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).
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.
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.
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.
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.
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.
Head lice nits usually take about 8–9 days to hatch. Eggs that are likely to hatch are usually located no more than ¼ inch from the base of the hair shaft. Nits located further than ¼ inch from the base of hair shaft may very well be already hatched, non-viable nits, or empty nits or casings.
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.
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.
There are no over-the-counter or prescription treatments that totally kill both lice and nits. Nits cannot be washed out or brushed out of the hair. They must be picked or pulled out with a special nit comb or by hand.
Symptoms and Causes
The most common symptom of head lice is itching, especially on the back of your head and neck and near your ears — areas where lice are more likely to live. Symptoms of head lice include: Feeling like something in your hair is moving (tickling).
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.
The peak season for lice infestation is August through October and again in January. Head lice are tiny parasitic insects that feed on human blood. Lice come in three forms: nits (eggs), nymphs (baby lice), and adults. Nits are white or yellowish-brown and about the size of a poppy seed.
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.
Reliable data on how many people get head lice each year in the United States are not available; however, an estimated 6 million to 12 million infestations occur each year in the United States among children 3 to 11 years of age.
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.
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.
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.
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.
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.
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.
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.