Intense itching, which is the first symptom.

Lice eggs (nits) on hair shafts. Nits resemble tiny pussy willow buds.

Do I need to see a doctor?

Usually you can get rid of lice by taking self-care steps that include using non- prescription shampoos that are used to kill lice. However, if the over-the counter shampoos don't kill the lice, you may need to see your doctor for a stronger medicine. If your pregnant, don't use anti- lice shampoo without first talking to your doctor. If the skin becomes red or inflamed from itching, you could have a more serious infection and should see your doctor.

Self Care

Follow these steps to rid you or your child of lice:

• Choose an over-the-counter lice shampoo (Nix, Rid). If your not sure which one to choose, ask your pharmacist. Then apply the product to all infected areas of the body except the eye lashes. Repeat in 7 to 10 days.
• Wash bedding, stuffed animals, clothing and hats with hot, soapy water, and dry them at high heat. Seal non-washable items in an airtight bag for 2-3weeks.
• Vacuum carpets, mattresses, pillows, upholstered furniture and car seats. Use a plastic painter's drop cloth to cover furniture for 2 weeks to prevent getting another case of lice. Do this only if you don't have toddlers who may risk suffocation from the plastic sheets.
• After shampoo treatment, rinse your hair with vinegar. Grasp a lock of hair with a cloth saturated with vinegar and strip the lock downward to remove all nits. Repeat until all the hair is finished in this way. Towel dry. Keep infected children home until you complete the first round of treatment.
• Soak combs and brushes in very hot, soapy water (150 F) for a minimum of 5 minutes.