What can be mistaken for head lice?

Author: Dave Jerde  |  Last update: Monday, July 21, 2025

Things often mistaken for nits include:
  • Dandruff.
  • Residue from hair products.
  • Beads of dead hair tissue on a hair shaft.
  • Scabs, dirt or other debris.
  • Other small insects found in the hair.

What looks like lice but isn't lice?

Location: Lice and dandruff can look the same at first glance, but they occur in different locations. Lice lay their eggs (called nits) on the hair shaft itself. Nits adhere to the hair shaft close to the scalp and will not flake off like dandruff does.

What looks similar to head lice?

Body lice and head lice look similar because they're both from the same species, with only slight physical differences. Body lice don't affect your head, and head lice don't affect your body.

Why do I feel something crawling in my hair but no lice?

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.

What do scalp parasites look like?

Head lice usually look grayish-white or tan in color, though they can camouflage. Adult lice are around the same size as a sesame seed. Lice eggs may look like tiny ovals on the hair shaft. Head lice are tiny parasites that live on the human head and feed on blood from the scalp.

How to spot and treat Head lice (nits) | Doctor O'Donovan explains...

What can be confused for lice?

Things often mistaken for nits include:
  • Dandruff.
  • Residue from hair products.
  • Bead of dead hair tissue on a hair shaft.
  • Scabs, dirt or other debris.
  • Other small bugs found in the hair.

Why does my child's head itch not lice?

The most common causes of an itchy scalp are dandruff or a condition called seborrheic dermatitis. Dandruff shows up as loose flakes on the scalp and in the hair, which are often easy to see. Seborrheic dermatitis is an inflammatory condition often caused by an overgrowth of yeast.

What are pediculicides?

This medication is used to treat lice, which are tiny insects that can infest and irritate the scalp (head lice), the pubic area (crabs), or the body. This medication works by paralyzing and killing lice.

Why do I keep finding nits but no lice?

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.

How to check for lice on yourself?

How can I check myself for lice? If you're worried you may have lice, use a mirror to check the nape of your neck and behind your ear for bites. Run a fine tooth comb through damp hair, then wipe it along a paper towel to check for nits. Wear gloves when you check the strands of your hair.

What do lice bumps look like?

Body lice bites cause small, red, pinpoint holes in the skin. People have scratch marks, hives, or, if intense scratching has broken the skin, a bacterial infection.

What bug can be mistaken for lice?

As they're both small parasitic insects that feed on human blood, lice and bed bug infestations can seem similar.

What are 2 symptoms of head lice?

Symptoms of head lice include: Feeling like something in your hair is moving (tickling). Itching. Sores from itching and scratching.

What kills lice and eggs instantly?

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.

How to treat a child's itchy scalp?

Treatment for dandruff and itching scalp

Regular washing of the scalp with a medicated shampoo may be all that is required to relieve itching scalp. The most common anti-dandruff shampoos contain one or more of: zinc pyrithione or zinc omadine. selenium sulphide.

How to spot head lice?

The lice will be dark in color and the size of a poppyseed. Look for nits near hair follicle about ¼ inch from scalp. Nits (eggs) will be white or yellowish-brown. Nits are often more easily seen than lice, especially when the person has dark hair.

What mimics lice?

Head lice and dandruff share similar symptoms, including an itchy scalp. Head lice produce eggs called nits, which are a similar colour to dandruff flakes.

Do I have lice or a dry scalp?

The white flakes caused by dandruff are excess skin flakes, and as such will not be attached directly to the hair – by contrast, teardrop-shaped lice eggs directly adhere to the follicle, often very close to the scalp. With lice, you'll find red, bloody spots on your scalp.

Why do I feel like crawling on my scalp in one spot?

Formication. Hallucinating the feeling of insects crawling on your skin is known as formication. The sensation occurs because your brain is misinterpreting signals from your body, a type of tactile hallucination — it's related to your sense of touch.

What does trichomycosis look like?

Trichomycosis presents with yellow-white (occasionally red or black), soft, malodorous nodules and sheath-like structures on hair shafts (picture 1A-C).

What does lice poop look like on scalp?

Also look for lice feces, that look like tiny black specks on your child's scalp. If you see black specks, care- fully examine the rest of the head for live lice. Eggs: Female lice typically attach eggs 1/2-inch from the scalp. There can be from a few to several hundred nits in a child's hair.

What kills parasites in the scalp?

Topical pediculicides remain the main treatment. Permethrin shampoo 1% should be left on the scalp for 10 min and then rinsed. Piperonyl butoxide 15% may also be used as shampoo. Permethrin 5% may also be used, applied to the scalp at night, and removed the next day.

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