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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Is Suggested For After Having A Chemo And Radiation?

I am a breast cancer survivor of 4 years. Ever since having chemo & radiation, my big toes have thickened nails with discolored spots and some crumbly texture to the nail. Occasionally they start to hurt and I trim back the top layer which stops the pain. Last week I noticed that my left nail was looking thick and and there was a discolored spot on it. I trimmed the nail, removing the crumbly area, back to where the discoloration was. During this process, I noticed that when I pressed on the nail it made a squishy sound like there was fluid under it. Pressing on it further caused a clear liquid to come out. I put a bandaid on overnight and it seemed like more fluid came out. The next morning I squeezed it again, this time less fluid came out and then I put some Vicks Vapo Rub on the nail as I had read that this might help. As I was not going out that day I left the foot uncovered. Seemed to dry it up a bit, so I did this for another few days. Tuesday I noticed the spot again and trimmed the nail further with the same results. Now when I press on the area where the spot started, there is still a clear liquid that comes out. I put a bandaid with neosporin on yesterday morning before going out for a few hours, and when I got home I removed the bandaid and noticed that the bandaid was pale yellow (don t know if from the fluid or neosporin). I ve noticed people on here using epsom salts, is this something I should try, or should I see a podiatrist? While I ve had the nail thickness/crumbling for 4 years now, this is the first time that fluid has come out.
Tue, 5 Aug 2014
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
The nail problem seems to be unrelated to chemo- and radiotherapy.
Discoloration of the nail and crumbly texture of the nail is suggestive of fungal infection.
Yellow colored fluid oozing out from the nail bed suggests a bacterial infection.
I suggest you to consult a dermatologist for clinical assessment of the nail.
Some tests may be required to find the cause of infection.
Nail scraping may be required for fungal infection.
Bacterial infection can superimpose the fungal infection.
In case fungal infection is confirmed, treatment with anti-fungals may be required.
Fungal infections of nail take very long time to clear so prolonged treatment with anti-fungals, oral and topical may be required.

Thanks and take care
Dr Shailja P Wahal

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What Treatment Is Suggested For After Having A Chemo And Radiation?

Hello and welcome to HCM, The nail problem seems to be unrelated to chemo- and radiotherapy. Discoloration of the nail and crumbly texture of the nail is suggestive of fungal infection. Yellow colored fluid oozing out from the nail bed suggests a bacterial infection. I suggest you to consult a dermatologist for clinical assessment of the nail. Some tests may be required to find the cause of infection. Nail scraping may be required for fungal infection. Bacterial infection can superimpose the fungal infection. In case fungal infection is confirmed, treatment with anti-fungals may be required. Fungal infections of nail take very long time to clear so prolonged treatment with anti-fungals, oral and topical may be required. Thanks and take care Dr Shailja P Wahal