Lice (Crabs)

What are Crabs (Lice)?

Crabs, also known as pubic lice, are a type of external parasite that infests human hair and skin. They are small, flat, and oval-shaped insects that feed on human blood. Crabs are usually found in the pubic area, but can also be found in other areas with coarse hair, such as the armpits, eyebrows, and beard.

Symptoms of Crabs (Lice)

The symptoms of crabs (lice) may include:

  • Intense itching in the affected area, especially at night
  • Visible lice or eggs (nits) in the hair
  • Redness and inflammation of the skin
  • Small blue spots on the skin, which are caused by the lice's bites
  • Irritation and discomfort in the affected area

Causes and Risk Factors of Crabs (Lice)

Crabs (lice) are usually spread through:

  • Direct contact with an infected person, such as during sex or other intimate activities
  • Sharing personal items, such as towels, bedding, or clothing, that have come into contact with an infected person
  • Using a contaminated toilet seat or other public facility

Treatments for Crabs (Lice)

The following treatments are available for crabs (lice):

  • Over-the-counter medications: Permethrin cream rinse (Nix) and pyrethrin shampoo (Rid) are commonly used to treat crabs (lice). These medications should be applied to the affected area and left on for a specified amount of time before being rinsed off.
  • Prescription medications: If over-the-counter treatments are not effective, prescription medications such as malathion lotion (Ovide) or ivermectin cream (Stromectol) may be prescribed.
  • Home remedies: Washing and drying clothing, bedding, and towels in hot water and high heat can help kill lice and eggs. Vacuuming carpets and furniture, especially in areas where the infected person has been, can also help reduce the risk of transmission.

Prevention of Crabs (Lice)

To prevent crabs (lice), it is recommended to:

  • Avoid sharing personal items with others
  • Avoid direct contact with an infected person
  • Wash and dry clothing, bedding, and towels in hot water and high heat after use
  • Vacuum carpets and furniture regularly, especially in areas where the infected person has been

Complications of Crabs (Lice)

If left untreated, crabs (lice) can lead to complications such as:

  • Secondary infections, such as bacterial or fungal infections, which can occur when the skin is broken due to scratching
  • Anemia, which can occur if the infestation is severe and the lice are feeding on a large amount of blood
  • Discomfort and embarrassment, which can affect a person's quality of life and self-esteem

Article last updated on: 11th April 2025.
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