Wellness First-Aid and Injury The Differences Between Bed Bug and Flea Bites on Humans By Maggie O'Neill Maggie O'Neill Maggie O’Neill is a health writer and reporter based in New York who specializes in covering medical research and emerging wellness trends, with a focus on cancer and addiction. Prior to her time at Health, her work appeared in the Observer, Good Housekeeping, CNN, and Vice. She was a fellow of the Association of Health Care Journalists’ 2020 class on Women’s Health Journalism and 2021 class on Cancer Reporting. In her spare time, she likes meditating, watching TikToks, and playing fetch with her dog, Finnegan. health's editorial guidelines Updated on August 7, 2024 Medically reviewed by Daniel More, MD Medically reviewed by Daniel More, MD Daniel More, MD, FAAAAI, FACAAI, FACP, is a board-certified allergist and former clinical immunologist at Allergy Partners of the Central California Coast. learn more Close Bed bug and flea bites on humans are itchy but present differently. Flea bites are typically groups of three red spots on your feet and ankles, while bed bug bites are zigzagged welts on exposed skin. In addition, fleas and bed bugs are tiny insects that may bite animals as well as people. Read on to learn more about the differences between flea and bed bug bites and what to do if either occurs. AndreyPopov / Getty Images Flea Bites Flea bites are itchy, red dots that appear in groups of three on your feet and ankles. These bites can develop into papular urticaria, or itchy welts that can become painful and hot to the touch. DermNet Do not scratch flea bites. Fleas carry bacteria that can lead to infections if the bites become open sores. Fleas can carry bacteria that cause plague and typhus, uncommon illnesses in the United States. Infected flea bites cause symptoms like: PainPus that oozes from the affected areaRednessSwelling Causes and Risk Factors Fleas are tiny insects that prefer to live on cats and dogs. The presence of pets can help you determine if you are dealing with a flea bite or something else. There's a possibility your pet has fleas if: They are very itchyYou see tiny dots on their furYou see tiny insects on your furniture and other household items Fleas will resort to humans if they do not have another option. You might attract fleas, for example, if your pet has been away from the house for a while. Treatment You can treat flea bites with an oral or topical antihistamine to alleviate itching. A topical antibacterial solution can prevent infection and help soothe your skin. However, do not take hot baths or showers, which can irritate flea bites. Bed Bug Bites You'll only realize you've been bitten by bed bugs when small marks appear on your skin. Specks of blood on your sheets can also indicate bed bugs. Bed bug bites generally look similar to mosquito bites. The bugs inject an anesthetic and an anticoagulant, which prevent blood clots. Bed bug bites may sometimes cause welts that: Appear in a line, often one that zigzagsAre intensely itchyAre typically located on body parts exposed when you sleep Getty Images Although rare, an allergic reaction to bed bug bites can include enlarged bite marks, painful swellings at the bite site, and anaphylaxis. This potentially life-threatening reaction requires immediate medical attention. Causes and Risk Factors Bed bugs do not live only on or in mattresses. You may find bed bugs in the couch and chair seams, curtain folds, and between cushions. Bed bugs also live in wall crevices or cracks. Remember that the cleanliness of living conditions does not determine the presence of bed bugs. Treatment You can treat bed bug bites at home by applying a topical corticosteroid to reduce itching. Wash the affected area with soap and water regularly to prevent infection. See an allergist if you have an allergic reaction, blisters, infection, or several bed bug bites. Depending on your symptoms, they can prescribe further treatment, such as an antibiotic or antihistamine. How To Get Rid of Fleas and Bed Bugs You'll need a professional pest control company to treat your home with pesticides if you have a flea or bed bug infestation. In the meantime, here are some ways to get rid of and prevent these insects. Getting Rid of Fleas Fleas have a long lifecycle, so it can be difficult to get rid of them. Make sure that bedding and pet bedding, edges of walls, and floors are clean. Fleas often breed in those areas. Bathe your pets with soap and water, and then use a flea comb to remove the insects from their fur. Getting Rid of Bed Bugs Insect repellents are not very effective against bed bugs, so it's best to call a professional pest control company to treat your home. Depending on several factors, including the number of insects, you may be able to get rid of bed bugs yourself. There's a step-by-step guide for getting rid of bed bugs, which includes: Contain beg bugs with a vacuum Identify areas where bed bugs might be hiding, including baseboards, bed frames, carpets, and other dark places Make sure that there are no dark places where bed bugs may hide, such as in books, clothing, or cracks in the walls Move your furniture a few inches from the walls to make sure bed bugs cannot reach them Throw away any items you cannot treat with a vacuum or heat Wash your bedding and clothing in warm water and dry them in a hot dryer for at least 30 minutes A Quick Review Fleas and bed bugs are both small insects that cause itchy spots on your skin if they bite you. Flea bites usually appear on your feet and ankles in groups of three, while bed bugs appear on body parts exposed when you sleep. To reduce itching, you can treat fleas and bed bug bites with antihistamines and corticosteroids. Talk to a healthcare provider if you develop signs of an infection, including pain, pus, redness, and swelling. Was this page helpful? Thanks for your feedback! Tell us why! Other Submit 12 Sources Health.com uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. American Osteopathic College of Dermatology. Flea bites. American Academy of Dermatology Association. Bed bugs: signs and symptoms. MedlinePlus. Fleas. American Academy of Dermatology Association. Bed bugs: overview. Centers for Disease Control and Prevention. Fleaborne disease of the United States. MedlinePlus. Fleas. Centers for Disease Control and Prevention. About bed bugs. Cardoso AEC, Cardoso AEO, Talhari C, et al. Update on parasitic dermatoses. An Bras Dermatol. 2020;95(1):1-14. doi:10.1016/j.abd.2019.12.001 MedlinePlus. Bed bugs. American Academy of Dermatology Association. Bed bugs: diagnosis and treatment. Centers for Disease Control and Prevention. Getting rid of fleas. Environmental Protection Agency. Do-it-yourself bed bug control.