Bed bugs bite most on exposed skin areas that are accessible while you sleep, because they hide in mattress seams, box springs, and headboards and crawl out at night to feed for 5 to 10 minutes on skin not covered by clothing or blankets. The most common bite locations are arms, especially forearms and shoulders, neck and throat area, face, hands, legs, particularly lower legs and ankles, and upper back. Bites often appear in a line, zigzag, or cluster pattern sometimes called breakfast, lunch, and dinner, because a single bug may probe multiple times. They prefer areas where blood vessels are close to surface and skin is thin. If you sleep with arms outside blankets, arms get bitten most, if you sleep on side, neck and face may be bitten. They rarely bite under tight clothing like socks or underwear elastic, but can bite under loose clothing if they crawl underneath. They do not prefer private parts specifically, but can bite any exposed skin including inner thighs and buttocks if exposed. Some people do not react to bites, others develop itchy red welts hours later. Bed bugs do not live on body, so bites are only from nighttime feeding. To reduce bites, encase mattress and box spring in bed bug proof encasements, use interceptor traps, wear long sleeves and pants to bed, and wash bedding on high heat, and contact professional pest control for treatment.
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