The diagnosis of
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.
Comb dead and any remaining live lice out of the hair using a fine–toothed nit comb. If, after 8–12 hours of treatment, no dead lice are found and lice seem as active as before, the medicine may not be working.
Head lice are tan to grey in colour and have six legs which end in hook-like claws which help them hold onto hair. Adult lice may be difficult to spot, but they can be even tougher in their nymph form. Nymphs are newly hatched, baby head lice. They look like an adult head louse but are only about the size of a pinhead.
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.
Every stage of the development process will be underway in the hair. Some adult lice will have crawled off to lay their eggs on someone else's hair, so they extend their survival elsewhere. So no, lice don't naturally die off.
Nits are often confused with other things found in the hair such as dandruff, hair spray droplets, and dirt particles. If no live nymphs or adult lice are seen, and the only nits found are more than ¼-inch from the scalp, the infestation is probably old and no longer active and does not need to be treated.
How do I check for head lice? To confirm a case of head lice, you need to find live 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.
They're Easy to Spot
Although lice and their nits are small, you can see them with the naked eye. They can be white, brown, or dark gray. You're more likely to find them in the hair at the back of your neck or behind your ears. The nits are round or oval specks that are tightly stuck to hairs near the scalp.
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.
Ivermectin (Sklice).
This lotion kills most head lice, even just-hatched lice, with just one use. You don't need to comb out lice eggs (nits). Children ages 6 months and older can use this product.
How long does head lice last? With effective treatment, head lice will completely go away after two to three weeks. The duration is dependent on how many lice made a home in your hair. Make sure you follow the instructions on your medicated shampoo, lotion or cream to get rid of lice quickly.
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.
What are the symptoms of head lice infestation? Symptoms include a tickling feeling of something moving in the hair, itching caused by allergic reaction to the bites, irritability, difficulty sleeping (head lice are most active at night), and sores on the head caused by scratching.
The only way to prevent them from hatching would be to remove them with a good metal nit comb, or your fingernails. Nits are laid by the mother and attached with a glue she formulates, to sit on the hair shaft in the perfect spot to incubate and hatch.
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.
A preventative shampoo and spray can break the life cycle. A shampoo that kills lice before they can lay eggs is critical for closing the “bridge” from one head to another. Ladibugs experts recommend parents seek effective, pesticide-free options.
Appearance. Head lice have six legs and are usually grayish-white or tan. However, they can camouflage, so they may appear darker or lighter to match different hair colors.
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. How are head lice spread? Head lice infestation is spread most commonly by close person to person contact.
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.
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.
Lice cannot “fall” on pillows, sheets, stuffed animals, and other bedding unless the hair that they are attached to fall. But they can't live on these surfaces, or on hats, scarves, furniture, or carpet. They also can't live on pets or any other animals. Nits can't live without a human host.
If nits are yellow, tan, or brown, it means the lice haven't hatched yet. If the nits are white or clear, the lice have hatched and just the egg remains. Lice eggs hatch within 1 to 2 weeks after they're laid.
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.
Adult lice can't live longer than 24 hours or so on nonhuman surfaces like carpets, hardwood floors, clothing, furniture, sports helmets, headphones, or hair accessories. However, if you have identified lice in your home, isolate and wash those items and areas within at least 72 hours.