Authored by , Reviewed by Dr John Cox | Last edited | Meets Patient’s editorial guidelines

Bedbugs are very small insects that can live in furniture, clothing and bedding. They tend to bite at night. The bedbug problem is becoming more common. Although bedbug bites do not cause any diseases they can be irritating.

There are two types. The most common type is the Cimex lectularius, also known as the common bedbug. They feed on blood from humans and other animals.

Cimex lectularius are very small (around 2-5 mm long) oval insects. They do not have wings. They are red/brown in colour and are usually flat. However, they become more rounded and their colour changes to red/purple after they have had some blood.

Bedbug on skin


By CDC/Harvard University (Photo Credit: Piotr Naskrecki), via Wikimedia Commons

You may find the following signs of bedbugs:

  • Developing itchy bites.
  • You may be able to see the insects if you look for them. They are tiny but are visible to the naked eye.
  • Seeing spots of blood on bedding.
  • Noticing brown spots on bedding, from their excrement.
  • A sweet almond odour may be noticeable if there are many bedbugs around.

There are different degrees of infestation with bedbugs. This can vary from light, causing one or two bites a week, through to heavy infestations where more than 50 bites per night occur.

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Although bedbugs have not been proven actually to cause any diseases, they are usually a nuisance. When you are sleeping they bite you to obtain your blood. As they bite they inject a substance which numbs the exposed skin so you are not usually aware of the bite. They feed on your skin for 2-10 minutes each time.

These insect bites can be very itchy and irritating. The bites can vary from being very small red bite marks on your skin to larger red areas with some swelling around them. Three to four bites forming a line or a curve on your body are very suggestive of bedbug bites. The bites tend to be in areas which are exposed as you are sleeping - for example, your face or neck or arms.

Rarely, people can develop a serious allergic reaction to the bite.

Sometimes the bites can become infected. The area around where you have been bitten may swell and become sore and reddened.

Having bedbugs can keep you from getting a good night's sleep, which, over time, can be bad for your health.

Bedbug bites on face

Bedbug Bites

By Andybrookestar, via Wikimedia Commons

The bites usually improve without any treatment. If they are itchy, you can use a mild steroid cream such as hydrocortisone cream. You can obtain this over the counter from a pharmacy or on prescription. If your bites are particularly bothersome - for example, very itchy and keeping you awake at night - then antihistamines may be beneficial. Antihistamine tablets can also either be bought from the chemist or obtained from your GP.

If your bites become infected then your doctor will give you some antibiotic cream or tablets to clear up the infection. See your doctor if the redness around the bites is spreading or becoming very painful.

Any affected bedding or clothes should be washed in a hot wash (at 60°C). Tumble drying of affected linen or more delicate items has been shown to be effective. The tumble drier must be set to a hot temperature for at least half an hour. Also, freezing any affected materials has been shown to decontaminate infested clothing. Items have to be frozen for at least one week.

Wrapping your mattress in plastic can prevent the insects from getting in. Any existing bedbugs which are trapped will eventually die.

If bites occur when you are on holiday then you should carefully inspect any hotel rooms for signs of infestation. It may be worth inspecting the beds before you unpack. If you are in an infested area, the insects can travel home with you on your clothing or luggage.

If you find your home is infested, always call a pest control expert. Your local pest control team should also be able to help to eradicate them by using an insecticide which is usually sprayed on and around the affected areas of your house. They usually use a combination of insecticides. This is usually a very effective method of bedbug control. In some cases, re-treatment at a later date is required. It is not safe to use these insecticides unless you are a trained professional.

Try contacting your local council which often has advice about pest control services. You can get further information and find a pest control expert from the British Pest Control Association. The US Environmental Protection Agency has produced some comprehensive information.

They can live in many different places in your home. For example, mattress seams, bed frames, within plug sockets, in clothing or in soft furnishings. Bedbugs can even be found hiding behind picture frames. They can move to different rooms, usually on clothing or furniture. They live in both clean and dirty environments. However, having high standards of hygiene and housekeeping can help to ensure that their presence is revealed at an early stage.

They are not usually seen in the daytime. They come out at night when they are attracted by the warmth of sleeping bodies and also the carbon dioxide in breath.

The adults can live for up to 18 months. They breed by laying eggs which hatch after around 10-20 days and take between 9-18 weeks to become adults. Females can lay around 300 eggs in their lifetime. The insects need blood to develop but can stay alive for as long as a year without feeding. 

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Further reading and references

  • Rukke BA, Sivasubramaniam R, Birkemoe T, et al; Temperature stress deteriorates bed bug (Cimex lectularius) populations through decreased survival, fecundity and offspring success. PLoS One. 2018 Mar 1413(3):e0193788. doi: 10.1371/journal.pone.0193788. eCollection 2018.

  • Singh N, Wang C, Zha C, et al; Testing a Threshold-Based Bed Bug Management Approach in Apartment Buildings. Insects. 2017 Jul 268(3). pii: insects8030076. doi: 10.3390/insects8030076.

  • Report a pest problem; GOV.UK, 2019

  • Dang K, Doggett SL, Veera Singham G, et al; Insecticide resistance and resistance mechanisms in bed bugs, Cimex spp. (Hemiptera: Cimicidae). Parasit Vectors. 2017 Jun 2910(1):318. doi: 10.1186/s13071-017-2232-3.

Hi All,  I dont know if anyone has come across this.  I have a worm infestation in my face.  They travel around under the skin leaving tracks and bursting holes into my skin.  they create glass like...

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