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Suggest treatment for chronic athlete's foot - Online Doctor Chats

Date : 08-Apr-2014
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1559 Questions
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User:I have bee suffering from bad allergy on my feet, especially on left foot for past one year or so
Doctor:Is it a fungal infection or something?
User:looks like. can i share snap of my left foot which I just took?
Doctor:oh yes, sure
Doctor:Please upload it on this chat window
Doctor:You can find upload feature on the right side of your page and you can upload reports from there.
Doctor:I have seen the uploaded picture
Doctor:It seems like chronic athlete's foot
Doctor:Is there itching present on the foot?
User:yes a lot
Doctor:I see
Doctor:Have you been taking treatment for it regularly?
Doctor:I mean, it is present since past one year, have you done anything at all about it?
User:earlier I had consulted skin specialist but that was for my hand as well
Doctor:What treatment have you taken for the foot problem and for how long
Doctor:Could you please brief me about the treatment?
User:then i was taking Homeopathy treatment and done all the tests. I was advised to soak my feet in luck warm water in the evening
Doctor:anything else?
Doctor:all right
Doctor:Let me tell you
Doctor:This is a serious fungal chronic infection
User:my foot itches a lot at night and now a days in the office as well. I was advised to use new cotton socks everyday
Doctor:Even with rigorous treatment, it comes and goes
Doctor:Have you been advised Clotrimazole or candid ointment?
User:is there any solution?
Doctor:There is but treatment is for long term for up to 7 weeks after all the lesions disappear
User:I think candid was advised and one more lotion named Betnovet i guessed
Doctor:Candid is what is essential for you
Doctor:Listen to my advice
Doctor:Please start using candid again
User:ok at night?
Doctor:Daily without fail, every day and night - apply the ointment on whole of your feet
Doctor:twice, yes, at night too
User:can i wear socks on it
Doctor:You must make sure that the ointment is there in place 24/7
Doctor:dry it under air or hot air for 15 mins before you wear socks
Doctor:Since the infection is large and chronic, I also advice you to take oral antifungal tablets
User:no other medicine is required?
User:oh ok
Doctor:I usually prescribe my patients Tablet Zocon or Fluconazole 150mg one tablet every weeks for at least 3 weeks
Doctor:You can it any time in a weel
Doctor:but take it for 3 weeks
Doctor:It should be taken after food
Doctor:no, you need only plain candid cream or ointment
Doctor:DO not use Betnovate now
Doctor:use only candid and the oral tablet
User:is it anti-biotic?
Doctor:which one?
User:the tablet?
User:or is it steriod tablet?
Doctor:tablet is antifungal tablet
Doctor:I mentioned earlier
User:will it have any side effects?
Doctor:Since the infection is large and chronic, I also advice you to take oral antifungal tablets
Doctor:The same sentence I typed earlier
Doctor:You could read it again
Doctor:There are side effects of any drug
Doctor:this might cause you headache, nausea and vomiting
Doctor:No serious side effects as such
Doctor:I would insist that you start all these treatment under the supervision of a dermatologist
Doctor:Also, you need complete physical examination before prescribing any drug
Doctor:Are you diabetic?
Doctor:What is your latest blood sugar reading?
User:well i dont remember but earlier about six months back when i had done blood sugar tests. there was no diabetics
Doctor:You must get it checked now again
Doctor:because, presence of diabetes can delay healing of any type
User:should i visit local dermatologist
Doctor:all right
User:will you advise any name in Mumbai at Malad west?
Doctor:Be aware that it would take months together of treatment as it is difficult to cure
Doctor:You must be consistent with the treatment
Doctor:I am sorry
User:ok thanks foir your advise
Doctor:Personally I am not aware of doctors in Mumbai
Doctor:my pleasure
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