Look for nits attached to the hair near the scalp. They can look like dandruff or dirt.
Dandruff. Dandruff can sometimes be mistaken for lice, but the symptoms are different. While lice is a parasitic infection, dandruff is a skin condition.
Their color may range from white, yellow, tan, or brown, so they may be hard to see. Eggs look darker when alive and pop between the fingernails. In contrast, hatched eggs look pale to almost translucent. Their sides look shriveled when the eggs are dead from lice treatments.
Lice eggs (nits) on hair shafts.
Nits may be difficult to see because they're very tiny. They're easiest to spot around the ears and the nape of the neck. Nits can be mistaken for dandruff, but unlike dandruff, they can't be easily brushed out of hair.
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. Good lighting is important when you are checking. Head lice move fast and are hard to see.
This is a tactile hallucination known as formication. People with this condition are convinced the bugs are real, even with reassurance from others they are a hallucination. This makes formication difficult to treat for the person and their medical provider.
Look for nits attached to the hair near the scalp. They can look like dandruff or dirt.
Ivermectin (Sklice). This lotion kills most head lice, even newly hatched ones, with just one use. You don't need to comb out lice eggs (nits). Children aged 6 months and older can use this product.
Head lice eggs
A live egg will 'pop' when squashed between fingernails. Dead eggs have crumpled sides and hatched eggs look like tiny boiled eggs with their tops cut off. To optimise treatment remove as many eggs as possible.
Eggs (nits) are yellow, brown, or tan. They look like tiny seeds and are firmly attached to the hair shaft. They do not move.
If you think you have lice and see a small, oval blob on a strand of hair, it's probably a nit. If nits are yellow, tan, or brown, it means the lice haven't hatched yet. If the nits are white or clear, the lice have hatched and just the egg remains. Lice eggs hatch within 1 to 2 weeks after they're laid.
Lice eggs are so small you would never know if they hatched or not. The only way to prevent them from hatching would be to remove them with a good metal nit comb, or your fingernails.
Black dots correspond to remnants of hair shafts in the follicular ostia and cannot be removed mechanically. They are usually associated with other forms of broken hairs. The second trichoscopic finding is hair dye; if hair is improperly washed, dye can deposit on the scalp and may even penetrate the follicular ostia.
Nits are oval and usually yellow to white. Pubic lice nits take about 6-10 days to hatch and become nymphs, which look like a smaller version of the adult louse. The nymphs undergo 3 molts before becoming adults.
Vinegar is one of the classic home remedies for lice. However, if you are trying to find out how to get rid of nits using vinegar, you should know that using vinegar to kill nits or lice eggs is totally ineffective. Vinegar has no negative effect on the lice eggs.
What repels head lice? 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. At 1% concentration, tea tree oil killed 100% of head lice after 30 minutes.
Finding eggs (nits) without lice does not necessarily mean that there is an active infestation; nits can be found for months after lice are treated. Because lice lay eggs at the base of the hair shaft, the identification of nits within ¼ inch of the scalp suggests (but does not confirm) an active infestation.
Also look for lice feces, that look like tiny black specks on your child's scalp.
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.