Many people with head lice have no symptoms at all. It's impossible to diagnose head lice based on symptoms alone since the only symptom that matters is the presence of lice. However, experiencing the following symptoms suggests it is time to check the scalp: frequent unexplained itching of the head or scalp.
The diagnosis of a head lice infestation is best made by finding a live nymph or adult louse on the scalp or hair of a person. Because nymphs and adult lice are very small, move quickly, and avoid light, they can be difficult to find. Use of a magnifying lens and a fine-toothed comb may be helpful to find live lice.
Itching on the areas where head lice are present is the most common symptom. However, it may take up to 4 to 6 weeks after lice get on the scalp before the scalp becomes sensitive to the lice saliva and begins to itch. Most of the itching happens behind the ears or at the back of the neck.
Adults are not immune to head lice. In fact, if you have any close contact with children or even parents of children you can be at risk of catching them if they have them. Lice transfer primarily through head to head contact, so you would have to get close to the other person.
Look for lice crawling on the scalp where the hair is parted or on the hair shaft. The lice will be dark in color and the size of a poppyseed. Look for nits near hair follicle about ¼ inch from scalp. Nits (eggs) will be white or yellowish-brown.
Can someone have nits but no lice? It may be possible to have nits but no lice. If a person cannot find any nymphs or adult lice in the scalp and the nits are more than a quarter of an inch from the scalp, these may be dead and from an old infestation.
Untreated head lice may degrade the scalp and affects it health and that of the hair. If the follicles become blocked, then hair loss may occur. It is hard to have well-conditioned hair if it is covered in head lice eggs, lice and bacteria.
Head lice infestations can be asymptomatic, particularly with a first infestation or when an infestation is light. Itching (“pruritus”) is the most common symptom of head lice infestation and is caused by an allergic reaction to louse bites.
It's likely that you are experiencing psychosomatic itching if you are still itching after a lice infestation. It's just like watching a movie where a character has bugs on them or finding an ant on your hand; psychosomatic itching makes your skin crawl all over the place without actually experiencing the stimuli.
Lice and nits can live on pillows and sheets. Lice glue their eggs to the hair strands of their host. However, if a piece of hair with an egg falls out while the lice host is sleeping, an egg could end up on pillows or sheets.
The eggs are firmly attached to the hair fibres, within 1.5 cm of the scalp, and rely on warmth from the head to hatch. Head lice do not have wings or jumping legs, so they cannot fly or jump from head to head. They can only crawl.
Not everyone feels lice moving around on their scalp, but some people do. Dr. Garcia says that most of her patients say they “don't feel anything,” but others may get a creepy, tickling sensation as lice move around their head.
You Have to Treat Them
Head lice will not go away on their own. If you think your child has an infestation, there are several steps you should take right away. Call your doctor to confirm the diagnosis. Notify your child's day care or school so other students can be checked.
Can head lice live on pillows or sheets? Head lice cannot live for long on pillows or sheets. It is possible for a live louse that has come off a person's head to crawl onto another human host who also puts their head on the same pillows or sheets.
Generally, if no live crawling insects are seen three weeks after the treatment, it's safe to assume that they are gone. Nits would have hatched by that time if they were alive. Nits and their shells may remain in the hair for some time but won't be viable.
The most common symptom of head lice is itching on the scalp, neck and ears. This is an allergic reaction to louse bites. When a person has head lice for the first time, itching may not occur for 4 to 6 weeks.
People who suffer from conditions like phantom lice syndrome, delusional bug syndrome or Morgellons disease report feeling like something is literally trapped under their skin. They believe lice, bugs, worms, eggs, fibers or tiny specks are right under their skin or are trying to come out of it.
The way to tell the difference between nits and dandruff is that dandruff is much more easily removed from the hair, whereas nits are glued to the hair shaft. If you can remove the white speck easily then it is dry skin (dandruff), if not, it could be a nit.
Detection combing can be carried out on dry or wet hair. Dry combing takes less time, but wet combing is more accurate because washing with conditioner stops head lice from moving.
If you see sesame-seed-shaped objects, those are the nits and lice, which can be brown or grey and stand out against the white paper towel. “The nits may look like they have tails that stick out the back,” says Faulkner.
While there usually is more concern and discussion of lice infesting children than adults, without a doubt people of any age can become hosts for lice.