Doctor insights on:
Can You Get Head Lice From Animals
Can you get head lice from walking in the woods? I noticed a tiny brown bug crawling on my phone and didn't know if it fell off my head
No: Head lice are specific to humans, and cannot live off the scalp. Unless you were butting heads with someone in the woods or sharing their cap/comb etc, that was not lice. There are countless insects it could have been, but if it was on your phone, then it's no longer on your scalp. Remember to always check for ticks after being in the woods - if you get them off in time, they can't spread disease. ...Read more
Skin-to-skin contact: ...Is the most common method, although it can also be transmitted by using an infested person's comb or brush, or putting one's head on the same pillowcase. ...Read more
Sharing: Head lice can be transmitted from one individual to another by direct scalp-to-scalp contact, sharing hair brushes or other hair accessories, and by coming in contact with bedding or cushions that were in contact by an infected individual. Follow the directions of your doctor closely to best eradicate the lice. ...Read more
If still present: Head lice are sometimes hard to get rid of. Sometimes multiple treatments and meticulous removal of egg casings are needed before they are gone for good. If present and the child shares a sleeping mat, headgear, brush or other item they can be passed easily. It can also take 10 or more days before you pick up that your kid has them. It takes that long for new lice to start laying visable eggs. ...Read more
What happens if you have head lice and you can't get them all out because a lot of them have spreaded too much, then?
Call your doctor: Lice can be hard to eradicate because they can become resistant to medications available at the grocery store. Discuss with your doctor- there are prescription options. Consider cutting your hair short which can make it easier to remove the insects and eggs. Have someone help you - you need a fine tooth comb and patience to remove all the eggs and insects from every area of scalp. Repeat often. ...Read more
Can u get head lice from someone who is infested if they sit in the passenger seat of your car? Even if you didn't sit there?
Goodbye lice: Tx of lice requires accurate identification of nits & / or lice. A pediculicide is usually used- otc like nix (permethrin) or rid or prescription meds like lindane or malathion. Work carefully through hair & remove individual nits. Purchase a special lice nit comb to aid you. Check for nits & remove as seen over the next 7 to 10 days. If there are nits after 7 to 10 days – a 2nd pediculicide tx may be needed. ...Read more
Pediculocide, comb: A pediculocide, like nix (permethrin) or rid is applied. Follow directions exactly! This will kill the lice-but it's not immediate. Next, use a nit comb (i like the lice meister) and comb through each section of hair. Rinse the comb off after each stroke, to remove any lice/nits in the teeth. Use the nit comb daily x 7 days. Some pediulocide should be reapplied in 7 days. ...Read more
Yes: Can spread to neck area and can rarely self inoculate. Treatment is same topical medications. ...Read more
You should be able: To look at home to make sure the nits/lice are gone. If you're not sure, then call your own doctor (if for your child, their pediatrician). If you're a teacher, or if this is for your child, the school nurse can help. There are also professional "nitpickers" who just deal with lice and getting rid of lice. A dermatologist is not necessary for this. ...Read more
Possible to get head lice at hair salon- if stylist uses same combs and cape on me that were used on others all day?
Unlikely: There tools are treated between each client so you are getting a clean, if not sterile combs and clean cape. ...Read more
Wetcombing, medicine: There are several options for getting rid of head lice, including creams and liquids, wet combing (Wet the hair and add a lubricant, such as hair conditioner or cream rinse, vinegar, or olive oil, Comb every three to four days for two weeks AFTER you find any large, adult lice) and oral medicine (pills) Clothing, bedding, and towels used within 48 hours before treatment should be washed in hot wa ...Read more
Not always easy: Nix (permethrin) cream rinse and kwell shampoo do not work consistently. Elimite cream (left on all night) is reported to be effective but is not officially approved for head lice. Malathion lotion is effective, but stinks and is flammable. Oral Ivermectin works, but requires a doctor's prescription. ...Read more
Also: Resistance has developed to several of the treatments that contain pediculocides like pyrethrins, permethrin, & lindane. Resistance varies in different areas, so check with your pediatrician to see what is working in your area. Some older products like lindane are no longer recommended because of their toxicity. Some of the new products contain novel non drug agents to overcome resistance issues. ...Read more
Yes: The short answer is yes, but it is less common in the US. Head lice move around the scalp by gripping hair shafts. Most head lice in the US have claws that are better adapted to grip the round hair shaft in people with straight or wavy hair. Curly hair tends to have a more elliptical hair shaft. ...Read more
Anti-Lice Shampoo: Use anti-lice shampoo and repeat in 7 dys.8 hours after using the shampoo, work on nits. Remove nits by backcombing with a fine-tooth comb or pulling out individually. Head does not need to be shaved to cure lice. Nits can live for 2 weeks. Vacuum your child's room. Soak combs/brushes for 1 hour in anti-lice solution. Wash sheets, blankets, stuff animal in hot water or seal in plastic bag x 2wk. ...Read more
Head lice: Tx of lice requires accurate identification of nits & / or lice. A pediculicide is usually used- otc like nix (permethrin) or rid or prescription meds like lindane or malathion. Work carefully through hair & remove individual nits. Purchase a special lice nit comb to aid you. Check for nits & remove as seen over the next 7 to 10 days. If there are nits after 7 to 10 days – a 2nd pediculicide tx may be needed. ...Read more
Treat & avoid kids: Head lice are a human only parasite that transfers easily in shared headgear, scarves, crowded settings, etc. & show up when kids get together. They are seldom noticed when they first infest a kid, but scratching leads to closer inspection & the egg casings show attached to hairs. Treating the kid/headgear can stop the current event, but a permanent exclusion requires avoiding further human contact. ...Read more
May require RX: Head lice are more common than most would care to admit. If you have already attempted otc medication, and the infestation continues, it may be time to consult a physician for a stronger prescription medication. Certainly useful is the meticulous removal of nits with a metal (not plastic) comb (brand name licemeister comb gets the best reviews). All family members should be treated at same time. ...Read more
We like lice md: It's otc. Sklice is a new rx med that has good data but depending on coverage it can be expensive. ...Read more
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