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Suggest Treatment For Painful Fungal Infection In Nail

Posted on Mon, 10 Aug 2015

Question: My left hand one nail looks like have fungal infection. Half of the nail is in dead condition and causing pain when someone touches it. Please advise ?

Answered by Dr. Dr. Kakkar (3 hours later)

Brief Answer:
Kindly Upload an Image

Detailed Answer:
Hello. Thank you for writing to us

I have taken note of your query and I understand that you are concerned about this condition affecting nail.

I request you to kindly upload an Image so that I am able to guide you better.

You may upload an Image either in "Reports Section"

Or

You may also mail me at YYYY@YYYY with the subject line as Attn:Dr. Kakkar.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (1 hour later)

Actually the patient is my wife XXXXXXX Here is how it looks, I have uploaded the image in the upload report section.

THanks
XXXX

Answered by Dr. Dr. Kakkar (24 minutes later)

Brief Answer:
Finger nail Onychomycosis; Oral and Topical antifungals

Detailed Answer:
Hi.

I have reviewed the Image.

This is Finger nail Onychomycosis. First of all you must cut short your nail. You may submit a nail clipping for KOH to laboratory for a confirmatory diagnosis.

If this comes out to be positive for fungus it would be advisable to treat with topical and Oral antifungals.

If I was the treating doctor I would normally treat my patient of onychomycosis with a tablet of Terbinafine 250 mg once daily for 6-8 weeks.

Topically, one may use an antifungal nail lacquer e.g Amorolfine 5% nail lacquer which is available as Loceryl nail Lacquer. This is to be applied once a week.

Oral and Topical antifungals are prescription drugs and should only be used under supervision of a dermatologist and after a confirmatory diagnosis.

Therefore I suggest that you visit a doctor in your region for a confirmatory diagnosis and for the needful.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (1 hour later)

Thanks Doctor. I will get it confirmed with a doctor again.

Thanks again!

XXXX

Answered by Dr. Dr. Kakkar (2 hours later)

Brief Answer:
You are welcome

Detailed Answer:
Thank you for writing to us.

Regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar