San Jose, CA
A 25-year-old male asked:

There is something greyish around pubic hair, looks like dandruff/public lice around upper thighs is this an std and how do i treat it?

1 doctor answer2 doctors weighed in
Dr. Robert Kwok
Pediatrics 35 years experience
Doctor can examine: In general, a person can catch lice from another person only if the second person has lice or eggs that can hatch. It doesn't matter whether or not the infested person shows visible signs of lice, but most lice-infested persons are itching a lot. A doctor can diagnose lice in-person, but online consultation might work (especially if camera has macro lens). Medications are like those for head lice.
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Related questions

A female asked:
Bigger than usual chunks attached to hair follicles -- dandruff? Feels like there are rough patches on scalp... Almost resembles lice!
Dr. Oscar Novick
Pediatrics 60 years experience
Chunks : You may have seborrhea or psoriasis. See your dermatologist for a definitive diagnosis
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Can lice look like dandruff flakes? They seem to be stuck to my hair shafts and in my eyebrows and eyelashes as well. I have had intense itching for a few months now, symptoms improve a bit when I use diluted tea tree or clove oil?
Dr. Birendra Tandan
Urology 36 years experience
Please see your Md for proper diagnosis and management. dandruff is whitish tiny flakes and lice are small crab-like parasites.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Stanley Katz
Dermatology 49 years experience
Nits, which are tiny eggs of the louse, can be stuck to hair shafts. Dandruff resembles white flakes that are on the scalp or throughout the hair. Perhaps you have both. See dermatologist to confirm.
Jun 7, 2022
A female asked:
There are little tiny bugs in my hair. Not lice or nits or fleas but they look almost like little flies. If I itch my head ( dandruff ) I find them.
Dr. James Ferguson
Pediatrics 48 years experience
Hard to say: These could be bedbugs, by your brief description, but only a visit to your doc or dermatologist would allow a proper label.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
How can one with black hair tell if he or she has really bad dandruff or lice?
Dr. James Ferguson
Pediatrics 48 years experience
Location,observation: Young lice take ~10 days to mature & start laying eggs & do so at the hair line.Most infestations will be noted when the egg casings become evident. A... Read More
Created for people with ongoing healthcare needs but benefits everyone.
View all answers
A 23-year-old female asked:
Great hygiene, but unfortunately I have smelly hair, and its itchy, but there are no flakes, no dandruff, no lice, no scaly scalp. Help!
Dr. Martin Raff
Infectious Disease 58 years experience
See a dermatologist: You need to be examined and diagnosed appropriately and then treated for whatever is responsible.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 2, 2019

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