I had to do the followings to manage it (still not sure if it's 100% bed bug but i got itchy at night and had rashes next morning)    1. Sparingly sprinkle Diatomaceous Earth around the floor and crevices surrounding the bed  2. Use mattress cover so the inside of mattress won't be infected  3. use handheld steam cleaner on the beddings and sometimes other clothes and furnitures regularly  4. Wash & dry beddings at high temp at a laundromat weekly  5. put lice  spray around my scalp and body that get itchy before i go to sleep