Head Lice

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Thinking head lice?

Head lice are tiny parasites that live in the hair and make it itchy.
Pharmacist

They feed on blood from the scalp. Biting on the scalp makes it itch and irritated.

lady with headlice symptoms

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Note that it has nothing to do with poor hygiene and there is no evidence that lice prefer clean or dirty hair. They feed on blood, not dirt or skin cells on the scalp.

Well, let's find out what to do about this.

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Head lice

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Why think head lice?

What make you think you have head lice?
Pharmacist

Let's answer that first.

 

Is it that someone in your house has it?
Pharmacist

 

Yes?

 

Did you come in close contact with someone who has lice?
Pharmacist

 

Yes?

 

Do you think you have lice because of tickling movement in the hair
Pharmacist

 

Yes?

 

Did you share hats, towels, or combs with someone who has lice?
Pharmacist

 

Yes?

 

Are you thinking head lice due to irritability and difficulty sleeping?
Pharmacist

 

Yes?

 


Those were some reasons to think head lice.
Pharmacist

If you still think you have head lice, let's answer a few more questions.

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Head lice

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Now, is it head lice?

Are you experiencing intense itching of the scalp?
Pharmacist

 

Yes?

 

Do you have small, red bumps on your scalp?

Neck or shoulders?

 

Yes?

 

What about crusty, oozing bumps on the scalp?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • May be looking at an infection probably due to scratching.

Anyway, before you do that or if the bumps are not too bad, let's see if you can find some lice.

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To rule out lice infestation, it would be wise to look for lice or their eggs.
Pharmacist

Let's see how to do this.

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Head lice

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Looking for lice

You will look for adult louse or nits.
Pharmacist

You will need the following:

  • Someone to help

  • Disposable gloves

  • Magnifying glass (optional)

  • Bright light or daylight.

 

Alright.
The person helping should follow the instructions below.
Pharmacist

With the gloves on (Using a magnifying glass if any):

Look behind the ear and back of the head near the neckline.

Let's answer a few questions when you have looked.

 

Yes?

 

Do you see anything like tiny white oval eggs or adult moving lice?

See "FYI" to know if it is dandruff or nit.


FYI

 

Yes?
Treatment is recommended if even one egg is found. But let's look further.
Pharmacist

 

Look at the base of the hair near the scalp for eggs (nits).

Did you find something within ¼ inch of the base of hair shafts?


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They should be oval shaped, very small and hard to see. It may be yellow, white or even the same color as the hair.

According to the CDC: If crawling lice are not seen, finding nits attached firmly within ¼ inch of the base of hair shafts suggests, but does not confirm, the person is infested.

Nits that are attached more than ¼ inch from the base of the hair shaft are almost always non-viable (hatched or dead).

FYI

 

Yes?

 

OK.
Look for adult louse.
Should be tan to grayish-white in color.

Anything like that?

They should be about the size of sesame seed (1/16 to 1/8 of an inch) with six legs.

 

Yes?
Let's see how to treat this head lice.
Pharmacist

According to the CDC, the diagnosis of head lice infestation is best made by finding a live nymph or adult louse.

See "FYI" for CDC (Centers for disease control) tips on how to prevent the spread of head lice.

FYI Clinic Pharmacist

 

Nothing?
You will have to use the Wet Combing method.
Pharmacist

It is a more time consuming but it has been proven to correctly identify lice in 90% of cases, compared with a 29% accuracy rate for visual inspections.

Let's try this if you think you are up for it.

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FAQs

 

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CDC's prevention and control
(copied text. See website for changes.)

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Head Lice

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To do wet combing, you will need some of the things listed below.
Pharmacist

Items for wet combing technique:

  • Regular hair conditioner.

  • A quality lice comb such as the LiceMeister®.

  • Hair clips for separation.

  • A de-tangling comb.

  • Pin tail comb.

  • A bowl of hot water to rinse the lice comb.

  • White paper towels or rags.

When you have most of these, let's continue

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Head Lice

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Wet combing directions

Follow the directions in the list form below.
Pharmacist

For ease of use, swipe left or right on a completed step to hide that step.

 

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Head Lice

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Did you find any lice or nit?
Pharmacist

 

Let's get an over-the-counter recommendation to treat this head lice.
Pharmacist

According to the CDC, the diagnosis of head lice infestation is best made by finding a live nymph or adult louse.

See "FYI" for CDC (Centers for disease control) tips on how to prevent the spread of head lice.

FYI Clinic Pharmacist

 

 

Well, treatment is recommended if one nit is found within ¼ inch from the scalp.

If nothing is found no treatment is recommended.

According to the CDC: If no nymphs or adults are seen, and the only nits found are more than ¼ inch from the scalp, then the infestation is probably old and no longer active — and does not need to be treated

Note that:
You have to find lice or eggs to use the over-the-counter shampoos or lotions. These shampoos do not prevent lice infestation.

See "FYI" below for CDC (Centers for disease control) tips on how to prevent the spread of head lice.

Would you like to see what a pharmacist recommend to get rid of head lice anyway?

Or think you should go to the nearest urgent care clinic to you?

FYI Clinic Pharmacist

 

 

 

 

CDC's prevention and control
(copied text. See website for changes.)

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