Help! Head lice...entire family :-(
January 24, 2017 10:11 AM   Subscribe

Our family has been passing around headlice, and I am truly so grossed out. My daughter brought it back from school and we are passing it around, it seems. I want this to stop!

My daughter was itching her hair for weeks a month ago. I have never had lice in my life. I washed her hair daily with different dry scalp shampoos.....until one day I dried it with a hair dryer and saw bugs crawling...and almost died.
I googled lice and couldn't believe it. Anyway, did the lice shampoo with her, then read about the using conditioner thing. Then bought the metal comb. Then read about vinegar. Washed every single thing in hot water daily.
She "seems" to be clear now when I check her..except she still scratches her head on occasion and I get paranoid.
My 3 year old son last week started scratching and I couldn't believe it. He has short hair! Tons of lice. Not the crawling ones, only a couple of those. A week later, he still has more when I comb him.
Checked myself last week because I had been sort of itchy, but only at home, and I thought it was psychosomatic. Well, I have them too....I am so so so grossed out, and walk around at work thinking people know I have bugs on my head.
I have dumped tons of vinegar on my head, conditioner, done combing, and also put cetaphil on my head, dried it with a hairdryer, and washed it out the next morning.
I am wondering if there is anything else I can do to make sure this does not start a merrygoround with our whole family?? I don't want to pay hundreds of dollars for a specialist! Plus, I'm bummed, because I pay so much $ to get my hair colored, and it's probably going to be ruined with all of these treatments.
Thanks, everyone!
posted by tangomija to Health & Fitness (37 answers total) 5 users marked this as a favorite
Why are you going to work with active head lice? That's very thoughtless of you and also illogical, because starting a new head lice infestation at work isn't going to help you. There's a reason that kids are sent home from school when they have head lice.

Secondly, why don't you use any of the over-the-counter medicated treatments - repeatedly, if required - and follow the standard advice about tumble drying your clothes, bedding, and accessories at high heat, buying new hair brushes, etc. - this will all be more useful than vinegar and body lotion.
posted by cilantro at 10:18 AM on January 24, 2017 [25 favorites]

You need to hit all areas simultaneously. Like, do all of this today:
-- Everybody in the family gets the lice shampoo treatment. Including your spouse or any other people in the family. When this happened to us I told the male members of our family they could do the lice treatment or have a head shave (on setting #1) to avoid the rigamarole. They chose the head shave.
-- ALL of the bedding gets washed in hot water and dried in a hot dryer. This means sheets, blankets, and the pillows themselves. Anything that can't be washed in this fashion is put into large plastic bags and left outside or in the laundry room, with no contact with the clean stuff.
-- ALL of your clothing in the hamper *and* the clothes that everyone's wearing today gets the same treatment. Anything that needs to go to the dry cleaner, send it off. You may not actually wash everything today if you have a lot, but get it bagged and into your laundry area where it will have no contact with clean stuff.
-- Do the same with any throws on your sofa, chairs, etc -- where people's heads are touching.
-- Same with any hats or winter scarves that have been in use. Wash what you can, bag the rest.
-- Be sure to get any stuffed animals or other soft, cloth things that may be on the beds. Wash or bag.
-- Google how long those items need to stay bagged. I think it's 2 weeks or longer.
-- Check the instructions on when to repeat the lice shampoo, and don't skip it.
-- Tell your children -- IMPRESS UPON YOUR CHILDREN! -- not to wear anybody else's hat at school, or share hairbrushes. If someone grabs their hat and puts it on, they need to not wear it again, but bring it home and have it washed.

Lice is gross but if you do this hardcore approach once you will get it out of your household. Just don't pussyfoot around with a "one at a time" approach.
posted by BlahLaLa at 10:19 AM on January 24, 2017 [35 favorites]

And you have to be prepared to do all the treatments again after some interval ( a week? can't remember) when any nits that you missed hatch.

Meantime, (1) nit comb everybody the same night -- that catches lice and the eggs. You need an assistant standing by with a baggie for the toilet paper you use to wipe stuff off the comb. (2) use the treatment on the head of anybody who's been seen to have any lice. (3) no more sharing of brushes or pillows. Kids will put heads together, but control what you can. (4) check back after the second round of treatment -- more and more lice infestations are coming up resistant to the over-the-counter meds, and if you're lucky in that way, you'll need to do it all again with the expensive and messy prescription stuff.
posted by acm at 10:22 AM on January 24, 2017 [2 favorites]

Two additional things:
-- I also color my hair, and found that it wasn't much hurt by the lice shampoo treatment. Do not believe the old wives' tale that a fresh round of haircoloring will kill the lice. It will not.
-- Don't worry too much about your workmates today. Presumably you're not sharing hats with them. Lice are actually pretty hard to transmit. When I was combing them out of my hair (UGH! GROSS!) and dropping them into a bowl I learned that they can barely move. They cling to hair and don't do much else. So it's really head or hair contact you need to worry about.
posted by BlahLaLa at 10:22 AM on January 24, 2017 [4 favorites]

Here's a helpful blog post about treating for lice, and avoiding all the chemicals normally associated with infestations. (not my blog, I just follow her, and respect her opinions)
posted by hydra77 at 10:24 AM on January 24, 2017 [2 favorites]

Also, don't take this personally -- it's not a sign of bad hygeine, but just a pesky critter that infests just about every school and after-school place in waves each year. Also also, get some of that shampoo and creamrinse that helps keep lice away (Fairy Tales), and use it until all kids are through, say, third grade.
posted by acm at 10:24 AM on January 24, 2017 [3 favorites]

Lice shampoo for everyone and then lice shampoo again one week after the first application. It won't kill eggs, so you have to repeat after the last batch hatches.
posted by lydhre at 10:24 AM on January 24, 2017 [1 favorite]

They can live temporarily in fabric, so you must isolate and treat all fabrics - bedding, chairs, sofas, hats, jackets, clothes - everything. So sorry.

After treating the house and all of your hair, switch to Trader Joe's Tea Tree Oil shampoo or similar as a daily for your whole family. apparently the Tea Tree Oil and Peppermint in that shampoo acts a little bit as a deterrent for re-infestation.

That said, you have to get rid of the initial infestation by isolating yourselves and your home and treating all. I know this sucks. You'll get through it.
posted by jbenben at 10:24 AM on January 24, 2017 [1 favorite]

Sorry -- last thing from me, I swear: I forgot to mention towels. ALL of the towels get washed or at least bagged today. Including towels you swear didn't touch anyone's head, like handtowels or your dish towels. Be safe and do them all, since you clearly have a family infestation.

You may also need to wash/dry or bag your children's backpacks. It certainly wouldn't hurt.
posted by BlahLaLa at 10:26 AM on January 24, 2017 [2 favorites]

Yep, full-court press.

Treat everyone's head twice today and daily for two weeks. It su-u-u-u-u-u-u-u-u-u-u-c-k-s but it's the only way, short of shearing everyone bald. While you are cleaning people, wash every damn thing in hot water. If you are worried about a favorite garment shrinking, do it anyway: replacing a few shirts is cheaper than your sanity if the lice come back. *cue Wilhelm scream*

I believe that vinegar is not useful. I know that there are professional ladies who come to your house and "clean" you, then sell bottles of product so that you can do the follow-up yourself. Since the little bastards [the lice, not the ladies] are becoming resistant to the poisons, the more-effective treatment products now rely on good old-fashioned suffocation: they basically coat your head in oil. So the recipes online that combine essential oils with olive oil actually work well.

God help you. Suck it up, push through it, and drink whiskey. It's not your fault and you are not Dirty People.
posted by wenestvedt at 10:26 AM on January 24, 2017 [2 favorites]

In addition to treating everyone/everything in your house, you need to report this to your children's school/daycare and any friends they play with (though if they only interact with other kids at the same school/daycare, you may be able to just let them handle the informing of the other parents).

I somehow got lice in high school - no idea where the infestation started, but someone got them, it was reported to the school nurse's office, they did head checks on all of the school and sent infested kids home with instructions. It was wired and unexpected, but, whatever. It wasn't the end of the world or taken as some hideous moral lapse, any more than if they'd quarantined students with some infectious disease.
posted by oh yeah! at 10:27 AM on January 24, 2017 [2 favorites]

Nthing tea tree conditioner, daily combing for everyone till it's gone, and hot water wash with tea tree oil for all bedding and towels. Don't use vinegar or any of the OTC products.
posted by mogget at 10:39 AM on January 24, 2017 [1 favorite]

The only thing that actually gets rid of tbem is the combing. White conditioner and a nit comb. Apply conditioner to sections and comb a 1 inch square of hair in each direction, front to back, back to front, right to left, left to right.

You comb one direction, and after each pass, you stopped and wipe your comb on a piece of paper towel. The nits show up as yellow or brownish bits. Keep coming until that direction is clear. The. Do the next direction until it's clear. When that section of hair is clear, move on to the next.

Do that every day until you get two clear days in a row. Then wait 3-4 days, and do it again. Then a week later.

Nothing kills the nits. The oil, vinegar and lice shampoos kills the adults, but not the nits (eggs). You need to pick every single one out.

I do my kids hair (short boy cuts) in about 30 mins. They get combed and then have a shower to wash out the conditioner.

I can comb mine out to see if I have lice BUT if I do, I need someone to comb it for me. I have thicker than thick hair, and it takes 3 hours to do properly.

If you do pay for service and they aren't combing, then they are ripping you off
posted by Ftsqg at 10:41 AM on January 24, 2017 [5 favorites]

*wierd, not wired* - and, if you're embarrassed about informing the school, there's bound to be a way to do it anonymously. But if you don't get the word out to wherever your children may have picked them up and/or passed them on, they'll just keep getting re-infested and bringing them back into your house. Better to just get it over with and not have to live with constant anxiety.
posted by oh yeah! at 10:41 AM on January 24, 2017 [2 favorites]

They can live temporarily in fabric, so you must isolate and treat all fabrics - bedding, chairs, sofas, hats, jackets, clothes - everything. So sorry.

This is overkill. Lice can only survive 24 hours off a human host, then they die. They also don't fly or go very far. Sure, vacuum places where lice may have been, but they are not nearly as difficult to get rid of as bed bugs.

When I had lice, I went to a professional who got them out, and it was only $80.
posted by Melismata at 11:12 AM on January 24, 2017 [2 favorites]

Thanks, everyone!
I do not think I am transmitting lice to anyone at work if I have treated myself once and am wearing my hair in a ponytail. I just want to know how to make sure they are gone for good.
posted by tangomija at 11:21 AM on January 24, 2017

Take a deep breath and prepare for this to destroy your life for the next two weeks, then it will be over. Many people have solved this problem, and you can too.

1. Get a metal nit comb from Amazon if you haven't already (like this). This is THE MOST IMPORTANT THING. The drugstore does not sell what you need.
2. Comb every family member every day for a week, then every other day for another week, then once a week ... oh, forever, just to be sure. If you have anyone with long hair, it should take at least an hour and a half to comb correctly, could be more depending on their specific hair.
3. Get the drugstore lice shampoo and use twice as directed on everyone. People argue online about whether it works, I think it's worth trying. You can look into enzyme products too. Combing is more important than products, I wouldn't stress too much about this.
4. Wash everything. Clothes, jackets, sheets, mattress pads, pillows, stuffed animals, towels, everything. Things that can't be washed should be be bagged for two weeks (? - double check that online)
5. Vacuum what you can't wash.
6. Put everyone's jacket, pillowcase, and bedding in the dryer for half an hour every evening for the first week.
7. Anyone with long hair should wear it up.
8. Call the school nurse, daycare, and any friends you've been around lately. It sucks, but it's the right thing to do.

The lice salons work, and it's worth the money if you can't deal. It still takes a lot of time with laundry, etc.

Also on preview - you can definitely go to work! Wear your hair in a ponytail and don't, like, rub heads with anyone, but otherwise you should be fine - you have lice, you're not radioactive.
posted by zibra at 11:26 AM on January 24, 2017 [2 favorites]

I don't know why anyone would try to shame you for going to work with lice anyway. I don't know a single person who could afford to stay home from work for weeks, waiting to confirm their lice are all gone, etc. Especially if it keeps recurring. It is not thoughtless to go to work like that, it is thoughtless to suggest people have the luxury to do otherwise. Especially people with kids, who have to use their own sick days to care for their children. Blame capitalism. Lastly, my head only touches my own chair at work. I assume it's the same for most people. This isn't mono. People aren't going to get infected through some floating miasma traveling through the air.

Do use the big guns on everyone, though. Use proper lice shampoo and established methods. Blitz all possible textiles with hot water, bleach, high heat, etc. This doesn't sound like the right time to try experimental options that may entrench the issue further.
posted by thegreatfleecircus at 11:28 AM on January 24, 2017 [7 favorites]

Eponysterical, that.

But yeah, you would be amazed how many other people have had lice in their house but not mentioned it because of the social stigma. Speaking up will be gratefully received by those who know, and will only offend the ignorant. Spread the word and then START KILLING.
posted by wenestvedt at 11:37 AM on January 24, 2017

Ugh, lice suck. Agreed that that you have to treat (wash, vacuum, freeze, whatever) EVERYTHING that might have come in contact with them. It's very time consuming.

Also, I've never had luck with over-the-counter lice shampoos, but Sklice, a prescription shampoo, works wonderfully. It kills the eggs so you don't have to do as much of the tedious combing and works with one or two treatments. It's by far the easiest way to end a lice infestation -- not cheap, but totally worth it in my opinion. When I first asked my kids' pediatrician about it he hadn't heard of it, but got really excited and said he'd be picking some up for himself to end the lice infestation he'd been dealing with.
posted by nixxon at 11:45 AM on January 24, 2017 [1 favorite]

Here in Seattle we have a couple of companies that provide lice removal service and guarantee their work. It's not cheap, but it is highly effective. We have had to use twice in the last few years. Their combing takes 45 minutes to two hours depending on infestation and length of hair. A few things they insist upon for their guarantee:

1. Everyone in the household, unless certifiably bald (photo evidence), must be checked and treated if needed, all on the same day.

2. Those who are treated have to come back in three days for a head check.

Things they recommend for cleaning your home:

1. Wash the infected person's bed sheets and pillow cases. Hot dryer for 20 minutes (but no washer) for stuffies, pillows and blankets that can take it.
2. Put hair brushes and headbands, clips, etc. in a freezer bag and freeze for 24 hours.
3. Beyond these things, don't bother with other madness.

Since their business depends on it, I trust their recommendations and in both cases it put a stop to our bug problem. I also like that they don't use chemicals, which superlice (now common in our area) are more immune to.

They also sell their natural products online for home use: .
posted by butternsugar at 11:51 AM on January 24, 2017 [5 favorites]

We had our first family lice outbreak just before Christmas.

I second the recommendation for nit-combing with conditioner as the only effective treatment. Be meticulous, especially around the ears and the back of the neck. Spot-check for new lice/eggs every few days, and repeat the conditioner/nit-comb treatment if you see anything suspicious.

It takes a couple of weeks to be sure you're rid of the buggers. They'll punish any lack of thoroughness by reappearing. It only takes one to get the whole cycle rolling again.
posted by pipeski at 1:26 PM on January 24, 2017 [2 favorites]

At this point I'd say lice salons for everyone, washing all the things. It's the thorough combing that does it; the one I went to used a water and alcohol and salt solution and good combing.

After, the electric lice comb daily, and a hair dryer on COOL with a hairbonnet for 30+ min a day on each person for at least 14 days, dry out anone that escaped.
posted by tilde at 1:31 PM on January 24, 2017 [1 favorite]

We recently had a lice epidemic in our house. We solved it with combing only (but a LOOOOT of it). The key is having a NIT COMB, not a LICE COMB. Most drugstore kits come with a lice comb that only gets bugs. The nit combs like "Nit-Free Terminator", linked above, have very fine grooves on the teeth that get nits as well as bugs.

I actually was going to buy the lice shampoo, despite having read repeatedly that it wasn't all that helpful. I was in the lice aisle at Target dejectedly reading all the boxes, and a random dad stopped by and tapped me on the shoulder. He said, "Don't buy those. We tried them all. The only thing that really works is combing, conditioner, and a LOT of TV." Given that a random guy accosted me to confirm the Internet, I decided we'd try combing first.

The magic nit comb (you really do want the Nit-Free Terminator) is NOT EASY to find in-store. I ended up buying the Fairy Tales Lice Removal Kit from Ulta Beauty. I also bought a headlamp. Then I went home, turned on the headlamp, and turned on the TV.

The first night I combed what seemed like mountains of bugs and nits out of the kids' hair. I wet their hair, divided it into sections, sprayed each with a lot of detangling spray, and combed until the comb came out clean after several passes. It took me about an hour per kid. The next morning, I repeated the process, and it took about 15 minutes per kid. I kept going twice a day until 3 combouts where I didn't get anything (about 2.5 days), then every 2 days, then a week later. After the first few times it took about 10 minutes per kid. A key part of the combing technique is you need to comb each section of hair from top, bottom, left, and right because the nits stick asymmetrically on the hair. The headlamp was super useful.

Other than that, we didn't do much. We washed the coats, towels, and pillowcases once, but we didn't bag stuffed animals or do daily washings or anything. As long as you stay on top of the combing, you'll catch anything that gets back anyone's head. Once we got all three of us fully clear, the lice didn't recur.

The kids didn't mind having lice at all, because they got to watch shit-tons of cartoons and they were pretty sad when the lice combings ended. ; )
posted by telepanda at 1:40 PM on January 24, 2017 [3 favorites]

The Nuvo Method (Cetaphil) and combing with both the metal nit comb (wet hair) and the RobiComb electric zapper (dry hair) took care of our problem. My kid has very dry scalp and the drugstore kits were too harsh.
posted by candyland at 2:00 PM on January 24, 2017

Ugh, lice suck. The methods people have mentioned on here do work, but they often need to be repeated multiple times.

In addition to treating everyone/everything in your house, you need to report this to your children's school/daycare and any friends they play with (though if they only interact with other kids at the same school/daycare, you may be able to just let them handle the informing of the other parents).

This is key, and often overlooked. If your kids are getting re-loused at school, all your effort isn't going to go anywhere. If you feel embarrassed about telling the teacher/nurse, remember that they have seen this before (>3 million cases a year! it's basically a head cold, but itchy) and they may have some additional treatments to suggest.
posted by basalganglia at 2:17 PM on January 24, 2017 [1 favorite]

There's a reason that kids are sent home from school when they have head lice.

Data point - my kid's school district does not do this. Because you can't keep a child home for as long as it takes for them to be truly nit and louse-free. And lice is really just a gross nuisance, it isn't a disease. Don't feel ashamed - it happens to people regardless of personal hygiene. Don't wear yourself out washing everything every day - most things can be tossed in the dryer on high heat for a certain period of time.

Comb comb comb comb with a metal comb. And bright light. Don't use the insecticide shampoo any more than package directions, if you go that route. And you can also combine suffocation methods (blow-drying Cetaphil on the head until dry) with drugstore brands like Rid or Nix.

There are also prescription shampoos, if all else fails. Many, many parents and kids have to deal with this all the time.
posted by 41swans at 3:15 PM on January 24, 2017 [2 favorites]

My school doesn't send kids home. My daycare, however...
posted by tilde at 3:35 PM on January 24, 2017 [1 favorite]

I am elementary school teacher and got lice last year from my students. I feel your pain.

I HIGHLY recommend the electric lice-zapping comb. Bought it at Walgreens. You turn it on, and it makes this high pitched whine, and then you comb it through your hair, and when it hits a louse, it makes a different high pitched beep-type noise as it electrocutes the little devil.

Really why I appreciated this was because then I could use it for weeks afterward when I was paranoid I still had lice, and I knew if I didn't hear the electrocuting-a-louse noise then I was in the clear.

(I did the zapper first, then the Cetaphil thing, then my dear sweet husband combed me, then I did the Cetaphil a week later, and that was that.)
posted by raspberrE at 6:56 PM on January 24, 2017 [1 favorite]

Yes, nthing the Robicomb. Treat with shampoo, then robicomb everyone at least every other day for two weeks. Wash or hot dryer everything. Robicomb is great because you can do it on your own head-in case you don't have an suit to help you-plus its extra satisfying to shock those fuckers. My sympathies. We've had a couple infestations last two years and it's so miserable.
posted by purenitrous at 8:28 PM on January 24, 2017

I'm so sorry. This is a topic I sadly have expertise in.

First, let me reiterate what Zibra and Telepanda said: you need a real nitcomb. Amazon 2-day that, the one Zibra linked to is perfect.
- Slather white conditioner throughout the persons hair.
- If the person has fine hair, sprinkle in baking soda for some grit so the comb doesn't slide through
- Section off hair and comb through with nitcomb.
- Wipe onto white paper towel to look for lice/nymphs/nits (as Telepanda points out, a headlamp helps a lot)
- The white conditioner slows down live lice and helps you differentiate nits from dandruff
As everyone said, the first time, this will take 1.5 hours or so, depending on length/thickness of hair and cooperativeness of person. Unlimited screen time helps.

Repeat every other day/every 3rd day for at least 10 days, longer if you are still seeing nits/lice. You need three clean comb-outs to stop.

Everyone can go to school/work. And let me just end with what another experienced mom told me: "good moms get lice....."
posted by papergirl at 6:42 AM on January 25, 2017 [1 favorite]

Agree with everyone who said THOROUGH daily combing with a metal nit comb is the thing. We found olive oil was easier to use (more slippery) than white conditioner. Keep a pile of dampened paper towels to wipe the comb off on as you go and you'll learn to recognize the nits soon enough.

We put bedding through a hot dryer but otherwise didn't worry too much about fabrics. Those buggers really can't live long off a human head.

You will probably have phantom itching for a long time. I had to scratch a bit just reading this.
posted by libraryhead at 10:35 AM on January 25, 2017

Agree with everyone who said THOROUGH daily combing with a metal nit comb is the thing.
N-thing this. Where I live, the standard government-health-center approved advice is to just comb daily, very carefully, with a good nit comb with long teeth (looks like this). And that's it. When we had lice, after one week of rigourous combing, most of the lice were gone, we then kept combing for another week to remove all the nits. We did not put all our stuff in a dryer (we don't own one), did not wash all the teddy bears etc, and certainly not the furniture. We did not use any special shampoo's either. But we did comb a lot.

I really hate all the "put all the teddy bears in the freezer/dryer, wash and sterilize everything" advice. It puts so much work on mothers while there is no evidence at all that it is helpful. At primary schools in my country, children used to put their coats in special bags, to prevent lice transmission, but research has not proven that that was useful, so the RIVM (governement agency) no longer recommends them.
posted by blub at 11:46 AM on January 25, 2017

Also buy a shitload of those hair clips, like four inches long, so it's easier to keep track of what hair/scalp has been checked and what hasn't. But yeah: combing, TV, and a grimly clenched jaw.

Ott Lights are a brand of very bright work lamps and reading lamps. A headlamp is nice but those using a super-bright lamp like an Ott is like working under a Broadway spotlight. Console yourself with the idea that you can use it later for painting, crafts, and treating Seasonal Affective Disorder.
posted by wenestvedt at 12:46 PM on January 25, 2017

You will probably have phantom itching for a long time. I had to scratch a bit just reading this.

Don't even plant the seed of that idea...
posted by wenestvedt at 12:46 PM on January 25, 2017

You need to try to find out where the infestation came from to prevent it happening again. Kids are told not to share their hats and combs and brushes. Kids do not share their hats and combs and brushes. What they share is upholstered furniture such as a comfy sofa in the classroom reading nook, or the the mats at practice if they lie down on them, but most of all what they share is hooks that are too closely spaced where they hang up their coats. If the coats are touching collars the transmission is going to happen at some point. Sometimes the coats get thrown into pile, sometimes hats get thrown into a common bin and the lice travel that way.

If you kids has straight hair which is greasy your kid will be less likely to pick up lice. If your kids has squeaky clean curly hair the lice will think they they have found the promised land.

At one point I was unable to see the nits as my eyesight is lousy so what I did was drown the nits in cooking oil. Everybody got their head thoroughly saturated in the oil and then their head wrapped in plastic wrap so the nits couldn't just struggle to the surface to get air. We also used shower caps and plastic bags as pillowcases to prevent the grease from staining the bedding. Two treatments a week apart took care of them. There is no reliable formula of lice pesticide on the market. It's always possible if you go through several brands you will find a formula that your infestation is vulnerable to, but unlikely. If you can't comb them out or shave them out, then you can use the oil treatment the way I did. People swear by tea tree oil but canola is cheaper and you probably already have a bottle in the house.
posted by Jane the Brown at 4:30 PM on January 25, 2017

The CDC has helpful guidelines. You are better off trying science-based insect-killing methods first rather than trying home remedies of unknown efficacy.

A note of warning if you have a cat: some lice treatments (like Nix) contain the insecticide permethrin, which is very toxic to cats, so keep them well away from any contact.
posted by nicebookrack at 12:36 AM on January 26, 2017

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