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Nail infection and its 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 : 2005
Answered : 2307 Questions
Doctor :   hi
Doctor :   Dr XXX here
User :   hi
User :   can i talk to Dr XXX , actually yesterday i had conversation with him
Doctor :   i am sorry he is not available right now.. if you want you can log in later
User :   :(
Doctor :   it is his off today
User :   could you pls tell me , his online time
User :   based on that i will be login
Doctor :   ok
Doctor :   He will be online on friday again from 10 pm to 8 am
User :   ok
Doctor :   Today and tmmrw are his weekly off
User :   thx for ur info
User :   ahh ok
User :   actally its related to nail dieases
Doctor :   You are welcome
Doctor :   Ok
User :   so yesterday i had long conversation with him, explained the issue
Doctor :   ok
Doctor :   Was it regarding nail bed biopsy
User :   yep
Doctor :   I have seen it in your chat history
Doctor :   Did you enquire regarding the same
Doctor :   Is it done in XXX?
User :   did nt do yet ..
User :   not sure where i can do
User :   i tried lot , no info found yet
Doctor :   You can visit an pathologist for the same
Doctor :   Any Pathology lab will surely get it done
User :   ok,lets see if they r doing that test..
User :   not sure , if every path lab can provide that service , but lets see ..
Doctor :   Any reputed will do
User :   if u want to see my nail picture , i can send u , so that u can determine what may be the issue..
Doctor :   Ok
User :   incase if u like to see it
Doctor :   Send at YYYY@YYYY
User :   ok
User :   give me a min
Doctor :   ok
User :   sent
Doctor :   just a moment let me check
User :   sure
Doctor :   ya
Doctor :   recived
User :   actally skin lower to nail is black and its impacting nail plate as well ..
Doctor :   Do you smoke?
User :   nothing sir
User :   even no supari as well
User :   i dont like those
Doctor :   Ok
User :   wht u think abt that ..
Doctor :   Then the most possible causes are either fungal infection or melanomas
User :   its fungal
Doctor :   One picture still remains moist is it after application of ointment
User :   which pic , can u tell me file name
Doctor :   I guess there is more probablity for fungal infection
Doctor :   just a moment
User :   sure
Doctor :   toe nail left
User :   i did nt apply anything when i took snap
Doctor :   ok
User :   that one affected much
Doctor :   Try to keep feet and hands dry as possible
Doctor :   Moistness will induce more growth of fungi
User :   yep doing from last 2 yrs
User :   loosing confidence , sir
User :   much tired also
User :   actually it started from my schooling , but i was not aware on it , that time also i saw black skin lower to nail , but now i realized something happen
Doctor :   Nothing to worry
Doctor :   It common in males
Doctor :   Its will not harm you
Doctor :   The onkly issue being cosmetic
User :   from last 2 yr , i am taking antifungal medicine ..but it only improve 10-20%
Doctor :   Ok
User :   so still wondering its really fungal or something else
Doctor :   Thats why you were suggested for an biposy to confirm the causative agent
Doctor :   So that you will receive prompt meds
User :   how pain is it biposy
Doctor :   no
User :   i just saw few picture on net , fear after seeing those..
Doctor :   It will be done after local aneasthetic will have no pain
User :   do u have any idea , in pune , which pathology doing this test ..
User :   i search on net , didnt found yet , but will keep try ..
Doctor :   Sorry our database not equipped with path lab details
Doctor :   But will try out in case i get any info will mail you
Doctor :   Plz confirm your email id
User :   YYYY@YYYY
Doctor :   ok
User :   ok, so sir this test will remove part of my nail ?
Doctor :   Yes a bit of it
User :   oh :(
User :   will not be much hole , right
Doctor :   No
User :   ok, then in picture from net showing things in zoom , probably..
User :   ok, but sir what ur thought , might be fungal , right
Doctor :   Yes
Doctor :   or melanoma ( hyperpigmentation)
User :   may be , one thing make u wondering , after taking medicine from last 2 yrs , not improving .. incase its fungal ..
Doctor :   You will need that issue to sorted out
Doctor :   Were on on intermediate coureses
User :   no , i am XXX
Doctor :   And were all precautions taken
Doctor :   I meant were the meds taken continuosly
User :   yep
User :   regularly
User :   but i decided , if things r not getting well , will not marry ..
User :   not sure how much it will impact to my future life
Doctor :   dont worry will not imoact
Doctor :   Just get the test done you will have an answer for the same
User :   sure , will do it tomorrow , but just incase if i didnt found that pathology here in XXX, either in bangalore , its available
User :   i can go there as well
Doctor :   Yes
Doctor :   You can get it done here in bangalore
User :   could you pls tell me the address , if incase i cant find in pune i will go there
User :   this weekend
Doctor :   XXX hospital, XXX, bangalore
User :   either weekend , its open ?
Doctor :   Its an landmark will have no issues finding it
Doctor :   Not on sundays
User :   oh , so friday night i should start from here ..
Doctor :   Yes
User :   so sir if any case , how much time it will take to recover , any idea
User :   i just wanted if it can be recover before my marriage ..
Doctor :   I cant just give a time without confirming the diagnosis
Doctor :   You can sure if its fungal infection
User :   ok, if fungal then ..
User :   pls
Doctor :   It will get cured in three maonths max if on prompt treatment
Doctor :   * months
User :   ok, i will make sure , will follow all procedure based on u guys response ..
Doctor :   ok
User :   sir incase its melanoma , then
Doctor :   A year or even two
User :   oh :(
Doctor :   Depending on the extent of involvement
User :   praying , lets not hope for melanoma
Doctor :   Wishing you a speedy recovery
User :   thank you sir
Doctor :   Thanks for consulting me.
User :   so i will keep in touch with u guys ..
Doctor :   Bye for now.
Doctor :   Yes for sure
User :   and hoping healthcaremagic will resolve my ongoing issue , if it will true , then really i will publish the things in my blog and most of XXXer will know abt you guys ..
Doctor :   wishing for the same
User :   nice to talk to you
User :   let me find pathology here tomorrow . what i have to tell them just biopsy of the nail ?
Doctor :   Yes
User :   is there any type of biopsy ? not sure just asking , incase if they ask me
User :   i just want to ensure all info before going to them ..
Doctor :   Nail plate biopsy
User :   ok, fine
User :   thank you sir , will talk you soon
Doctor :   Your are welcome
User :   bye for now , good night
Doctor :   Good night
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