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.
New eggs are attached to the hair shaft very close to the scalp. Eggs that still contain a louse embryo are brownish in color, while the empty egg shells are white to grey.
Is it necessary to remove all the nits? No. The two treatments 9 days apart are designed to eliminate all live lice, and any lice that may hatch from eggs that were laid after the first treatment. Many nits are more than ¼ inch from the scalp.
Nits that are attached more than ¼ inch from the base of the hair shaft are almost always non-viable (hatched or dead). Head lice and nits can be visible with the naked eye, although use of a magnifying lens may be necessary to find crawling lice or to identify a developing nymph inside a viable nit.
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.
Their color may range from white, yellow, tan, or brown, so they may be hard to see. Eggs look darker when alive and pop between the fingernails. In contrast, hatched eggs look pale to almost translucent. Their sides look shriveled when the eggs are dead from lice treatments.
Use the nit comb to remove dead lice and nits. If some are still present but moving slowly, do not shampoo again. If lice are still active and no dead lice are found, call your health care provider. These lice may be resistant to the medicine.
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.
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. They will only hatch in a moist, warm environment such as the scalp.
People may need multiple treatments to eradicate head lice, and this can take around 2–3 weeks. Head lice are around 2–3 millimeters (mm) long and are often visible to the naked eye. They live on human heads and lay eggs at the bottom of hair shafts.
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.
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.
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.
Now if you only found one single lice bug, and you're sure you're not finding any nits (lice eggs), then you don't necessarily need to treat. It's possible that your child just picked up head lice recently or it's possible that they only have one male lice bug that wasn't capable of laying eggs.
To remove lice and nits by hand, use a fine-tooth comb on wet, conditioned hair every 3–4 days for 3 weeks after the last live louse was seen. Go through small sections of hair at a time. Wetting the hair temporarily stops the lice from moving, and the conditioner makes it easier to get a comb through the hair.
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.
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.
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.
Adult head lice can survive for 2 days and nits for around 1 week on a hairbrush. Soaking combs or hairbrushes in hot water of at least 130°F (54.4°C) for 5–10 minutes will kill any lice and nits.
If crawling lice or nits are found, all household members should be examined for crawling lice and nits every 2–3 days.
Suffocate the Lice
Soak your child's head in olive oil or coconut oil. Cover with a shower cap for at least 2 hours (or preferably overnight). When ready, remove the shower cap, and separate the hair into small sections, then use a metal nit comb to carefully remove the lice and eggs. Rinse the hair well with shampoo.