Small blood spots on sheets or mattresses
Rusty or dark ink-like spots on bedding or mattress seams
Dark spots (bed bug droppings) on sheets, mattress seams, box springs, or headboards
Shed skins or light-colored molted casings near hiding spots
Tiny pale eggs or eggshells in cracks or seams
Live bed bugs (small, flat, reddish-brown insects) in seams, folds, and crevices
Bites on skin, often appearing in clusters or lines
Itchy welts or bites, commonly on exposed areas (arms, shoulders, neck, legs)
Bites that may not appear immediately and can take days to become noticeable
A musty, sweet odor in heavily infested areas
Evidence found in luggage, clothing, or furniture after travel or a stay elsewhere
Signs in common hiding areas: mattress seams, tags, tufts, bed frames, headboards, box springs, and nearby cracks