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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medications For Repeated Toe Infection

hi am sruthi 25f am suffering from ingrow toe infection am not getting why this toe infection is repeated very often what to do to avoid this and to which specialist should i consult????one of the doctr said that i will cut off the nail put pheonal to that nail so it wont reoccur again
Fri, 20 Oct 2017
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Dermatologist 's  Response
Ingrown toe nai (IGTN) superseded with infection (onychocryptosis) is very common and is a little bit tricky to treat. You should go to some experienced General Surgeon or Dermatosurgeon. If affected part of nail bed will not be excised logically through "wedge excision" with proper suturing or "phenolization" to destroy nail matrix, chances would always be there for recurrence or scar formation. Till you see a proper doctor follow following steps immediately:
1) Take a tub of water and put some Warm water in it. Mix hydrogen peroxide, vinegar and epsum salt and soak you effected toe in it for 20-30 minutes.
2) Then Dry your toe fully and properly by sterilized spirit swab of cotton.
3) Then soak a cotton bud with Quadiderm cream (having steroid, antibacterial, antifungal function) and place it below the nail carefully so that nail could not grow inside skin.
4) Then apply a Gutter splintage: ask medical store-keeper about gutter splint for toe nail, wear loose shoes and avoid long walk.
5) And do it regularly daily for two month . If infection is there, take antibiotic in consultation with doctor. For pain you will have to take a potent painkiller that could be paracetamol (Acetaminophen) or more potent like vicodene-es(Scheduled drug).
If after two months it recurs again then there is no solution but 'phenolization' performed by dermatologists usually or partial 'wedge excision' of a part of nail bed. It is performed under local anesthesia and it is not as painful as it seems to be. I perform wedge excision in my practice and up till now no case of recurrence has been reported.

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Suggest Medications For Repeated Toe Infection

Ingrown toe nai (IGTN) superseded with infection (onychocryptosis) is very common and is a little bit tricky to treat. You should go to some experienced General Surgeon or Dermatosurgeon. If affected part of nail bed will not be excised logically through wedge excision with proper suturing or phenolization to destroy nail matrix, chances would always be there for recurrence or scar formation. Till you see a proper doctor follow following steps immediately: 1) Take a tub of water and put some Warm water in it. Mix hydrogen peroxide, vinegar and epsum salt and soak you effected toe in it for 20-30 minutes. 2) Then Dry your toe fully and properly by sterilized spirit swab of cotton. 3) Then soak a cotton bud with Quadiderm cream (having steroid, antibacterial, antifungal function) and place it below the nail carefully so that nail could not grow inside skin. 4) Then apply a Gutter splintage: ask medical store-keeper about gutter splint for toe nail, wear loose shoes and avoid long walk. 5) And do it regularly daily for two month . If infection is there, take antibiotic in consultation with doctor. For pain you will have to take a potent painkiller that could be paracetamol (Acetaminophen) or more potent like vicodene-es(Scheduled drug). If after two months it recurs again then there is no solution but phenolization performed by dermatologists usually or partial wedge excision of a part of nail bed. It is performed under local anesthesia and it is not as painful as it seems to be. I perform wedge excision in my practice and up till now no case of recurrence has been reported.