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Blackening of nail bed,toe nail fungus,treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
User :   Hi , Good Evening
User :   Hope you doing fine..
Doctor :   how can i help you ?
Doctor :   I am great thanks for asking
User :   i have a question related to nail diseases
User :   can i proceed
Doctor :   please proceed
User :   actually , my nail is very week , what i can see , nail bed is black , and slowly its getting affected to nail plate , i can see , its affected to toes nail and few of finger nail ..
Doctor :   ok
User :   and from last 1.5 yrs i am continuously making treatment ,no improve much ..
Doctor :   how long have u had this issue?
User :   from last one yr , i am taking medicine for nail fungal as local dr suspected .. but still i dont see any improvement much
Doctor :   may i know what treatment u are taking ?
User :   i think it started from my schooling , but didnt realise . now i got to know abt it
User :   now my dr suspecting its nail fungal
Doctor :   can u tell me what treatment u have undergone so far ?
User :   but really worries , why no more improvement , from last 2 yrs , only 10-20% improvement
User :   sorry , i have taken lot of meadicine , but not able to recall , but currently taking terbest tablet
User :   and applying cream inafin
User :   halox as well
Doctor :   and how long ahve u been on this meds ?
User :   i think those are antifungal
Doctor :   terbest - is terbinafin
Doctor :   and antifungal
User :   those medicine from last 2month , before that also i have taken other antifungal medicine from last 1 yrs
User :   no , terbest is medicine and inafin is cream
User :   could you pls tell me , what might be issue , do you think still , its fungal
Doctor :   i understand, both meds contain terbinafin
User :   oh sorry
User :   you know better
Doctor :   you have a condition called, Onychomycosis
User :   what is that
Doctor :   this is a very resistant condition and needs a long term treatment
User :   :(
Doctor :   a fungal infection of the nails
Doctor :   but it can be treated by conservaitve methods as well
User :   so do u think , i have to continue antifungal medicine long term
User :   how it can be , pls let me know , how it can recover smart way if any
Doctor :   give me a minute
User :   sure
User :   also if u want , i can send you picture of my nail right now to you
User :   so that it may help
User :   you
Doctor :   sure
User :   its generic id ?
User :   is it possible to send you personally ?
Doctor :   i will try to give you some ways, where you can get a good response within weeks
Doctor :   just be patient while i type my answer
User :   ok
Doctor :   For an effective toenail fungus cure it would be best to employ a combination of medical treatments and toenail fungus home remedies.
Doctor :   Tea tree oil is a potent natural antiseptic and fungicide that will help fight your fungus. Apply undiluted tea tree oil with olive oil to the affected toe nail
Doctor :   this is available in any pharmacy
Doctor :   Alternatively you can put few drops of tea tree oil on toenails and rub it thoroughly every day
Doctor :   It is recommended that you mix equal quantities of olive oil, thyme oil, and tea tree oil and apply this blend of oil to the affected nail. Allow it to remain on for 10 -15 minutes and then use a toothbrush to gently scrub the affected nail. This ensures that the oil covers the nail completely and also gets under the nails. Scrubbing the affected nail gently also helps to slough off the uppermost layer of the nail which generally contains most of the fungus.
Doctor :   In order to get rid of toenail fungus completely, you will need to continue using tea tree oil for a few weeks after the infection has cleared.
Doctor :   the second option is aple cider washes
Doctor :   Soak your toenails for 15 - 20 minutes in basin full of warm water and natural apple cider vinegar mixed in equal proportion
Doctor :   When done, dry your toenails thoroughly. Use a hair dryer on warm setting to absorb all the moisture in and around the toes
Doctor :   Apple cider vinegar is a mild acid and prevents toenail fungus from spreading. It is very effective
Doctor :   3rd method : You can make your own anti-fungal exfoliating scrub by mixing coarsely ground rice flour with a few spoons of apple cider vinegar. Apply this paste over the affected nail and the surrounding area and then gently rub it into the nail and skin
Doctor :   Mix equal amounts of lemon juice and olive oil and massage this into your feet. The olive oil will help to soften your skin while the lemon juice will help to control the fungal infection.
Doctor :   these are some of the natural methods which are very effective in treating toe nail fungus
Doctor :   4. medical treatment: - systemic antifungal medications such as terbinafine and itraconazole, or topical terbinafine oint are useful , and u have been on these meds as mentioned in your history
Doctor :   These medications must be consumed for six to twelve weeks, but will not see the final result until the nail fully grows out
Doctor :   Future infections are likely to occur, principally if one continues to expose the nails to warm and/or moist conditions.
User :   yes , pls , reading 3 option
Doctor :   OK
User :   seems like 1st option i can follow , it will be easy to get it from market and arrange
Doctor :   OK
User :   also let me tell you little abt my nail characteristics ..
User :   even nail is weak, its growing , but slowly ...
Doctor :   both vinegar apple cider and tea tree oil can be used together
User :   ok
Doctor :   presence of an infected nail causes more issues
User :   hmm
User :   all of nail plate not impacted yet , only thumb nail and big toe nail plate impacted much ..
Doctor :   and complete removal, and allowing it to grow, will help, if other methods dont
User :   but nail bed is more black , which i am fearing to see those ..
Doctor :   i meant complete removal of affected nail only
Doctor :   its not the toe nail bed, thats black
Doctor :   its the lower layer of the nail itself
User :   yes , right
Doctor :   i understand your worry
User :   yep , nail bed is black in all finger and toe
Doctor :   but rest assured and follow my advice and u will get good results
User :   but nail plate is impacted in big toe and thumb finger
User :   so sir how i an apply , to all nail (i mean toe and finger)
User :   can*
User :   i think if i can send you some picture , right now
Doctor :   In case the nail plate in ingrowing, you will need to see a doctor, and then get it removed by a minor procedure under adequte local anesthesia
User :   so that it will easy for you to guide me
User :   nail plate is growing, but very very slow
Doctor :   send it to the email id - i gave you, which is accessible to me any time
User :   either u can see picture , right now
User :   if i send you
Doctor :   sure
User :   give me a min pls
User :   sent
Doctor :   ok
Doctor :   give me a min
User :   it should be in ur mail box soon
User :   sure
User :   really sir , i am not getting patience , , what will be my future in this case :(
Doctor :   there is nothing to be worried
Doctor :   i have seen the pics
Doctor :   and the treatment that i suggested is good
Doctor :   you will need the removal of the nail, partially and then use the methods suggested by me
Doctor :   also, the medications you are taking need to be continued for minimum, of 3 months
Doctor :   are u following me ?
User :   yep
User :   so by looking pics , what u think abt majority of problem
User :   either its much more major
Doctor :   its a fungal infection,
Doctor :   but not that severe,
Doctor :   it will heal definitely
User :   ok
User :   so sir still wondering , why no improve after taking lot of anti-fungal medicine from last 1.5 yr , any thought
User :   or do u think better to get any root cause like need to do nail plate biopsy
Doctor :   probably the dosage might be the issue
User :   :(
User :   not sure , but i followed the way timely , what local dr suggested me ..
User :   and abt this point , didnt get it properly
User :   Doctor: you will need the removal of the nail, partially and then use the methods suggested by me
User :   removal of the nail ?
Doctor :   i meant, if the nails are not improving, by the prior therapy that i have suggested, then for complete cure, the affected nails need to be removed
User :   oh , it may little painful , hope so
Doctor :   but if done under Local ansestheia, the pain is less
Doctor :   I hope i have answered your query
User :   sir , can u pls tell me , where i can do this treatment , do u suggest me pls
Doctor :   just follow the natural ways i have told you for 3 months
Doctor :   see the differance it brings on
User :   ok, fine sure
User :   so last question pls
Doctor :   along take the tablets that u are taking currently for 6 weeks
Doctor :   and you will be good
User :   so only need to apply affected nail or all nail plate and nail bed as well ?
Doctor :   affected and rest,since you will be soaking them right
User :   after seeing pics , u might be observed , all nail plate not impacted , but most of nail bed (skin lower to nail) impacted
Doctor :   yes,
Doctor :   but the condition u ahve is not untreatable and it will resolve soon
User :   hmm
User :   ok, thanks for ur suggestion
User :   ok, so what i understood - i will apply to nail ned and nail plate of all toe and finger nail and leave it for 15 mins
Doctor :   you are welcoime
Doctor :   yes
User :   and follow rest process
Doctor :   yes
User :   now only i will go medicine store to get those..
User :   so sir , how can i meet you again
Doctor :   i believe your condition will be solved soon
User :   i would like to interested ,to let u know the status
Doctor :   you can log into your account and you can chat with me anytime
User :   let see , since taking medicine from last 2yrs , not improve much .. so lets hope for the best
User :   what is online time pls
Doctor :   1pm to 10pm
User :   ok
User :   actually when i am login, randomly any of free doctor will be connected to me
Doctor :   i understand
User :   not sure how i can connect to you particularly ,, is there any option to search you here and get connected
Doctor :   when u connect to any doc, and if u request to talk to a specific doc, you will be asked to log out and log in again
Doctor :   and i will be intimated to recieve your chat
Doctor :   i hope this info, will be help ful to you
User :   ahh ok. what ur full name pls
User :   ok, thank you very much sir for ur help , can i talk anytime if i have any doubt or see any impact or something else
Doctor :   Do u have any other query?
Doctor :   sure
Doctor :   please remember to leave your feedback as you log out
User :   great , again thanks , you given me lot of confidence ..let me hope for the best ..
Doctor :   you are welcome
User :   bye for now , thanks for ur time as well
Doctor :   please remember to leave your feedback as you log out
User :   have a nice evening .
User :   sure
Doctor :   bye for now
Doctor :   good night
User :   GN
User :   lets close this call now
Doctor :   bye
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