Wet or dry hair? You can check for lice in either wet or dry hair, but we recommend wetting the hair and preferably adding conditioner. The lice do not move as much and they attach more easily to the lice comb (10, 13).
If lice are present, you will see them in the water or on the towel. Lice eggs, or nits, can be even more difficult to identify. They are even smaller, glued tightly to hair shafts, and are often indistinguishable from hair to the naked eye.
Use fingers to separate hair and create a part. The part should allow you to clearly see the person's scalp. 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.
Fine tooth combing in dry hair is as good as wet combing to detect lice. The most reliable way to check is to wet comb because soaking wet lice stay still. In dry hair lice move quickly away from disturbance.
There are recent studies that show that treatment of lice with heat can be quite effective in killing head lice. Products such as Lousebuster are very effective but even a home hairdryer can successfully treat lice.
Wet combing with cheap conditioner and a fine-tooth head lice (nit) comb is an effective way to find and remove head lice, if done properly.
You may not experience itching until about 4 to 6 weeks after lice exposure. This is because the lice take time to multiply and cause symptoms of itchiness. The itching reaction is usually due to your skin becoming sensitized to the saliva that lice release when feeding.
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.
The oval-shaped eggs often look yellow or white but may be the same color as your hair. They are found on the first 1-2 inches of hair shaft closest to the scalp (not the end) and are hard to remove. You may confuse them with dandruff or flakes from hairspray build-up. Head lice nits usually hatch in 8 to 9 days.
Lice eggs (nits).
These look like tiny yellow, tan, or brown dots before they hatch. Lice lay nits on hair shafts close to the scalp, where the temperature is perfect for keeping warm until they hatch. Nits look a bit like dandruff, but aren't removed by brushing or shaking them off.
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.
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.
Typically, 10–15 head lice are found. The number of lice often depends on personal hygiene, for example, how often the person bathes, shampoos, or changes and washes his/her clothing.
It's possible that the nits are leftover from a previous infestation and are no longer viable, which means they are dead and won't hatch. It's difficult to tell the difference, so you should still treat any nits you find, even if there are no lice.
Some common bugs that can be mistaken for lice are ants, bedbugs, and fleas. A few things all these bugs have in common is they're small in size, can be dark colored, and can give you an itchy head. A few things that can be mistaken for lice nits are dandruff, hair product, or dirt.
Repeat treatment every day or every other day for 2 weeks. Some lice eggs (nits) survive head lice treatments. The only way to be sure that lice won't come back is to pick out all nits. Nits left on the hair can hatch and cause a new case of head lice.
Head lice survive less than one or two days if they fall off the scalp and cannot feed. Head lice eggs (nits) cannot hatch and usually die within a week if they do not remain under ideal conditions of heat and humidity similar to those found close to the human scalp.
They are small, oval-shaped, usually a yellowish-white color, and are firmly attached to the sides of hair shafts. The terms can be confusing because some people only use "nits" to refer to empty egg casings while "lice eggs" is used for eggs that can hatch (viable eggs).
Vinegar contains properties that kill and get rid of nits and lice. This mixture should be applied directly to the whole scalp. Mix 1 cup of vinegar with 1 cup of warm water. Next, distribute this mixture onto the scalp and cover your hair with a hair cap.
Usually, you would have to be in head-to-head contact with a person who has lice. This can be common in schools or kindergartens, where children are often close together. Sharing combs, brushes, towels, hats, and other personal items can hasten the spread of head lice.
Permethrin lotion, 1%;
Permethrin lotion 1% is approved by the FDA for the treatment of head lice. Permethrin is safe and effective when used as directed. Permethrin kills live lice but not unhatched eggs. Permethrin may continue to kill newly hatched lice for several days after treatment.
After beginning treatment, continue combing at least once a day while you still see live lice. Then continue to comb your child's hair every three to four days for at least three weeks after you see your last live louse. This is because nits can take up to two weeks to hatch.
Do not use a conditioner. It can keep the lice medicine from working. Rinse well with warm water and towel dry. Do not use the towel again until it has been laundered.