Eggs and nits also stick to the hair shaft, so they don't come off easily. If you try to pull one out of the hair with your fingers, it won't budge—it will move only if you use your nails to get behind it and force it off. If you can easily remove what you think is a nit, then it is not really a nit.
Louse eggs are called nits. Nits look sort of like dandruff, except they don't brush or fall off as easily as dandruff. Lice attach their nits to pieces of hair, close to the scalp.
Lice and nits can be removed by wet combing. You can buy a special fine-toothed comb (detection comb) online or from pharmacies to remove head lice and nits. There may be instructions on the pack, but usually you: wash hair with ordinary shampoo.
Nits may remain after lice have gone. They are empty eggshells and stick strongly to hair. They will eventually fall out. If you prefer, a fine-toothed 'nit comb' can remove them.
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.
After each treatment, checking the hair and combing with a nit comb to remove nits and lice every 2–3 days may decrease the chance of self–reinfestation. Continue to check for 2–3 weeks to be sure all lice and nits are gone.
How soon do symptoms appear after exposure? Some people may not have symptoms, particularly with the first infestation or when the infestation is light. It may take 4-6 weeks for itching to appear the first time a person has head lice.
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.
When treating head lice, it may be difficult to tell whether the nit is still alive or if it has hatched. The simplest way to tell is by looking at the color — live and dead nits are brown while hatched nits are clear.
Continue to check hair and use the nit comb to remove nits and lice every 2 to 3 days for 2 to 3 weeks. This process should be done for as long as nits and lice are still found on the head. Many lice medicines recommend a second treatment in 9 to 10 days.
Shaving the head does not cure lice. The itching should go away within a few days, but the medicated treatment will need to be repeated in 5 to 7 days to kill any new lice that may have hatched since the first treatment.
A dead lice egg will be white or grey. As they are empty, they will be flat and dry.
If you leave head lice untreated, the symptoms of lice infestation will worsen. The lice will continue to feed on the scalp, spreading from person to person, and the itching and discomfort will become more severe. As the lice population grows, so will the amount of eggs they lay, raising the risk of reinfestation.
Dead nits are often black in colour and are found well away from the scalp. Nits are laid on the hair shaft within 1cm of the scalp and take about 7-10 days to hatch into head lice.
Children can have a few nits without actually having a case of head lice. Usually children have no more than 10 to 20 live lice. Good lighting is important when you are checking. Head lice move fast and are hard to see.
How many head lice are usually found on an infested person? 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.
Avoid head-to-head (hair-to-hair) contact during play and other activities at home, school, and elsewhere (sports activities, playground, slumber parties, camp). Do not share clothing such as hats, scarves, coats, sports uniforms, hair ribbons, or barrettes. Do not share combs, brushes, or towels.
People with short hair were least likely to have lice, and people with thick hair more often had lice than those with thin hair. Lice also can't survive if hair is less than 6 millimetres long, which is why shaving a person's head is a very effective treatment, Rukke said.
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.
Lice Life Cycle
Once the lice have spread to the person's head, the female louse will start to lay their nits or eggs; an infestation has begun. The first nymphs, or baby lice, will appear 7-10 days later. Nymphs will continue to eat and grow over the next 7-10 days.
Head lice sometimes go away on their own because there are not enough insects to maintain the infestation, or they may persist for an indefinite period without treatment. With proper treatment, the infestation usually goes away within about two weeks.
If you do not comb out all the remaining nits, they will hatch and restart the cycle in 7-10 days from that point. That's why we recommend 3 treatments over a 12-day period of time. This stops the life cycle of lice. These are nits at different stages and a louse.