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Treatment of fungal infection on the feet - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   HI
Doctor :   How can I help you
User :   hi
User :   i hav got fungal infection in my feet under the fingers
Doctor :   For Administrative and health purposes, Please provide these details of the patient-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   its been thr for past 4 years
Doctor :   ok
User :   patient-Age: 26 Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   Gender: Male
User :   Occupation: IT professional
Doctor :   Where in the feet are you having it
User :   Unmarried
Doctor :   is it between your toes or the on the undersurface of your feet
User :   Weight and Height: 69 kgs & 5ft 9 inches
User :   its betwwen fingers also and under the fingers its quite severe
Doctor :   have you taken any medicine
User :   i was using some cream recommended to me by a dematologist
User :   bt i was using it on n off
Doctor :   since how long
Doctor :   you are using that
Doctor :   and what is it?
User :   coz i use to feel uncomfortable wen i apply i wasn't regular
User :   i don't remember the name
User :   bt for past cpl of days i hav been using foot powder
User :   bt its not quite effective
User :   u thr ?
Doctor :   I think you are given an antifungal
Doctor :   cream
User :   may b
Doctor :   and that is resistant now
Doctor :   and no more useful for you now
User :   bt as i said i dint use it regularly
Doctor :   as you have not used it regularly
Doctor :   and more over this is a long term problemy you have
User :   say wen i got it i applied it for 1 week or so and den left it during dese 4 years
User :   bt now i m sick of it
User :   i want to get rid of dis once in for all
Doctor :   You need a review now
Doctor :   That could be a fungal infection
Doctor :   because of retaining of moisture
Doctor :   in between the toes
User :   i was looking for it on the internet
User :   i think its athletes foot
Doctor :   the cream you use no longer works
Doctor :   yes
Doctor :   the Over the counter creams dont work now
User :   so wat wud u suggest
Doctor :   so I cant give you a cream that doesnt help
Doctor :   I would advice you
Doctor :   by the dermatologist
Doctor :   to get a reviewal done
Doctor :   but My advice is to cut down the factor that is causing you the infection
Doctor :   many times
Doctor :   that is the moisture and the local hygiene
User :   ok
Doctor :   You have to change the socks every day
User :   i read abt Lamisil on the web
User :   i do dat everyday
User :   and before putting socks i mk sure that my fingers aint wet
Doctor :   thats good
Doctor :   Yes terbinafine
Doctor :   Lamisil
Doctor :   is given usually
Doctor :   that is a broad spectrum antifungal
Doctor :   but there are other creams too
Doctor :   there are quite a number of interactions using these drugs
User :   ok
Doctor :   You might require an oral dose too
Doctor :   depending on the response to the topical
User :   last time wen i went to the Doc he also gave me few tabs
Doctor :   Ok
Doctor :   My advice to you is
Doctor :   Keep your feet dry, especially between your toes
Doctor :   Go barefoot to let your feet air out as much as possible when you're home.
User :   I will
Doctor :   Wear socks that are made of natural material, such as cotton or wool,
Doctor :   If your feet sweat a lot, change your socks twice a day.
Doctor :   Avoid shoes made of synthetic material, such as vinyl or rubber.
User :   ok
Doctor :   Alternate pairs of shoes every day
User :   usually i wear lether shoes
Doctor :   Wear waterproof sandals
Doctor :   Thats better
User :   i don't wear sandals
Doctor :   Use an antifungal powder daily.
User :   i m doing dat
Doctor :   and now take the oral medication by seeing a doctor
User :   i shud go to a dermatologist ?
Doctor :   that is a better answer
User :   shud i use terbinafine
Doctor :   Dont use terbinafine without prescription
Doctor :   as it is broad spectrum
User :   ok
Doctor :   and has interactions with other drugs
Doctor :   and few side effects
User :   i understand
Doctor :   Please confirm your details
User :   well i thank u for ur advice
Doctor :   YYYY@YYYY
Mobile : 0000
Doctor :   Is there any thing else that I could help you with?
User :   dats correct
Doctor :   Please fill the feedback form say done when done
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service.
User :   bye
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