What happens after a telemedicine visit for Lice (Pediculosis)

Audience: adult

After a telemedicine visit for lice (pediculosis), you will usually receive guidance on how to treat the infestation at home. Treatment often involves using medicated shampoos or lotions designed to kill lice and their eggs. The healthcare provider may also advise on cleaning personal items and household surfaces to prevent re-infestation. Follow-up care might include checking for lice after treatment and repeating treatment if necessary. Telemedicine can help you understand the steps to take but may not replace in-person care if the infestation is severe or complications arise. It is important to watch for signs of infection or worsening symptoms and seek in-person care if needed.

Red flags — go in person / ER

• Red, swollen, or painful areas on the scalp that may indicate infection — seek in-person medical care promptly.
• Persistent itching and visible lice or nits after two rounds of treatment — consult a healthcare provider in person.
• Signs of allergic reaction to treatment such as rash, swelling, or difficulty breathing — stop treatment and get urgent medical attention.

What telemedicine can do

• Assessing symptoms and history to suggest lice infestation.
• Providing guidance on treatment options and how to use them safely.
• Advising on cleaning and prevention measures to avoid re-infestation.
• Monitoring treatment progress through follow-up virtual visits.

What telemedicine cannot do

• Diagnosing complicated scalp infections or allergic reactions requiring physical examination.
• Performing physical removal of lice or nits that need hands-on care.
• Prescribing treatments that require in-person assessment or monitoring.
• Managing severe or persistent infestations that may need specialized care.

Understanding Your Diagnosis

During your telemedicine visit, the healthcare provider will confirm whether you have lice based on your description and any images you provide. They will explain what lice are, how they spread, and why treatment is important to avoid spreading them to others.

Treatment Recommendations

You will likely be advised to use over-the-counter or prescription lice treatments such as medicated shampoos or lotions. These products often need to be applied carefully and may require a second application about a week later to kill newly hatched lice. The provider will also explain how to remove lice and nits (eggs) with a fine-toothed comb.

Cleaning and Prevention

To prevent re-infestation, you will be guided on cleaning bedding, clothing, and personal items. Washing items in hot water and drying them on high heat is often recommended. Non-washable items can be sealed in plastic bags for several days. Avoid sharing hats, brushes, or headphones during treatment.

Follow-Up and Monitoring

After treatment, you should check your scalp and hair regularly for any remaining lice or nits. If lice persist after two treatments, or if symptoms worsen, you may need to seek in-person care. The provider may schedule a follow-up telemedicine visit to review progress and adjust treatment if needed.

When to Seek In-Person Care

If you notice signs of scalp infection such as redness, swelling, pain, or pus, or if the itching becomes severe and unmanageable, it is important to see a healthcare provider in person. Also, if the infestation does not improve after treatment, an in-person evaluation may be necessary.

How to prepare for your tele-visit

• Have good lighting and a quiet space for your telemedicine visit.
• Prepare to show your scalp and hair via video if possible.
• Gather any previous treatment products you have used.
• List your symptoms, including how long you have had itching or visible lice.
• Have a family member or friend nearby to assist if needed during the visit.

After your tele-visit

• Follow the treatment instructions provided carefully, including timing and application method.
• Wash bedding, clothing, and personal items as advised to prevent re-infestation.
• Use a fine-toothed comb to remove lice and nits regularly after treatment.
• Monitor your scalp for signs of infection or persistent lice.
• Schedule a follow-up telemedicine visit if recommended by your provider.
• Seek in-person care if symptoms worsen or do not improve after treatment.

FAQs

Can lice be treated without prescription medication?

Yes, many over-the-counter treatments are available and often effective for lice. These include medicated shampoos and lotions. Your healthcare provider can guide you on which products to use and how to apply them properly.

How long does it take to get rid of lice?

With proper treatment, lice can often be eliminated within one to two weeks. It usually requires at least two treatments spaced about a week apart to kill newly hatched lice.

Can I spread lice to others after treatment?

Lice are contagious and spread through close contact or sharing personal items. After treatment, it is important to avoid sharing hats, combs, or bedding until you are sure the lice are gone to prevent spreading them to others.

Is it safe to use lice treatments on children?

Many lice treatments are safe for children, but some products have age restrictions. Always follow the instructions on the product label and consult your healthcare provider if you have concerns about treating children.

What if I find lice again after treatment?

If lice persist after two treatments, you should contact your healthcare provider. They may recommend alternative treatments or an in-person evaluation to check for other issues.

Sources

1. Head Lice — Centers for Disease Control and Prevention (CDC).
2. Pediculosis (Lice) — MedlinePlus, U.S. National Library of Medicine.
3. Head Lice Treatment — Mayo Clinic.
4. Lice Infestation — Merck Manuals Consumer Version.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you experience severe symptoms, complications, or have concerns about your condition, please seek evaluation from a healthcare provider in person.