Self-Care Guidelines
The management of bedbug bites includes removing the bedbug infestation and controlling the itching.
The best time to look for live bedbugs is the middle of the night, when they come out to feed. Wash all linens in hot water and dry in a hot dryer. You may also need to wash your curtains. Scrub furniture to remove eggs, and fix any cracks that may be in the furniture; you may need to take the furniture apart to do this well. Vacuum the room, including the mattress (concentrating on the seams) and any surrounding crevices. You may want to fill and seal any cracks around the room and paste down any rolling wallpaper seams. Check the adjoining rooms for bugs as well, even if the occupants don't complain of itching.
Sometimes, in cases of severe infestation, it may be best to have a licensed pest control agent inspect and eradicate the bedbugs. Be aware that some insect repellants can be toxic to children, so make sure to find out exactly what chemicals they will be using and what the chemical's risk profile is.
Diphenhydramine (Benadryl®) can be used to control the itching. A low-strength topical corticosteroid cream or ointment, such as hydrocortisone, can be purchased over the counter to help with itching.
When you travel and stay in hotels, keep your suitcase and clothing away from the bed or other furniture. Upon returning home, wash the clothing you took with you, and place your suitcase in an attic, basement, or garage, where there is little chance of the bugs encountering humans for prolonged periods at night.
When to Seek Medical Care
Bedbugs can create considerable anxiety. You may need a prescription-strength topical steroid to help intensely itchy bites. Scratching the bite sites may cause infection, so if there is pus, redness, swelling, fever, or the reactions blister or are otherwise severe, you should see your doctor. There have been rare cases of severe allergic reaction that affects breathing (anaphylaxis), which requires immediate emergency medical care.
Signs and Symptoms
