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Suggest Treatment For Fungal Infection On Foot

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Posted on Sat, 27 Dec 2014
Question: I have a red spot that appears to be following a blood vein in my foot. It started about two months ago at the top of my foot toward the big toe, and has traveled along a vein to my instep, about 6 inches. I consulted a doctor at a walk in clinic three weeks ago. He thought it might be a fungal infection, and suggested treating the area with clotrimazol for two weeks. The area through which the spot moved was discolored with pinkish areas. The skin has improved, but the red spot is still there and still moving along a blood vein. I have a photo of my foot if that would help
doctor
Answered by Dr. Prakash H Muddegowda (1 hour later)
Brief Answer:
Continue treatment for atleast 4-6 weeks.

Detailed Answer:
Hi XXXXXXX
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.

Based on your query, my opinion is as follows:

1. It appears to be fungal infection as your doctor as pointed out.
2. Clotrimazole treatment is effective. Apply the cream over it, after cleaning the area and wiping it dry. Apply it for 2-3 times daily and everytime you wash your foot.
3. Keep the area dry. Avoid any moisture exposure.
4.Treatment will usually take atleast a minimum of 4-6 weeks and should be continued atleast two weeks after complete healing.
5. It is not related to vein, not to worry. It is only in the skin. Avoid wearing shoes or socks or any tight fitting things around foot.

If it still does not heal, oral antifungal treatment maybe needed after 2 months of treatment. Keeping area always dry and applying regularly is the most important aspect of treatment.

Hope it helps.
Any further queries, happy to help again.

Dr. Prakash HM



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Prakash H Muddegowda (12 hours later)
Thank you Dr XXXXXXX I can do that. However, wearing shoes without socks seems to irritate the area more, so I wear light socks.

Why does it go exactly where the vein goes?
Does it feed off of the vein somehow?
doctor
Answered by Dr. Prakash H Muddegowda (3 hours later)
Brief Answer:
No feed of vein. Feeds of skin

Detailed Answer:
Hi,
Thanks for asking again.

Keeping the area dry will reduce moisture content in the skin and hence fungal infection. See, if you can avoid shoes and wear slippers. If shoes necessary, remove it along with socks, when not moving. Wipe the area dry.
This lesion is limited to top of skin only. The vein is below the skin and would not get affected. If it were to invade vein, you would have severe bleeding. No vein invasion at present and this usually does not affect deeper areas normally.

Skin moisture and skin top are the feeding points. No vein invasion.

Hope it helps.
Any further queries, happy to help again.

Dr. Prakash HM
Note: Get a consultation booked to know more about aging related medical issues. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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Suggest Treatment For Fungal Infection On Foot

Brief Answer: Continue treatment for atleast 4-6 weeks. Detailed Answer: Hi XXXXXXX Thanks for asking. I am Dr. Prakash HM and I will be answering your query. Based on your query, my opinion is as follows: 1. It appears to be fungal infection as your doctor as pointed out. 2. Clotrimazole treatment is effective. Apply the cream over it, after cleaning the area and wiping it dry. Apply it for 2-3 times daily and everytime you wash your foot. 3. Keep the area dry. Avoid any moisture exposure. 4.Treatment will usually take atleast a minimum of 4-6 weeks and should be continued atleast two weeks after complete healing. 5. It is not related to vein, not to worry. It is only in the skin. Avoid wearing shoes or socks or any tight fitting things around foot. If it still does not heal, oral antifungal treatment maybe needed after 2 months of treatment. Keeping area always dry and applying regularly is the most important aspect of treatment. Hope it helps. Any further queries, happy to help again. Dr. Prakash HM