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Signs of bed bugs

Most people look at their skin first. The EPA's advice is to look at the bed instead.

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The short version

The reliable signs
Stains, dark spots, eggs and live bugs on the mattress and bed frame.
Not reliable
Bites. The EPA calls them a poor indicator.
Call a company when
You find any of the physical signs.

Where to look

  • Mattress and box spring seams, piping and tags.
  • Cracks in the bed frame and headboard.
  • Seams of chairs and couches near the bed.
  • Drawer joints and behind loose wallpaper.

What you are looking for

  • Rusty or reddish stains on sheets or mattress.
  • Dark spots that bleed into fabric like a marker.
  • Tiny pale eggs, eggshells and shed skins.
  • Live bugs.

What the EPA says

  • Stains"Rusty or reddish stains on bed sheets or mattresses caused by bed bugs being crushed."
  • Dark spotsBed bug excrement, which "may bleed on the fabric like a marker would."
  • Eggs and skinsEggs and eggshells are about 1 mm, along with the pale yellow skins nymphs shed as they grow.
  • Bites"Bites on the skin are a poor indicator of a bed bug infestation." Some people do not react to bites at all.

What a pest control company will do

  1. Inspect the bed, the furniture around it and adjoining rooms.
  2. Confirm the insect before recommending treatment.
  3. Explain the treatment and what you need to prepare.
  4. Return to check, because one visit rarely finishes the job.

Do not move the mattress or bedding to another room while you wait. In a heavily infested room the EPA notes bugs spread to furniture, drawer joints and even electrical outlets, and moving things carries them further.

Related guides

Sources

  • US Environmental Protection Agency: bed bugs
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