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Treatment for inflammation of the nail cuticle - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
Doctor :   Hi,
Doctor :   Dr XXX here
User :   Hi Good morning , ahh , i was looking you from last 3 days
Doctor :   How can i help you ?
User :   XXXXXXXX here from XXX
Doctor :   Very good morning , XXX
Doctor :   please proceed
User :   you remember , we had discussion abt my nail diseases before 3 or 4 days back
Doctor :   yes i do XXX
User :   and you was suggested me , to do nail biopsy
Doctor :   did you get the biopsy done ?
User :   didnt find , here in XXX, no one doing
User :   either i have to mumbai or banagalore to do the test ..
Doctor :   and i didnt receive any mail of the pictures of your nails i asked
User :   sorry
User :   let me send you now
Doctor :   No , i do not think its so complicated procedure
Doctor :   where did you enquire for the same ?
User :   all the hospital in XXX
User :   YYYY@YYYY , sent to this ID
User :   it should be in ur mailbox
Doctor :   sure i will go through and mail you the details
User :   pls
Doctor :   yes for sure , you will be getting the answer within today
User :   ok
User :   either can't you able see my nail pic ?
User :   which i sent now
Doctor :   better try for the test via internet
User :   sorry ?
Doctor :   and try it in a skin special hospitals
Doctor :   the biopsy
User :   here also lot of skin clinic are there , they r not doing this test .. i found in XXX , they r doing
User :   could you pls see the pic
Doctor :   ya i can see the pic now , but i ll cross refer my books and other images i have and will give you a exact answer
User :   ok
User :   pls
User :   what u think , its fungal ?
Doctor :   no, i think its paronychia
Doctor :   its the inflammation of the cuticle
Doctor :   the point from where the nail grows
Doctor :   that is the reason why the nails are mildly mismorphed
Doctor :   the disese is not in nails its in the cuticle
User :   hmm
User :   might be , if u see most of finger nail plate are fine so far
Doctor :   and this gives me idea of nutritional impairments not an infection
User :   intially cuticle are becoming black , then it affected to nail
Doctor :   i suggest you to take Multivit capsules one per day
User :   so far left thumb nail plate affected
User :   and rest all , the skin is black
Doctor :   and a protien suppliment along with it
Doctor :   ya , i have the pictures very clear here
Doctor :   its not any infection
User :   oh , so u saying no need to take fungal medicine and will take Multivit capsules ?
Doctor :   i say you proceed with multivit and protien suppliment
Doctor :   no , need until you get the biopsy done
User :   ok
Doctor :   stop antifungal
User :   ok
Doctor :   and also take tab of VIT C
User :   currently i am taking terbest , infanin/halox cream
Doctor :   two per day for 15 days
User :   ok, could you pls let me know medince name ,for VIT c
Doctor :   Just ask for VIT C chewable tabs
Doctor :   stop halox slowly day by day reducing the amount of application , complete the course of terbest
User :   ok, so what i understood , i need to complete the terbest course , then will start take Multivit capsules and VIT c
User :   or both terbest and Multivit capsules and VIT c can be taken at a time
Doctor :   yes , and stop the halox cream slowly reducing the dose within 5 days
Doctor :   yes they can be taken at same time
Doctor :   take the multivit in the morning and vit c in mor n nite
User :   ok
User :   so how many days need to take
User :   1 month ?
Doctor :   i think treatment with them for 15 days will show a change
User :   wow , great
Doctor :   if so you have to continue them for at least 3 months but vit c only for 15 days
Doctor :   you can have the protien suppliment for any long time you want no harm in that
User :   my coneren always , why skin (lower to nail) not becoming to normal colour from black ..
User :   as you told cuticle is affected ..
User :   so what abt , if i will apply for tea tree oil as well ?
User :   it will help little too ?
Doctor :   normal skin needs VIT A B C
Doctor :   any deficiency in them will lead to discoloration , cracking , soreness of the skin and the nail bed and cuticle are the first ones to show this
User :   so sir by looking pic , what u think , how much complexity of the problem
Doctor :   its not progressed , you can have a completely normal nail after treatment
User :   hmm , u can see , as i told from last2 yrs , i am taking medince of fungal , but always question came to my mind , if its fungal , why not improving after take medince long duration
Doctor :   antifungals are very potent , there is no chance they get untreated after so long treatment , hence that gives an idea that it might not be a fungal infection
User :   hmm , so can i start taking the medince , as u told above ? or just need to wait till biopsy done
Doctor :   no start them , but try for biopsy also
User :   ok, fine , no side effect to take antifungal(which currently i am taking) and those above medicine , right
Doctor :   not at al
User :   great
User :   any cream need to apply ?
Doctor :   can you repeat my advice please ?
Doctor :   no creams
User :   ok, fine
User :   i was thinking to apply tea tree oil ;)
Doctor :   lets put on a hold to that
User :   ok, sure
User :   let me take the course , as u told , will see the effect after 15 days
Doctor :   yes,
User :   cuticle problem is how much complicated
Doctor :   its more common problem encountered
User :   it started at my childhood time
User :   but didnt reliased
Doctor :   how is your food intake and nutrition ?
User :   sorry u mean , what food i am taking daily
Doctor :   yes, the regular type and amount
User :   ahh ok , its ok , Rice +dal + some curry ..
User :   amount is normal ..
User :   and also taking most of time non veg
Doctor :   ok, anyways take the supplements and improve your nutrition , have more vegetables and fruits
User :   ok
User :   i think due to cuticle problem , its affecting to nail plate ..
User :   but i can say , nail r growing as well , but very very slow..
Doctor :   when there is problem in the cuticle thn for sure nail plate will be affected
Doctor :   once treated you will start growing good nails
User :   if u see my toe nail , not all toe nail having problem of cuticle , i guess , half area of nail plate just black ..
User :   not sure if i sent u that pic or not
User :   sir just now i sent another toe nail pic
Doctor :   ya i see the picture
User :   pls have a look and if u see there cuticle not affected much , but nail plate area is black
User :   just now i sent one pic only
Doctor :   since the toe nail cuticle is big and wide the picture could be diff compared to other nails
User :   ok
User :   toes nail ....XXX, this is the file name
Doctor :   its toe nail left 14 k rite
User :   yep , its left one
User :   if u look closely , that pic , u can see cuticle is not that much black ..
User :   but half of nail plate area is little black
Doctor :   yes, the nail in the toe will be thick and slow growing thence will have darkening more than other
User :   ok
User :   sir what time normally working
User :   how i can get back you again
Doctor :   i am into night duty
User :   whole month ?
Doctor :   from 10 pm to 8 am. friday to tuesday
Doctor :   whole month
User :   ok, i will get back you again , after taking advised tablet , let me hope for the best , mean time , if possible i must have nail biopsy testing ..
Doctor :   ok,
User :   coming friday - i will be travelling XXX , sir , so hope , i will contact you from there
Doctor :   yes,
User :   also no pain to my nail so far
User :   i didnt face any pain problem yet ..
Doctor :   and there will be no problem
Doctor :   sorry no pain
User :   ok
Doctor :   Is there anything else i can help you with ?
User :   also my marriage may be soon , but deciding , untill its fine , need to hold ;)
User :   nothing sir for now , its ok , thank you for hr help . will let u know the improve status as well after few days ..
Doctor :   ok, i do not see any reason to hold
Doctor :   Thanks for consulting me , kindly provide your feedback
User :   not sure , if u can see its not major , but outside people may think little different way
User :   so by taking those medicine , u believe , skin will coming to normal color , right
Doctor :   i do believe
User :   ok,when to take those medicine , after food , right
Doctor :   After food will do
User :   will take how many days , first 15 days ? then will contact you for further treatment ?
User :   k
Doctor :   yes
User :   ok fine
User :   i know ur shift end 8 AM
User :   sorry to hold you long time ..
User :   thanks for ur time as well
Doctor :   its ok
Doctor :   i am here for you
User :   thank you sir
User :   bye for now , happy weekend
Doctor :   Thanks for consulting me XXXXXXXX , kindly provide your feedback
User :   sure , will do it
Doctor :   Bye for now
User :   u r the best
Doctor :   Take car
User :   thx and u too
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