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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swelling In Big Left Toe, Purple Discolouration, Yellow Pus Discharge. Treatment For Pain And Swelling?

My big left toe has suddenly become swollen after someone stepped on it. This is the first time where someone has stepped on my toe and it become swollen and purple. I squeezed it about a day or so after the incident and yellow pus started to come out. Two days later the puss stopped. I looked up ingrown toenails but I m not sure if I have all those signs and symptoms. Is there anyway to get rid of the pain and swelling?
Thu, 3 Jan 2013
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Dermatologist 's  Response
It is acute Paronychia ( traumatic) . It needs local cleansing with (potassium permagnate) compresses 4 hourly followed by (Betadine Lotion). you take anti inflammatory with SerratioPeptidase ( Lyser-D) thrice a day along with systamic antibiotic like broad spectrum Amoxycillin along with (Clavulinic acid) thrice a day for 7 days wear broad face footwears to avoid compressive pressure. Must go for X-ray for big toe to find out any underline bone fracture ; also send pus for culture and sensitivity before starting systamic antibiotic.
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Swelling In Big Left Toe, Purple Discolouration, Yellow Pus Discharge. Treatment For Pain And Swelling?

It is acute Paronychia ( traumatic) . It needs local cleansing with (potassium permagnate) compresses 4 hourly followed by (Betadine Lotion). you take anti inflammatory with SerratioPeptidase ( Lyser-D) thrice a day along with systamic antibiotic like broad spectrum Amoxycillin along with (Clavulinic acid) thrice a day for 7 days wear broad face footwears to avoid compressive pressure. Must go for X-ray for big toe to find out any underline bone fracture ; also send pus for culture and sensitivity before starting systamic antibiotic.