Detailed adult bed bug on pale woven fabric
Bed bug identification and health center

An infestation can exist even when no one appears to be getting bitten.

Bed bugs are visible insects with identifiable evidence, but skin reactions vary widely. Bites alone are not a reliable way to confirm an infestation.

Risk communication ruleEvidence first. Medical diagnosis belongs with a qualified clinician.
Identification

Inspect the insect. Then inspect the room.

Adult bed bugs are reddish brown, wingless, and about 1 to 7 millimeters. They hide in mattress seams, box springs, bed frames, headboards, furniture, cracks, and crevices near where people sleep or rest.

Adult identification evidence
01

Adult

Flat, oval, wingless, reddish brown, and about 1 to 7 millimeters depending on life stage and feeding.

Nymph identification evidence
02

Nymph

Smaller and paler than adults. Young nymphs can be difficult to see against light fabric.

Eggs identification evidence
03

Eggs

Tiny pearly white eggs may be tucked into protected seams, cracks, and crevices.

Fecal spotting identification evidence
04

Fecal spotting

Dark spotting, shed skins, or rusty marks can support an inspection finding.

Mattress seams identification evidence
05

Mattress seams

Tufts, piping, labels, box springs, and nearby furniture provide protected harborages.

Bed frame cracks identification evidence
06

Bed frame cracks

Bed frames, headboards, baseboards, and narrow gaps near resting areas deserve close inspection.

Health context

Bed bugs are not known to spread disease to people.

They can still cause itching, sleep loss, anxiety, and rare allergic reactions. Scratching can contribute to a secondary skin infection. A clinician should evaluate concerning symptoms or reactions.

01

Bites are not proof

Reactions vary and can resemble other skin conditions or insect bites. Physical insects and room evidence are more useful.

02

Reactions vary

Some people show no physical signs. Other reactions can take days to appear.

03

Room evidence matters

Live insects, cast skins, eggs, spotting, and harborages support identification.

04

Medical questions need a clinician

Severe reactions, infection concerns, and other symptoms require qualified medical evaluation.

Property guidance

What to do next

Use the property evidence, environmental conditions, and professional guidance to decide the next step.

What to do next
01

Preserve evidence

If practical, capture a suspected insect in a sealed container or take sharp photographs without crushing it.

02

Avoid moving items

Moving bedding or furniture through the property can spread insects to additional rooms.

03

Request inspection

A trained inspection can distinguish bed bugs from lookalikes and map harborages and evidence.

04

Follow a complete plan

Treatment may combine preparation, physical controls, targeted products, monitoring, and follow up based on site conditions.

Authoritative referencesCDC bed bug guidance ↗
Bed bugs concerns

Do not rely on bite marks alone.

A focused inspection can evaluate the insect, room evidence, likely harborages, and conditions that affect the treatment plan.

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