From the Research
The recommended approach for documenting and managing bed bug bites involves thoroughly documenting the bites, cleaning the affected areas, and using topical corticosteroids and oral antihistamines for symptom relief, as well as implementing environmental management strategies to eliminate the infestation, as outlined in the most recent study 1. When documenting bed bug bites, it is essential to take clear photographs, note the location of the bites on the body, and record when they appeared. This documentation helps track the effectiveness of treatments and can be useful if medical attention becomes necessary. Some key characteristics of bed bug bites include:
- Pruritic, erythematous maculopapules occurring in clusters or in a linear or curvilinear distribution in exposed areas of the body
- A small red punctum may be visualized at the center of the bite mark
- Lesions that appear three in a row and papules on the upper eyelid associated with erythema and edema are highly suggestive of bites from bed bugs For symptom relief, apply over-the-counter corticosteroid creams like hydrocortisone 1% to reduce inflammation and itching, and take oral antihistamines such as diphenhydramine (Benadryl) 25-50mg every 4-6 hours or cetirizine (Zyrtec) 10mg daily to control itching, as suggested by 1. Avoid scratching to prevent infection. If bites become infected (showing increased redness, swelling, warmth, or pus), seek medical attention as antibiotics may be necessary. Environmental management is crucial—wash all bedding in hot water (at least 120°F), vacuum thoroughly, and consider professional pest control services to eliminate the infestation, as recommended by 1. Most bed bug bites resolve within 1-2 weeks with proper care, but persistent symptoms warrant medical evaluation. It is also important to note that bed bug infestations can cause significant psychological distress, and their rapid detection and eradication are of paramount importance, as highlighted in 1. Consultation with a professional exterminator is recommended to fully eradicate an infestation, as suggested by 1.