Itching. The most common symptom of head lice is itching on the scalp, neck and ears. This is an allergic reaction to louse bites. When a person has head lice for the first time, itching may not occur for 4 to 6 weeks.
Head-to-head contact with an already infested person is the most common way to get head lice. Head-to-head contact is common during play at school, at home, and elsewhere (sports activities, playground, slumber parties, camp). Although uncommon, head lice can be spread by sharing clothing or belongings.
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.
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.
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.
The life cycle of the head louse has three stages: egg, nymph, and adult.
Coconut, tea tree oil, lavender, eucalyptus, rosemary, lemon grass, and peppermint are scents popularly believed to repel lice. Using any coconut scented shampoo and conditioner is an easy way to increase your defense.
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 you look closely at your child's hair on their scalp, you may be able to see the tiny white nits attached to the hair shafts. Nits resemble dandruff but aren't as easy to brush or shake off the hair. Adult lice can move around quickly and are difficult to see.
A nymph hatches from the egg and goes through several stages of growth before turning into an adult head louse. Nymphs look similar to adult head lice but are smaller, roughly the same size as a pinhead. Adult head lice are about 2–3 millimeters (mm) in length, which is roughly the size of a sesame seed.
Lice develop from egg to nymph to adult in just a couple of weeks and can lay up to six eggs a day so they multiply quickly. They may look like a poppy seed to a sesame seed and are sometimes mistaken as dandruff.
Washing, soaking, or drying items at a temperature greater than 130°F can kill both head lice and nits. Dry cleaning also kills head lice and nits. Only items that have been in contact with the head of the infested person in the 48 hours before treatment should be considered for cleaning.
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.
Petroleum jelly (Vaseline).
Like olive oil, many moms swear by this (other options: styling gel or mayonnaise). The thick jelly supposedly suffocates lice by clogging their breathing holes. For best results, coat the hair and scalp, cover it overnight with a shower cap, and wash out the next morning. Comb for nits.
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.
Avoid sleeping in the same bed as the person with an active lice infestation. Avoid sitting where the person with lice has sat in the past two days. Wash linens and clothing in hot water and dry on high heat. Place stuffed animals, pillows and items that cannot be washed into an airtight bag for two weeks.
Can head lice live on pillows or sheets? Head lice cannot live for long on pillows or sheets. It is possible for a live louse that has come off a person's head to crawl onto another human host who also puts their head on the same pillows or sheets.
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.
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. Various natural remedies exist for treating lice but there is no scientific proof that they work.
Spinosad (Natroba).
Spinosad is approved for adults and children age 6 months and older. It can be applied to dry hair and rinsed with warm water after 10 minutes. It kills lice and nits and usually doesn't need repeated treatment.
The conditioner does not kill lice but stuns them for about 20 minutes enabling easier removal. The long toothed metal comb will remove nits and the stunned head lice. Wipe the comb on a white tissue and check for any lice or nits.