4 Signs of Bed Bugs in Pillows and What to Do

September 25, 2024 | Casper Editorial Team

Fact checked by Jonathan Eilenberg, CPE

Signs of bed bugs in pillows include fecal marks and shed exoskeletons, bite marks, red stains on pillowcases, and a musty odor. To address the issue, inspect pillow seams for bugs, wash and dry pillows at high heat, apply safe insecticide, or use encasement covers. For severe infestations, consider calling a professional exterminator.


Realizing that you’re sharing your pillow with some uninvited guests might have you giving up on ever getting a good night’s sleep.

Bed bugs love to cuddle up inside pillows. Even if you have a spotless living space, it’s possible to unknowingly pick up a few hitchhikers while traveling and carry them home. All of a sudden, you now have a serious bed bug problem, infesting furniture, mattresses, and even pillows, where you lay your very own head.

Wondering how to spot bed bugs in pillows? The top 4 signs are: 

  • Shed exoskeletons 
  • Bed bug bite marks
  • Red stains on pillowcases
  • Musty odor

Hopefully, these troublesome critters haven’t paid you a visit, but if they have, we’re here with a comprehensive guide on what to look out for, and ways to win back a peaceful night’s slumber.

Recognizing the Signs of Bed Bugs in Pillows

Bed bugs are minuscule, blood-sucking insects that have mastered the art of concealment. Being nocturnal, they hide out during the day and emerge when night falls.1 While they can set up shop in any part of a bed, pillows are a favorite spot.2

Fortunately, they aren’t venomous and don’t spread disease1 — but they’re definitely gross.

There are four main symptoms of this age-old sleep nemesis.

#1 Fecal Marks & Shed Exoskeletons

Keep an eye out for tiny black spots (roughly the size of a period) on or around your pillows. These are likely bed bug droppings.1

Bed bugs also periodically shed the outer layer of their shell. These cast skins, which are oval-shaped and look similar to a live bed bug,3 will tend to cluster near the bugs’ home base.

#2 Bite Marks and Irritation

Often, bite marks on your body are the first clue that the critters have taken up residence in your pillow. 

Bed bug bites commonly take the form of:

  • Raised bumps scattered in a random pattern
  • Pimple-esque lumps with a red center that lightens toward the edge
  • Blister-like bumps that contain clear fluid
  • Swollen patches of skin with several bumps clustered together

These bites often itch like crazy, although some lucky people don’t itch.4 

It’s important to keep in mind that not everyone will react to bites,1 so if you don’t notice bite marks, but spot other signs, you may still have a bed bug infestation.

#3 Blood Stains on Pillowcases

Since bed bugs suck blood, they may leave droplets behind which stain the fabric of your pillowcase or the surrounding sheets. 

Inspect your pillowcase and nearby sheets for small, rust-colored splotches, which can be signs of infested pillows. Learn more about bed bug eggs on sheets in our blog.

#4 Musty Odor

The final giveaway is a sweet scent, which many people describe as being similar to berries.5 This is the aroma of bed bug pheromones.

In the case of a severe infestation, you may notice an intense, metallic “rusty” smell.9 Any unexplained scent near your pillow is cause for investigation.

Bed bugs in pillows

Steps to Confirm Bed Bug Presence

So, you’ve spotted some possible signs, but still aren’t 100% sure you’ve been paid a visit by a bed bug family. What can you do next?

Inspect Pillow Seams and Crevices

Bed bugs love to reside in tight, dark spaces.1 This makes pillowcase seams and crevices inviting hideouts. 

Using a flash flight, carefully examine your entire pillow and pillowcase, taking the time to peel back the seams and look beneath any folds. Also check the area where the tag meets the pillow. 

Adult bed bugs are1:

  • Reddish brown in color
  • Apple-seed-sized
  • Oval-shaped
  • Wingless

Even if you only spot one or two during the course of your search, there’s more where they came from, possibly even a colony of bed bug eggs waiting to hatch…

Use Detection Tools

In addition to a visual inspection, you can also use specialized tools designed to reveal a covert colony. 

Methods include:

  • Pitfall traps – These go under your bed posts and block bed bugs’ upward path
  • Baited traps – Baited traps lure bugs into a receptacle

Keep in mind that these tools only serve to estimate the size of the infestation—they won’t eliminate bed bugs.

Effective Methods to Eliminate Bed Bugs from Pillows

Once you’ve zeroed in on the problem, there are a few tried-and-true methods to eradicate these unwelcome guests from your pillows:

  • Wash and dry at high temperatures – Wash your pillows and pillowcases, then toss them in the dryer at a temperature of 120 degrees Fahrenheit or above.7
  • Apply safe insecticide – Choose a bug killer formulated for use with bedding. Use sparingly. You’ll likely need to combine insecticide with other methods.
  • Encasement solutions – Installing a specially designed bed bug cover over your pillow and mattress helps prevent further bites by trapping them inside.8 Learn more about how to get bed bugs out of a mattress in our blog.
  • Call a professional – It can be pricey, but a trained exterminator or bed bug control team can make short work of bed bugs.

Preventative Measures

What’s even better than eliminating bed bugs? Putting out the no vacancy sign before they roll through.

The top two methods to keep bed biters from moving in are:

  1. Regular cleaning and inspection – Keep your things organized and wash your pillow and pillowcase often. Watch with an eagle eye for any bed bug red flags. Learn how to wash pillows in our blog for more.
  1. Protective covers – Zip-up covers can keep bed bugs from taking up residence in your pillow if they do happen to come knocking. 

Choose Casper for a Bed Bug-Free Sleep Environment

A bout with bed bugs can rattle your peace of mind, no question. But these critters aren’t invincible, and with the right approach you can achieve and maintain bed bug-free pillows. 

At Casper, our mission is to provide the tools you need for A-plus sleep. Our tried-and-true method? Engineering heavenly pillows like our cooling memory foam pillow with Snow Technology, or crafting blissful snooze-factory mattresses. But other times it means offering guidance on how to defend your bedding from invaders.

Either way, Casper is here for you and your slumber. Discover our offerings today.

Sources: 

  1. WebMD. Bedbugs.  https://www.webmd.com/skin-problems-and-treatments/bedbugs-infestation 
  2. Orkin. Sign of Bed Bugs on Pillows. https://www.orkin.com/pests/bed-bugs/bed-bugs-in-pillows 
  3. Virginia Department of Entomology. How to Identify a Bed Bug Infestation. https://www.vdacs.virginia.gov/pdf/bb-identify1.pdf 
  4. Mayo Clinic. Bedbugs. https://www.mayoclinic.org/diseases-conditions/bedbugs/symptoms-causes/syc-20370001
  5. Orkin. Bed Bug Smell. https://www.orkin.com/pests/bed-bugs/bed-bug-smell
  6. Reliant Pest. What Bed Bugs Smell Like (And What To Do About It). https://reliantpest.com/what-bed-bugs-smell-like-and-what-to-do-about-it/ 
  7. Native Pest Management. Will the Dryer Kill Bed Bugs? https://www.nativepestmanagement.com/blog/2024/january/will-the-dryer-kill-bed-bugs-/
  8. Ohio Got Bugs. Do Bed Bug Covers Work? https://www.ohiogotbugs.com/do-bed-bug-covers-work/ 
  9. Long Island Bed Bug Inspections. How Long Does it Take for Bed Bug Bites to Appear? https://www.mayoclinic.org/diseases-conditions/bedbugs/symptoms-causes/syc-20370001