash the bites with mild soap and lukewarm water twice daily. Pat dry with a clean towel; avoid rubbing, which can worsen inflammation.

  • Apply topical therapy – Use over‑the‑counter hydrocortisone 1 % cream to reduce itching and swelling. For signs of bacterial involvement (pus, increasing redness, warmth), apply a thin layer of antibiotic ointment such as bacitracin or mupirocin.

  • Take oral medication when needed – Antihistamines (e.g., cetirizine 10 mg) help control itching. If the bite area shows infection—pain, swelling, or spreading redness—start a course of oral antibiotics prescribed by a clinician.

  • Monitor for systemic symptoms – Fever, chills, or enlarged lymph nodes require immediate medical evaluation. Persistent or worsening lesions after 48 hours of self‑care also merit professional assessment.

  • Prevent further bites – Wash all bedding, clothing, and curtains in hot water (≥ 60 °C) and dry on high heat. Encase mattress and box spring in zippered, bedbug‑proof covers. Reduce clutter, seal cracks in walls and furniture, and consider professional pest‑control treatment if infestation is confirmed.

  • Document the progression – Keep a log of bite appearance, treatments applied, and any changes. This record assists healthcare providers in diagnosing allergic responses or infections.

If self‑management fails to produce improvement within a few days, or if any alarming signs develop, seek medical care promptly. Early intervention prevents complications and facilitates faster recovery.