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What Are Lice Like? Symptoms and Tips for Removing Them

Dr. Elif D.

Reading Time: 3 min

Last Updated: 24/08/2026

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Head lice are small parasites that live on the human scalp and feed on blood. Lice infestation, called pediculosis, affects people of all ages but is particularly common in school-age children. With the help of a specialized intermediary organization like Albania Hair Clinic, you can identify and effectively treat lice, preventing their spread and associated symptoms.

What Are Head Lice?

Lice are parasitic insects that infest hair and the scalp. They do not fly or jump, but move quickly and spread through direct head-to-head contact. The life cycle of a louse includes three stages: egg (nit), nymph, and adult. The female lays up to 10 eggs per day, which hatch in 7–10 days.

What Does a Louse Look Like Physically?

Lice are difficult to see with the naked eye, but by observing them closely, some characteristics can be noted.

Table: Appearance of Lice

Stage

Size

Color

Description

Egg (nit)

0.8 mm

White-yellowish

Attached to the base of the hair shaft

Nymph

1–2 mm

White-gray

Smaller and less mobile

Adult

2–3 mm

Light brown

Moves quickly on the scalp

How Do You Get Lice?

The most common method is direct head-to-head contact. However, it is also possible through:

  • Shared brushes and combs
  • Hats or scarves
  • Pillows and bedding
  • Towels and upholstered seats (in rare cases)

Symptoms of Lice

  1. Visible insects among the hair

  2. Nits (eggs) attached to the hair root

  3. Presence of nymphs or adult lice

  4. Intense and persistent itching

  5. Small red marks or scabs from scratching

The itching is caused by an allergic reaction to louse saliva. In children, it can cause restlessness and sleep disturbances.

Visible Signs of Infestation

  • Scalp irritation
  • Widespread redness
  • Difficulty sleeping
  • Appearance of dandruff that is actually eggs

How to Recognize Lice

  • Inspect the nape of the neck and behind the ears
  • Use a fine-toothed comb on wet hair
  • Check with a magnifying glass

How to Eliminate Lice

  1. Wet combing

  • Use a fine metal comb
  • Apply conditioner or oil to ease removal
  • Repeat every 2–3 days for at least 2 weeks
  1. Medicated Lotions and Sprays

  • Contain permethrin, dimethicone, or malathion
  • Apply to dry scalp
  • Leave on according to instructions
  • Bleach, gasoline, undiluted vinegar
  • Natural treatments without clinical evidence
  1. Manual Removal

  • Use fingers or tweezers to remove persistent nits

How to Tell if You Have Lice

  • Intense and persistent itching
  • Nits close to the scalp, difficult to remove
  • Tingling sensation on the scalp

Is It Possible to Prevent Lice?

  • Avoid head-to-head contact
  • Do not share personal items
  • Regular hair inspections in children
  • Keep hair tied back at school

How to Comb to Check for Lice

  1. Wash hair with conditioner
  2. Divide into sections
  3. Comb with a fine-toothed comb from root to tip
  4. Clean the comb on a white tissue to check for lice

Are Lice Contagious?

Yes, very much so. Infestation can spread quickly among children and entire families, especially in closed environments like schools and kindergartens.

Will They Ever Go Away?

Yes, with correct and persistent treatments. Lice do not survive more than 24–48 hours away from the head. However, it is also important to treat the environment.

When to Consult an Expert

  • If after 2 treatments lice are still present
  • If skin infections develop
  • If there are doubts about the type of infestation

How Lice Spread

  • Direct head-to-head contact
  • Sharing brushes, hats, or headphones
  • Infected sheets or pillowcases

How to Prevent Lice

  • Weekly scalp checks
  • Avoid sharing personal items
  • Teach children not to touch their heads

How Long Does a Lice Infestation Last?

Table: Duration of Infestation

Condition

Typical Duration

Mild infestation

7–10 days

Persistent infestation

2–3 weeks

Without treatment

Variable (up to months)

When Can a Child Return to School After Lice?

  • Immediately after the first treatment, if no live lice are visible
  • Check with the teacher or educational institution for specific regulations

Frequently Asked Questions

Small brown insects 2–3 mm long, visible near the skin.

Yes, but it is rare. Transmission almost always occurs head to head.

Itching, presence of white eggs attached to the hair.

Medicated lotions with permethrin or dimeticone.

Only for 24–48 hours. They prefer the scalp.

Generally 7–10 days with correct treatment.

After the first treatment, if no live lice are seen.

There is no preference: they attach to both clean and dirty hair.