Things That Bite In The Night – Bed Bugs & When to See A Dermatologist

Lauren Aycock, FNP-BC • August 22, 2018
Things that bite in the night | Pine Belt Dermatology
Bedbugs are tiny insects that feed on human blood. They hide in dark places close to where humans sleep and usually crawl out to feed while people are fast asleep. They are extremely irritating and relatively common. In 2011 there was a survey conducted that examined the number of people who had come in contact with bed bugs at all during their lives. This survey found that one out of five Americans has had a bed bug infestation in their home or knows someone who has encountered bed bugs at their home, apartment, condo, or hotel. Bed bugs are found in all 50 states. Specifically, the pests were encountered by 17 percent of respondents in the Northeast; 20 percent in the Midwest; 20 percent in the South; and 19 percent in the West. That is a lot more contact than one might initially think. These critters and their bite are often mistaken for other pests such as fleas, but are not as easy to get rid of and they can wreak havoc on any home they infiltrate.

 Bedbugs can be a problem in the cleanest of homes. These insects need only human blood to survive, so having an immaculate home will not keep them away. And it’s easy to bring bedbugs home. They can crawl into luggage, clothing, and even furniture, unnoticed. Once inside your home, bedbugs will find a hiding place. Favorite hiding places include a mattress, box spring, headboard, couch, and tiny cracks and crevices. Some bed bugs can even hide in inconspicuous locations such as lamp shades, stuffed animals, chairs, airplanes, buses, wheelchairs, purses, and even picture frames. Having bedbugs can cause a great deal of anxiety and some restless nights. Most people want to get rid of bedbugs as soon as possible, so they buy bug sprays and foggers. Unfortunately, however, these will not get rid of bedbugs. An additional solution attempt is to leave the house until they go away, however, leaving your home for a few weeks will not get rid of bedbugs. Although these insects need human blood to survive, they can live for a year or longer without blood. During this time, they remain in hiding. Getting rid of bedbugs can be difficult. Most people need the help of a pest-control company. Make sure the company has experience eliminating bedbugs. Several treatments may be necessary to get rid of bedbugs completely. You also will need to follow the guidelines that your pest-management professional recommends. If you have many bites or a bite looks infected, you should see a dermatologist. A dermatologist can treat an infection and help relieve the itch.

How can you be sure that the bites on your skin are bed bugs?

The most common indicator that there are bed bugs in your home is that of bite marks. Most people are bitten while they sleep and do not know that they have been bitten until the next day when they notice one or more bite marks that are very itchy. But an itchy bite is a common characteristic of many bug bites. Some bitemark characteristics that are unique to bed bugs are:
  • Bites, or welts, that appear as a zig-zagging line.
  • Welts that itch intensely.
  • Specks of blood on the bite welts.
The first time you are bitten, the bites may not itch right away. It can take time for your body to develop a reaction to the bites. Some people develop itchy welts within a few days of the first bites, but it can take as long as 14 days before the bites itch. The caveat is that individuals will become increasingly sensitive to the bed bug bites over time, meaning that if the infestation lasts a while you may develop welts within seconds of the bites. You’ll seldom see bedbugs, so many people mistakenly believe that mosquitos, fleas, or spiders bit them. Sometimes people mistake bedbug bites for a common skin condition such as an itchy rash, hives, or chickenpox. Bed bugs are ninja-like pests. You will not see bedbugs living on your body. Unlike lice and the mites that cause scabies, bedbugs do not live on humans. Bedbugs come out of hiding to feed on human blood. Feeding lasts about 4 to 12 minutes. After a bedbug feeds, it returns to its hiding place. In extreme circumstances, some people may develop very serious reactions to the bed bug bites that include:
  • Difficulty breathing
  • Forceful or irregular heartbeat
  • Tongue begins to swell
  • Blisters around the bites, can become quite large
  • Fever
  • Feeling very sick
  • Infection from scratching
  • Anemia (while rare, someone who has extreme reactions and has also sustained prolonged periods of biting can experience this).
Immediate care should be sought for these serious reactions.

What can be done to get rid of these infuriating pests?

A dermatologist is a great option for helping treat bed bug bites. You should seek the care of a dermatology provider if:
  • Many bites.
  • Blisters.
  • Skin infection (bites feel tender or ooze discharge such as pus).
  • An allergic skin reaction (skin red and swollen or hives).
Individuals that develop an allergic reaction to the bed bug bites may require an injection of some sort to help contain the reaction (i.e antihistamine, epinephrine, corticosteroid, etc.) Some individuals may develop an infection around the bitten sites. This may require an antibiotic for the area. If the infection is mild, your dermatologist may recommend an antiseptic medication that you can buy without a prescription. Your dermatologist will tell you which one to use. Your dermatologist also may recommend an antiseptic to prevent a skin infection. If you do not have an allergic reaction or an infection in the bitten areas, you may be able to treat the bites at home on your own. However, if these fail to provide relief, make sure that you seek out advice from one of our board-certified providers. Once the infestation is controlled and your home is cleared of the bed bugs, you will start to see the bite marks disappear within a week or two.

How to Prevent Bed Bug Infestation While Traveling?

What to do:
  1. When you walk into the room or cabin, take a deep breath. Do you notice a sweet or musty odor? If there is a heavy infestation, you may notice this smell. Bedbugs produce chemicals to help them communicate.
  2. Next, check the bed. Look carefully at the blankets, sheets, pillows, and mattress pad. Then, check the mattress and box spring. Do you see:
    1. Blackish specks on the bed, mattress, or headboard? Blackish specks could be bedbug excrement.
    2. Are there specks of blood anywhere, especially near the seams?
    3. Do you see shell-like remains on the bed, bedding, or furniture? Bedbugs have an outer shell that they shed and leave behind as they grow.
    4. You'll also want to check all upholstered furniture. While checking, you may see bedbugs or their eggs. A bedbug is about the size of an apple seed.
  3. If you find signs of bedbugs, you should immediately request another room or cabin. The other room should not be near the current room.
These tips are important to keep in mind while travelling because a majority of people who end up having an infestation at home often picked up the bed bugs while travelling as the bugs can crawl into the luggage. In the event you do have an infestation at home and you cannot achieve relief from the bites, please do not hesitate to come see myself or one of my colleagues.
August 28, 2026
At Pine Belt Dermatology & Skin Cancer Center , we recognize that children may face different skin issues as they grow. Some conditions are temporary and manageable with basic skincare, while others require expert assessment. Recognizing common skin conditions helps parents and caregivers determine when to consult a dermatologist. Understanding your child’s skin health, including conditions like eczema, acne, warts, and rashes, is essential for their comfort and confidence. Common Skin Conditions in Children Children may develop many of the same skin conditions as adults, though their symptoms and treatment needs often differ. Common pediatric skin conditions include: Eczema: Often causes dry, itchy, red, or irritated patches of skin. Eczema can flare up because of weather, irritants, allergies, or other triggers. Acne: As children enter puberty, hormonal changes may lead to clogged pores, blackheads, whiteheads, and pimples. Warts: Caused by a viral infection, warts are common in children and often appear on the hands, fingers, feet, or around the nails. Molluscum contagiosum: This common childhood skin infection can cause small, raised bumps that may spread through skin-to-skin contact. Rashes: Children may develop rashes from allergies, infections, insect bites, medications, or contact with irritating substances. Birthmarks: Many birthmarks are harmless, but a medical professional should evaluate any changes in their appearance. While most childhood skin conditions are not serious, a medical professional should evaluate persistent or changing symptoms. When Should Your Child See a Dermatologist? Parents ought to schedule a dermatology appointment if a skin concern does not improve with basic care or begins to affect a child’s daily life. A dermatologist may be recommended if your child experiences: A persistent rash, itching, or skin irritation Eczema that frequently flares or does not respond to basic skincare Moderate or severe acne, particularly if it is painful or causing scarring Warts or other growths that continue to spread or return Skin infections that require treatment A changing, bleeding, or unusual mole or birthmark A skin condition that causes discomfort, embarrassment, or affects your child’s confidence A recurring skin problem without an obvious cause Early evaluation helps decipher the underlying cause and secures timely, appropriate treatment. Why Pediatric Dermatology Matters Children’s skin differs from adult skin and is often extra sensitive to certain products and treatments. Using inappropriate medications or skincare products may worsen irritation.  A dermatologist can evaluate your child’s symptoms, determine whether a condition requires treatment, and recommend options appropriate for their age and skin type. Specialist support can also help parents understand how to handle chronic conditions and reduce future flare-ups. Supporting Healthy Skin at Home Consistent daily skincare helps protect your child’s skin. Use gentle, fragrance-free products, moisturize regularly, avoid known irritants, and encourage children not to scratch irritated areas to maintain a healthy skin barrier. However, home care may not always be sufficient. If symptoms persist, worsen, or cause significant discomfort, seek expert evaluation for guidance and reassurance. Healthy Skin Starts Early Many childhood skin conditions are manageable when identified early. Knowing when to seek professional care for eczema, acne, warts, recurring rashes, or other concerns can make a big difference. At Pine Belt Dermatology & Skin Cancer Center , we provide comprehensive dermatology care for patients of all ages. If your child has a persistent, changing, or concerning skin condition, our team can identify the cause and develop a treatment plan to support healthy skin.
July 31, 2026
At Pine Belt Dermatology & Skin Cancer Center , we understand that selecting the right skincare products can be challenging. While many over-the-counter (OTC) options promise results, not all skin concerns can be addressed with these products. Knowing the difference between OTC and prescription treatments helps you make educated decisions and recognize when to seek professional care. If you are treating acne, eczema, rosacea, or signs of aging, upgrading your treatment plan at the right time can improve your skin health and confidence. Understanding Over-the-Counter Skin Treatments Over-the-counter skincare products are available without a prescription and are intended for mild to moderate skin concerns. When used consistently, many contain ingredients that help maintain healthy skin. Common OTC ingredients include: Salicylic acid for acne Benzoyl peroxide to reduce acne-causing bacteria Retinol for fine lines and uneven texture Hydrocortisone cream for minor itching and irritation Moisturizers with ceramides or hyaluronic acid to heal the skin barrier These products are a good starting point for mild conditions. However, because OTC treatments use lower-strength active ingredients, they may not be effective for chronic or serious skin issues. When Prescription Skin Treatments May Be Necessary Prescription treatments use stronger active ingredients and are customized to your specific skin condition. A dermatologist can diagnose the underlying cause and recommend medications that address the problem more effectively than OTC products. Prescription treatments may include: Oral medications for moderate to severe acne Prescription-strength retinoids Medications to manage eczema or psoriasis Treatments for rosacea and chronic redne Prescription creams for hyperpigmentation or melasma Antifungal or antibacterial medications for skin infections These therapies are chosen based on your medical history, skin type, and treatment goals to maximize results and minimize side effects. Time to Upgrade Your Treatment While many start with OTC products, some situations require a dermatology appointment. Consider seeing a dermatologist if: Your skin condition has not improved after several weeks of steady OTC treatment. Acne is causing painful cysts, nodules, or permanent scarring. Rashes, redness, or irritation continue to worsen. You experience frequent flare-ups of eczema, psoriasis, or rosacea. You notice new or changing skin growths or unusual spots. Your skin concern is affecting your confidence or quality of life. Early treatment has the potential to prevent conditions from getting worse and minimize the chances of long-term skin damage. Why Professional Assessment Matters Many skin conditions look similar, making self-diagnosis challenging. For example, stubborn acne may be rosacea, and chronic dry patches could indicate eczema, psoriasis, or another condition. A board-certified dermatologist can accurately diagnose your skin concern and develop a customized treatment plan. Professional guidance also helps you avoid spending time and money on ineffective products. Healthy Skin Starts with the Right Treatment Over-the-counter products are important for daily skincare, but they may not treat complex or persistent concerns. Transitioning to prescription treatment at the right time can greatly improve your skin’s appearance and long-term health. At Pine Belt Dermatology & Skin Cancer Center , our team offers complete evaluations and customized treatment plans for acne, eczema, rosacea, hyperpigmentation, skin cancer screenings, and other skin conditions. If your current skincare routine is not resulting in success, we are here to help you achieve healthier, more confident skin. 
June 29, 2026
At Pine Belt Dermatology & Skin Cancer Center, we believe education is key to protecting and maintaining healthy skin. July is significant for skin health, featuring both UV Safety Awareness Month and World Skin Health Day on July 8 . These occasions highlight the importance of sun protection and raise awareness of common concerns, such as hyperpigmentation and melasma . Understanding how ultraviolet (UV) exposure affects your skin helps prevent long-term damage and supports a healthier, more even complexion. Why UV Protection Matters The sun emits ultraviolet rays that can damage skin even on cloudy days. While many associate UV exposure with sunburn, its effects are broader. Repeated UV exposure accelerates skin aging, increases skin cancer risk, and contributes to pigmentation disorders. Common effects of excessive UV exposure include: • Sunburn and skin irritation • Premature aging, including fine lines and wrinkles • Dark spots and uneven skin tone • Increased risk of skin cancer • Worsening of hyperpigmentation and melasma Daily sun protection is one of the most effective ways to maintain healthy skin and reduce preventable damage. What Is Hyperpigmentation? Hyperpigmentation is a common condition where areas of skin become darker than the surrounding tissue due to excess melanin production. Multiple factors can contribute to hyperpigmentation, including: • Sun exposure • Acne scars and inflammation • Hormonal changes • Skin injuries or irritation • Certain medications While hyperpigmentation is mostly harmless, many seek treatment to improve skin tone as well as restore confidence. Understanding Melasma Melasma is a type of hyperpigmentation that shows up as brown or gray-brown patches, typically on the cheeks, forehead, nose, and upper lip. Melasma is frequently associated with: • Hormone changes during pregnancy • Birth control medications • Hormone replacement therapy • Genetic predisposition • Sun exposure Although melasma is not dangerous, it can be difficult to treat because UV exposure frequently triggers or worsens it. Even minimal sun exposure can increase pigment production and make discoloration more noticeable. Protecting Your Skin from UV Damage Whether you are concerned about skin cancer, hyperpigmentation, or melasma, daily sun protection is essential. Dermatologists suggest: • Using sun lotion with SPF 30 or higher every day • Reapplying sunscreen every two hours when outdoors • Wearing wide-brimmed hats and protective clothing • Seeking shade during peak sunlight hours • Wearing UV-protective sunglasses • Avoiding tanning beds Consistent sun protection helps prevent new pigmentation issues. World Skin Health Day: A Reminder to Prioritize Skin Care Observed annually on July 8, World Skin Health Day encourages preventive steps to maintain healthy skin. This is a reminder to perform regular self-exams, schedule dermatology visits, and address concerns early. If you notice persistent dark spots, changes in pigmentation, or new skin lesions, seek an expert assessment to determine the cause and identify treatment options. Supporting Healthy Skin Year-Round UV Safety Awareness Month and World Skin Health Day remind us that protecting your skin is an investment in long-term health. Practicing sun safety and understanding conditions like hyperpigmentation and melasma help preserve your skin’s health, appearance, and function. At Pine Belt Dermatology & Skin Cancer Center, our team provides personalized evaluations and treatments for pigmentation concerns, sun-damaged skin, and overall skin health. Plan a visit and learn how we can help you achieve healthier, more confident skin.
Winter Skin Care vs. Summer Skin Care: What Changes?
June 1, 2026
At Pine Belt Dermatology & Skin Cancer Center, we understand that your skin’s needs change with the seasons. What works during the cold, dry winter months may not...
Nail Health: What Your Nails Say About Your Skin and Body
May 1, 2026
At Pine Belt Dermatology & Skin Cancer Center, we believe your nails are more than a cosmetic feature—they give valuable insight into...
April 13, 2026
When a ‘Rash’ Might Be Something More Serious At Pine Belt Dermatology & Skin Cancer Center, we recognize that rashes are common and frequently resolve quickly with minimal treatment. However, some rashes may signify underlying conditions that require prompt medical attention. Identifying when a rash is more than a minor irritation is key to protecting your health. Comprehending Common vs. Concerning Rashes Most everyday rashes result from irritants, allergies, heat, or minor infections and typically improve within a few days with over-the-counter treatments. However, if a rash lasts longer, worsens, or appears with other symptoms, it may signal a more serious issue. Identifying the difference between a routine rash and one that requires medical evaluation helps avoid complications and ensure appropriate care. Warning Signs to Watch For Certain features may indicate a rash requires clinical assessment, including: Rapidly spreading or worsening rash Severe pain, swelling, or blistering Signs of infection such as pus, warmth, or red streaks Fever or flu-like symptoms accompanying the rash A rash that does not improve after several days of treatment Dark, purple, or bruised-looking areas on the skin For example, a rash with fever may indicate a viral or bacterial infection, whereas painful blistering can suggest conditions such as shingles. In rare cases, rashes may signal autoimmune disorders or severe allergic reactions. Rashes That May Point to Underlying Conditions Some rashes may be linked to broader health concerns, including conditions that cause inflammation in the skin and other organs: Allergic reactions that may escalate into further severe responses Infections that spread beyond the skin if untreated Medication reactions that require immediate adjustment Persistent or unusual skin changes may be early signs of skin cancer or precancerous conditions, especially if they do not heal or continue to change over time. Why Early Evaluation Matters Delaying care for a worrisome rash may allow the underlying condition to progress. Early diagnosis improves treatment outcomes and helps prevent discomfort and complications. A dermatology specialist can assess the rash’s appearance, location, and progression, and may recommend diagnostic tests if needed. This approach assures treatment addresses the underlying cause, not just the visible symptoms. When to See a Dermatology Specialist If you are unsure about your rash, it is best to err on the side of caution. Consider seeking care if: The rash is persistent, painful, or unusual in appearance Over-the-counter treatments are not effective You experience additional symptoms such as fever or fatigue The rash interferes with your daily comfort or quality of life At Pine Belt Dermatology & Skin Cancer Center, our experienced providers supply comprehensive skin evaluations and customized treatment plans. We take time to understand your symptoms and deliver clear, effective solutions tailored to your needs. Protecting Your Skin and Your Health While many rashes are minor, some may be early warning signs of more serious health concerns. Monitoring skin changes and pursuing prompt medical advice can produce a notable effect. If you notice a rash that does not seem right, do not ignore it. Schedule a consultation with Pine Belt Dermatology & Skin Cancer Center for expert evaluation and peace of mind. Your skin is an important indicator of your overall health, and taking it seriously supports ongoing well-being.
The Link Between Stress & Skin Conditions | Pine Belt Dermatolog
By Bob Berendsen March 1, 2026
At Pine Belt Dermatology & Skin Cancer Center, we know that healthy skin is affected by more than just external care—it’s related to your overall health...
UV Light Therapy for Scalp Psoriasis | Pine Belt Dermatology
By Bob Berendsen February 5, 2026
Here’s how UV light therapy works, why it is useful for scalp psoriasis during winter, what to expect from treatment, and how to use it safely.
Dermatologist-Approved Tips for Safe and Effective Skincare | Pine Belt Dermatology
By Bob Berendsen January 1, 2026
A truly effective skincare routine should be tailored to your needs, protect your natural barrier, and target concerns with proven ingredients.
Psoriasis During the Winter Season | Pine Belt
By Bob Berendsen December 2, 2025
The cold, dry air outside combined with indoor heating can strip away your skin’s natural moisture, leaving it tight, flaky, and more vulnerable to irritation.