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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are White Crawling Bugs On Scalp And Itchy Scalp Suggestive Of?

Hi , I am pretty sure I have lice , I have seen white bug crawling in my hair but when my mom checks she can never see them, I have a lot of itching and a feeling that something is crawling on me. It usually itches behind the ear. Does this sound like lice to you and if so how come my mom can t find them
Wed, 14 Sep 2016
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General & Family Physician 's  Response
Hello,
Thank you for asking at HCM.
The crawling sensation in the scalp and the itchiness can be caused by lice and it needs good inspection of your scalp. If head lice is the cause of the symptoms, even if lice is not able to be seen sometimes at least should be able to see the lice eggs as they are shinny and stuck in the hair shaft and do not move. The most likely place to find them is in the lower hairline at the back of the head.
If a person with good visual acuity checks your scalp and does not notice any eggs or lice than it is sure you do not have lice.
Some other cause of the symptoms might be allergy, eczema, seborrhoic dermatitis or yeast infection. It might be good to start using a Nizoral shampoo 2-3 times a week and see if it will help with the sensation and the itchyness.
If the itchiness does not go away with nizoral shampoo for a month you will need to see a doctor to examine your scalp and decide on further treatment and follow up. So to close:
1. make sure someone with good visual acuity is examining you to check for lice/eggs
2. If no lice or eggs than start a nizoral shampoo
4. You can also try to take orall Loratadine 10 mg one tablet at night to help with itchyness and see if it relieves it- this will be especially effective if allergy is the cause.
3. if no improvement see a doctor

Hope this is helpful and answers to your question.

Best regards,
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What Are White Crawling Bugs On Scalp And Itchy Scalp Suggestive Of?

Hello, Thank you for asking at HCM. The crawling sensation in the scalp and the itchiness can be caused by lice and it needs good inspection of your scalp. If head lice is the cause of the symptoms, even if lice is not able to be seen sometimes at least should be able to see the lice eggs as they are shinny and stuck in the hair shaft and do not move. The most likely place to find them is in the lower hairline at the back of the head. If a person with good visual acuity checks your scalp and does not notice any eggs or lice than it is sure you do not have lice. Some other cause of the symptoms might be allergy, eczema, seborrhoic dermatitis or yeast infection. It might be good to start using a Nizoral shampoo 2-3 times a week and see if it will help with the sensation and the itchyness. If the itchiness does not go away with nizoral shampoo for a month you will need to see a doctor to examine your scalp and decide on further treatment and follow up. So to close: 1. make sure someone with good visual acuity is examining you to check for lice/eggs 2. If no lice or eggs than start a nizoral shampoo 4. You can also try to take orall Loratadine 10 mg one tablet at night to help with itchyness and see if it relieves it- this will be especially effective if allergy is the cause. 3. if no improvement see a doctor Hope this is helpful and answers to your question. Best regards,