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Toe injury causing nail removal - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3387 Questions
User :   I just banged my big left toe and the nail is almost off. What should I do?
Doctor :   Hi
User :   HI
Doctor :   Iam.DR.XXXXXXXX
User :   Hi Dr. XXXXX
Doctor :   IS IT bleeding now?
User :   Not really, I wrapped a paper towel around it.
Doctor :   May i know your age and gender?
Doctor :   ok
Doctor :   Are you diabetic?
User :   I'm female 59 years old
User :   Not diabetic
Doctor :   Are you vaccinated against tetanus?
Doctor :   ok good
Doctor :   so you need to get the nail removed if it is almost out
User :   I'm not worried about tetanus. Should I just leave the toe nail on and let it fall of?
Doctor :   by meeting a surgeon
Doctor :   if it is not bleeding
Doctor :   then you can leave it by applying antibiotic
User :   What happens if I just leave it like it is? Will is fall off on its own?
Doctor :   oint ment like povidone iodine
Doctor :   it will come off slowly
User :   So, is my main concern avoiding infection?
Doctor :   as the devitalised nails cells dies
Doctor :   yes
Doctor :   you should get it properly disinfected
Doctor :   by applying betadine lotion over it
Doctor :   and getting it properly covered
User :   Betadine lotion is the best thing?
Doctor :   since it is the leg part
Doctor :   and can get easily infected
User :   What type of coverning?
Doctor :   yes wash with it fiirst
Doctor :   as an first aid
User :   Wash with the betadine lotion?
Doctor :   cover with gauze dressing
Doctor :   with betadine ointment
Doctor :   every thing should be sterile
User :   Wash with the betadine ointment and then cover with gauze dressing?
User :   So, there's no harm is letting it fall of naturally?
Doctor :   you should check for excess blleding
Doctor :   no
User :   No, it's not bleeding much at all.
Doctor :   but you will feel the disturbance of a protruding nail
Doctor :   when you walk,sleep etc
Doctor :   ok thats good
Doctor :   so get it dressed in a sterile surrounding
User :   So, the reason to remove the nail if for comfort in walking?
Doctor :   under care
Doctor :   change the dressing everyday
Doctor :   and try taking simple pain killer drugs for pain if you have
Doctor :   but it might need oral antibiotic to heal properly
Doctor :   sometimes
User :   It's not painful - it only hurt when I banging it.
Doctor :   ok
Doctor :   for today it will be painful
Doctor :   as the days go by pain will decrease
User :   I can get the betaine ointment at the drugstore?
Doctor :   but watch for infection and tetanus
Doctor :   yes it is an otc
Doctor :   betadine/povidone iodine
User :   OK. I just banged my foot against the plastic vaccum cleaner while walking in the dark to the bathroom.
User :   Where are you located?
Doctor :   ok
Doctor :   so its not metal anyway that has caused the injury
Doctor :   you will be more safe
User :   Yes, there was no metal involved.
Doctor :   but take proper care of the wound
Doctor :   We are from XXXXXXX
Doctor :   ok
Doctor :   you can even wash in Dettol solution
User :   Yes, I will follow your directions with taking care of the wound. Also, I am a student, so I will go to the college health center when it opens at 8AM and talk with the nurse there. What is Dettol?
User :   How cool - you are in India!
Doctor :   yes
Doctor :   good
User :   What is Dettol?
Doctor :   dettol is an antiseptic solution
Doctor :   dettol or savlon
User :   Which is better the Dettol or the Betadine/providone?
Doctor :   Is there anything else i can help you now?
Doctor :   betadine is better
User :   OK. That's all, Thanks
Doctor :   Thanks for consulting.........
Doctor :   bye for now................
Doctor :   take care...............
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