#asktheexpert not getting rid of lice and nits in my child's head. tried many shampoos and combs but they appear again

A. If lice and nits keep returning despite using shampoos and combs, you may need a more effective and thorough approach. Here’s what you can do: Step-by-Step Treatment for Lice & Nits 1. Manual Removal (Most Effective) Use a fine-toothed lice comb daily on damp hair. Apply coconut oil or olive oil before combing – this loosens the grip of nits. Divide hair into sections, and comb from scalp to tip. After each stroke, clean the comb with tissue or rinse it. 2. Home Remedies (Safe & Natural) Neem oil or neem paste – Apply and leave for 30 minutes before washing. Vinegar & water mix (1:1) – Apply, leave for 20 minutes, and comb. Tea tree oil – Add a few drops to shampoo and wash regularly. Mayonnaise or petroleum jelly – Apply overnight (cover with a shower cap), wash in the morning, and comb. 3. Medical Treatment If lice persist, use a doctor-recommended lice lotion like: Permethrin lotion (1%) – Apply and wash after 10 minutes. Malathion lotion – For severe cases (consult a doctor). 4. Prevent Reinfection Wash all bedding, combs, and clothes in hot water. Tie hair neatly, especially at school or daycare. Avoid head-to-head contact with other kids. Check for lice every 3-4 days and repeat treatment if needed. Let me know if you need product recommendations or more guidance!