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1 Head Lice Bites: Itchy, Red Bumps Lice bites appear as little red bumps on the scalp, head, and shoulders, and cause the skin to become inflamed and intensely itchy. 2  If you scratch your lice bites, it may cause them to become infected.
Spotting a live louse or nymph (a young louse) is often the only sign of an infestation. Seeing nits alone doesn't confirm an infestation. In many children, head lice don't cause any discomfort. When symptoms do happen, the most common problem is itching that may start weeks or even months after the lice move in.