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Bed bugs feed on humans, usually at night when they are asleep. They feed by piercing the skin with their elongated mouthparts, which consist of two stylets that normally fold under their body when at rest but fully extend during blood-meal feeding. One stylet has a groove that carries saliva into the wound, while the other has a groove through which body fluids from the host are taken in.
A single feeding may take up to 10 minutes, and feels like a pin prick, but because feeding usually occurs at night when people are asleep they are not aware they have been bitten until afterwards. However, saliva injected during the feeding can later produce large swellings on the skin that itch and may become irritated and infected when scratched. Swelling may not develop until a day or more after feeding, and some people do not show symptoms. Bed bugs currently are not considered to be disease carriers.
In addition to the direct injury to humans, bed bugs have stink glands that leave odors. They also leave unsightly fecal spots on bed sheets and around their hiding places. These spots are darkish red in color, roughly round, and can be very small.