Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Head lice are small insects that attach themselves to the scalp. They are easily spread by close contact with someone who has head lice or by touching their bedding or clothes. Head lice outbreaks are common among school-age children and in daycare settings. Head lice are not a result of dirty hair.
Head lice lay eggs (nits) on the hair shafts close to the scalp. The nits hatch within 7 to 10 days, producing more lice. The head lice can survive for around 30 days by attaching themselves to the scalp and sucking small amounts of blood.
Unless the head lice outbreak is severe, a single head louse is difficult to see. Head lice are easiest to see around the hairline near your child's neck and ears. You can examine your child's scalp by moving sections of hair aside to search for nits. The nits might look like dandruff in the hair, but the "flakes" of dandruff do not fall off when the child shakes his or her head.
In addition to the appearance of nits, an infestation of head lice usually causes an extremely itchy scalp and small red bumps on the scalp.
Head lice are usually treated with a special shampoo that you can purchase at your local drugstore without a prescription. It is important that you follow the directions and not overuse the medicated shampoo on your child.
Occasionally, head lice may not die after you have used nonprescription shampoo. If this happens, we will prescribe a stronger medicated shampoo. If the head lice remain, we may need to repeat the prescription medicated shampoo treatment or prescribe additional treatment to ensure that the head lice are fully destroyed and removed.
It is important to remember that head lice are not harmful. Reassure your child and try to minimize talk of "bugs" in their hair, since this can be upsetting.
Head lice are very contagious; however, they do not jump or fly. Your child can become infested with head lice after being in close contact with someone else that has them. Your child might get head lice after sharing combs or brushes, clothing, or hats or after touching the clothing or bedding of a person who has head lice. Because head lice are tiny, they often cannot be seen traveling to the next person.
Children between the ages of 3 to 11 and their families get head lice more often than other age groups.
A head louse can survive up to 30 days on the scalp. An adult louse can deposit 7 to 10 eggs (nits) per day on the hair shafts close to the scalp. A nit is about the size of a sesame seed. A nit hatches within 10 days, and the small louse (nymph) makes its way to the scalp where it sucks blood to stay alive. A nymph becomes an adult louse in 7 to 10 days. The adult female louse then lays more nits. Usually, there are no more than 10 to 12 live head lice on the scalp at one time, although there may be hundreds of nits that have not yet hatched. This cycle continues until you notice the infestation and destroy the lice and nits.
Children may complain of a "tickling" feeling in their hair. They may also have intense itching on the scalp and develop red bumps or sores from scratching their heads.
Your child may not have other symptoms from head lice. Head lice do not carry disease, unlike other types of lice (body lice).
You can check your child for lice at home. Wear disposable gloves to check your child's head closely for nits or head lice. Place your child's head under a bright light and carefully part their hair. Look closely at the hair shafts near the scalp to identify nits, which look similar to sesame seeds attached to the hair shafts. You may need to use a magnifying glass to see the nits. Continue parting the hair in small sections until you've examined your child's entire head.
It is sometimes easier to see nits that are deposited in the hairline above your child's ears and around the neckline. Rarely, nits may be deposited in the eyebrows or eyelashes, so be sure to also check these areas as well.
To prevent an infestation of head lice, make sure your child understands how important it is to never share combs or brushes with friends or any other person. They should also not place another person's hat or hair ornaments (such as barrettes) on their head or wear someone else's clothing, especially if that person has head lice. They should also not share towels, bedding, or toys with someone who has head lice.
Schools and daycare centers should have policies in place to alert parents when there is an outbreak of head lice. They should also have disinfecting practices in place to ensure that the head lice and nits are destroyed to prevent repeat outbreaks. Similarly, if you find that your child has lice, notify your daycare provider or child's school.
Even if you only find one nit, we recommend that you treat your child for head lice.
Most lice can be safely treated at home, usually with a combination of over-the-counter medicated shampoo and fine-tooth combing to remove nits.
However, it is important to keep in mind that medicated shampoos and lotions used to remove lice and nits can cause side effects in children under 1 year of age. If your baby is younger than 1 year old, please call us before using a lice shampoo or lotion.
Head lice removal products can also cause significant side effects if you overuse them. Do not repeat a treatment more than once – even if the product is nonprescription – without calling or e-mailing us first.
You can purchase a medicated shampoo at your local drugstore. Lotions and shampoos that contain 1 percent permethrin (such as Nix) remove nits and kill lice. Nix is safe to use on children ages 1 year and older.
The medication needs to stay on your child's hair for 8-10 hours, or overnight, so you may want to start the treatment at bedtime.
Review package instructions for application technique. Also, be sure your child's hair is loose. You will need to remove braids.
Wash your child's hair with shampoo, but do not use conditioner.
8-10 hours after application, rinse medication out with WATER ONLY:
Nix continues to kill lice and eggs after it has been rinsed off. After 1 week, check your child's hair and scalp again. If nits or lice are present, we recommend that your re-treat your child using the same steps and non-prescription medicated shampoo. This second treatment can help ensure that all live lice are killed.
Once you have treated your child, be sure to follow the directions in the home treatment section, as well. This will ensure that you remove nits from your child's hair and home environment.
If head lice return or are not destroyed with nonprescription treatment, we may recommend a prescription lotion or shampoo.
Another important part of treatment is to remove all nits from your child's hair with a special nit comb that usually comes with the medicated shampoo. Leaving even one nit may result in reinfestation of lice. Repeat combing your child's hair with the nit comb every 2 to 3 days for up to 2 to 3 weeks to ensure you've removed all lice and nits.
You may want to first apply a small amount of dishwashing soap or olive oil through your child's hair to help loosen the nits from the hair shafts. You can also apply bee's wax to the nit comb. Metal nit combs with fine teeth sometimes work better than plastic nit combs.
If your child has head lice, be sure to check all other family members for infestation, including yourself. Anyone who has signs of lice should be treated.
Around the home
Thoroughly wash all bedding and clothing that your child has come in contact with (including your own) in hot water with detergent. Lice can live for a short time when not on a human body, so you must make sure you kill any that are alive on clothing or bedding.
You can seal items that are not washable (for example, stuffed animals) in a plastic bag for 3 to 4 days to kill adult lice or recently hatched nymphs.
Be sure to also disinfect toys and your child's play and living areas. Be sure to thoroughly vacuum carpets and furniture and then immediately empty the vacuum filter or bag.
Returning to school
Children can return to school once you have treated them. Children should not miss school because of head lice, but be sure to check with your child's school or daycare to learn about their policies.
If you are concerned about your child’s symptoms, and your concerns are urgent, please contact our Appointment and Advice line, which is available 24 hours a day, 7 days a week.
Our advice nurses can give you immediate advice, and our telephone staff can send me a message or schedule an appointment for your child.
Depending on your child’s symptoms and medical history and your preferences, the nurse may:
You can connect with me in a variety of ways, depending on the situation and what is most convenient for you at the time. I am available online, by telephone, or in person.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting care for your child easier.
Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your child’s care to stay current on your child’s health status and to collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your child’s condition, care is safer and more effective.
We will work together to monitor and assess how your child’s medications are working and make adjustments as needed.
Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you, and I will send the prescription electronically, in advance.If refills are needed in the future, you can:
For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, such as X-rays, we will schedule an appointment with the Radiology Department.
When the results are ready, I will contact you with the results by letter, secure e-mail message, or phone. In addition, you can view most of your child’s laboratory results online, along with any comments that I have attached to explain them.
My specialty colleagues are readily available to assist me if I need additional advice about your child’s condition. In some cases, I may contact them during your visit, so we can discuss your child’s care together. If we decide your child needs a specialty appointment after that discussion, we can often schedule it the same day or soon thereafter.
My goal is to provide high-quality care and to offer you choices that make your child’s health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.
My Doctor Online is available to help you manage your child’s care at any time that is most convenient for you. From my home page you can:
You can begin to manage your child’s care online by requesting access through our Act for a Family Member feature. Once you have added your child to your account, you can:
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.