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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can fungal infection in the nails be treated?

I've recently had an issue with an aggressive (yeast they said) nail fungus. First my fingers.. Then it was clear, wore nail polish for 2 to 3 weeks and when we took it off, it was back and my nails are yellowed-orange and FLATTENED! My big toes have it. I'm keeping them way short, clean, soaking in lemon 2x day, and tea tree oil as well as occasionally fungus med-over the counter, for nails. Sugar is being avoided as much as possible as well as I do not drink other than one or two every few weeks. PLEASE!!! Help
Wed, 2 Aug 2017
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General & Family Physician 's  Response
Hello and welcome to HCM.
Thanks for putting up your query over here.
I would like to know whether you have got diabetes mellitus.Agressive fungal nail infection more common with diabetes mellitus.
If I were your treating doctor,I would recommend,
-Oral antifungals like fluconazole/griseofulvin for few months.Topical antifungals wont treat the infection.
-Soak the feet in warm water and dry it.Dont let moisture to remain for long by avoiding wearing socks or shoes for long.Dont apply nailpolish over the nail.
-Keep diabetes within control by medications,diet,regular exercise and timely follow ups with treating doctor.
So visit to dermatologist/physician is necessary for the above mentioned pescription drug.Nail psoriasis als needs to be ruled out.
Hope this information helps.
Thanks and regards.
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