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).
Combing through a child's wet hair seems to be a more accurate way of finding active head lice compared with visual checks, researchers say.
Wash the hair well, dry it with a towel, then comb with a regular comb. The hair should be damp so it doesn't become “fly away”, which can make it harder for the lice or nits to stick to the comb. Change to the fine-toothed comb.
Diagnosing head lice and nits
Detection combs are special fine-toothed plastic combs that you can buy from your local pharmacy, supermarket or online. A comb with flat-faced teeth and a tooth spacing of 0.2 to 0.3mm is best. Detection combing can be carried out on dry or wet hair.
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.
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.
Symptoms. You don't usually start experiencing scalp itching when lice first arrive in your hair. 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.
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adult lice are seen, and the only nits found are more than ¼-inch from the scalp, the infestation is probably old and no longer active and does not need to be treated.
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.
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.
Do not share clothing such as hats, scarves, coats, sports uniforms, hair ribbons, or barrettes. Do not share combs, brushes, or towels. Disinfest combs and brushes used by an infested person by soaking them in hot water (at least 130°F) for 5–10 minutes.
4 You cannot get rid of lice with a hair brush or with a hair dryer. 4 The best way to find head lice is by using a fine toothed lice comb on hair that is dry, wet or wet with conditioner. 4 Only treat when you find a live louse on the head. Contact your local Public Health Nurse if you have any questions.
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.
With the hair wet and full of conditioner, it is difficult to see whether any lice or nits have been removed. However, dry combing, which is easier to do, allows success of louse removal to be seen and has been successful in ten out of ten separate infestations.
It's important to note that head lice do not hide in mattresses during the day like bed bugs—they want to remain on the scalp of their hosts continuously. And lice can only crawl—no jumping or flying, which means they can only be contracted by direct contact.
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.
You can find head lice on the scalp, neck, and ears.
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.
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.
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.
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.
A louse goes through three stages: Eggs that hatch after 6 to 9 days. Nymphs, immature forms of the louse that become mature adults after 9 to 12 days. Adult lice, which can live for 3 to 4 weeks.
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.
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.