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Suggest Treatment For Redness, Swelling And Pain In Thumb While Treating Paronychia

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Posted on Thu, 28 Jan 2016
Question: Have Paronychia in my left thumb with significant redness, swelling and lots of pain......it is drained. This condition began 3 days ago and have been taking Bactrim DS twice daily for 3 days.......not seeing any apparent progress........still swollen, red and sore.........my thoughts are questioning the effectiveness of the antibiotic.............
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Answered by Dr. Dr. Ivan Romich (34 minutes later)
Brief Answer:
You have good thoughts

Detailed Answer:
Welcome to HCM

It is not common that it persists after drainage and antibiotic therapy unless you have diabetes or other immunosuppressive diseases.

In most cases it should improve on drainage only.

So it may have been inadequate drainage or inadequate antibiotic therapy.

For such infection it is more advisable to take AMOXICILLIN+METRONIDAZOLE or CLINDAMYCIN(since all of these are prescription medicines so you're going to need to check into your local physician to get them).

However if there is swelling and abscess it should be drained again or nail should be removed partially.

Wish you good health.Regards
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Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Dr. Ivan Romich

General Surgeon

Practicing since :2008

Answered : 13888 Questions

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Suggest Treatment For Redness, Swelling And Pain In Thumb While Treating Paronychia

Brief Answer: You have good thoughts Detailed Answer: Welcome to HCM It is not common that it persists after drainage and antibiotic therapy unless you have diabetes or other immunosuppressive diseases. In most cases it should improve on drainage only. So it may have been inadequate drainage or inadequate antibiotic therapy. For such infection it is more advisable to take AMOXICILLIN+METRONIDAZOLE or CLINDAMYCIN(since all of these are prescription medicines so you're going to need to check into your local physician to get them). However if there is swelling and abscess it should be drained again or nail should be removed partially. Wish you good health.Regards