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Suggest treatment for lice infestation on head

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Posted on Wed, 23 Dec 2015
Question: I have been battleing a crawling movement on my head . I got this in Az and thought it was lice had several treatments but no one saw the lice . There was lots of crawling (no itching) My scalp has a real crusty surface at all times. Got home to XXXXXXX and thought I would get help. I pulled out some hair off my head and I saw a tiny white spot that I looked at under a 20 strength microscope , I taped a pin down to be able to find it and seen it move across to another hair. Told the Doctor and they did not believe me.. Took several things into them but no
luck finding out. My hair has a gooey stuff on it. also cut hair real short in May And is just now growing some. It is strange with all the washing of hair it is not dry. Also have picture of gooey stuff and the tangled hair from a 40 to 60 strength microscope attached to my phone showing the gooey stuff plus the tangled hair on my nit comb. They don't even exam it. I take baths and nit comb 1 or 2 times a day. Used hydrogen peroxide on hair(per a naturapathic dr) on hair and body also had bites and sores on body helped by 50% then started taking "Parafree" internally from a herbalist in August and that stopped the bites and decreased the movements.. I contiuue to use colliode silver , tree tree oil ,neem oil and etc on my head. If it gets to bad I soak in epson salts and baking soda that settles them down. I am lots lots better but Still have some. Had scabs in ears for along time also my ear canal was very painful and swollen shut several times.
This sounds to me like a horror movie. Thought it was lice . Oh my husband also had it, but not bad.( l think he still does cause he nit combed his hair just last week. Could it be a mite. Thank you for any help and information , 10 months is a long time without assistance.
Faye XXXXXXX
Thank you email is YYYY@YYYY









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Answered by Dr. Hardik Pitroda (5 hours later)
Brief Answer:
Oral antibiotics, topical permethrin lotion

Detailed Answer:
Hello,
Thank you for posting on HCM.
I can understand your concern regarding the skin condition you have been facing for long.
From your history and description, it seems likely that you are having lice infestation also known as pediculosis capitis.
In cases of Head lice infestation, I generally recommend a week long course of oral antibiotic like cotrimoxazole.
Also I recommend application of permethrin 1% lotion followed by hairwash after 1 hour and manual removal of lice and nits with comb.
Repeat the application of permethrin lotion after 10 days.
Permethrin lotion should be applied in similar fashion by rest of family members too.
Use a good antidandruff shampoo to clean your scalp and hair.
Oral antihistaminics like Benadryl can be taken to relieve itching if any.
Launder or dry clean your pillow covers and bed sheets.
Hope this will resolve the issue.
Let me know if you require any further assistance from my side.
Thank you
Dr Hardik Pitroda

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Hardik Pitroda (8 hours later)
Dr's have never seen lice, no dark things on head only tiny things which they have not seen. To bad they did not use a microscope instead of a finger in one place. I nit comb every day, most of the time with a bath morning and night. A couple months ago ,it would sometimes take up to half to a quarter hour to get through. It was different, you would think it was done and then you would go another way. It was thick. Cut some off the nit comb and it was a gooey substance. I now have a few days of NO crust and then they come back. This could be something for across the border. We were in Mexico for a day plus living a 100 miles from there don't know had persevering 3 times and marathon 1. I have pictures of gooey stuff as I said before but don't know how to send them

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Answered by Dr. Hardik Pitroda (15 hours later)
Brief Answer:
Recommend you to follow the treatment protocol advised

Detailed Answer:
Hello,
I can understand your confusion, but given the history of crawling sensation, matting of hair and presence of slimy discharge are all suggestive of lice infestation.
I would recommend you to follow the treatment protocol I highlighted for in my previous message.
I am sure you will be fine soon.
Take care
Dr Hardik Pitroda
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Hardik Pitroda

Dermatologist

Practicing since :2010

Answered : 1489 Questions

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Suggest treatment for lice infestation on head

Brief Answer: Oral antibiotics, topical permethrin lotion Detailed Answer: Hello, Thank you for posting on HCM. I can understand your concern regarding the skin condition you have been facing for long. From your history and description, it seems likely that you are having lice infestation also known as pediculosis capitis. In cases of Head lice infestation, I generally recommend a week long course of oral antibiotic like cotrimoxazole. Also I recommend application of permethrin 1% lotion followed by hairwash after 1 hour and manual removal of lice and nits with comb. Repeat the application of permethrin lotion after 10 days. Permethrin lotion should be applied in similar fashion by rest of family members too. Use a good antidandruff shampoo to clean your scalp and hair. Oral antihistaminics like Benadryl can be taken to relieve itching if any. Launder or dry clean your pillow covers and bed sheets. Hope this will resolve the issue. Let me know if you require any further assistance from my side. Thank you Dr Hardik Pitroda