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How Do Dermatologists Diagnose Nail Fungus

To find out if a patient has nail fungus, a dermatologist examines your nails and nearby skin. Its important to check the skin because the fungus can spread. You may already have a skin infection caused by fungus like athletes foot.

To get rid of the infection, you will need to treat all infected areas.

Before giving you the diagnosis, your dermatologist may also take some samples. Collecting a bit of debris from beneath a nail, trimming off part your nail, or scraping off a bit of skin can be very helpful. In a lab, these samples can be examined under a microscope to find out whats causing the problem.

Are you hiding an infected nail with nail polish?

Be sure to ask your dermatologist if you can wear nail polish while treating nail fungus.

Best Ways To Treat A Nail Fungus

Nail fungus can cause thick, discolored nails, and, for some patients, it can even be painful. An Internet search will bring up plenty of ways to treat the condition, but which ones are best? Dermatologist Dr. Christopher Hull discusses what nail fungus actually is, why its so hard to get rid of, and which treatments work best.

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How Can I Prevent Toenail Fungus

Theres no way to guarantee you wont get toenail fungus. But you can take several steps to help prevent it:

• Avoid going barefoot in communal areas such as public showers, locker rooms and swimming pools. Most people pick up fungus in these situations. It helps to wear flip flops in these public areas.
• If you have a family member with foot fungus or nail fungus, try to use a different shower or wear flip flops in the shower to avoid coming in contact with it.
• Trauma due to accidental or aggressive clipping of the nails can turn into portals of entry for the fungus.
• Clean your nail trimmer before using it.
• Dont tear or rip your toenails on purpose.
• If you have diabetes, follow all foot care recommendations from your healthcare provider.
• Keep your feet dry. Make sure to fully dry your feet after a shower.
• Soak toenails in warm water before cutting them. Or you can cut your nails after a shower or bath.
• Trim toenails straight across .
• Wear shoes that fit correctly. They shouldnt be too loose or tight around the toes.

The Secret Society Of Sufferers

Even though its so easy to catch, toenail fungus embarrasses people. Its a hush-hush topic and only a fraction of the estimated 55 million Americans who have the condition seek treatment in a doctors office.

Im part of this secret society of tonail fungus sufferers. We can, like, band together and have meetings or something, said Liz, a Philadelphia mom in her thirties. She doesnt want to use her full name for this interview. It looks terrible if you dont maintain it, and I mean toenail fungus? That is the grossest thing!

It started about 10 years ago when Liz cracked her big toe nail. After that, the nail started to look funny and became discolored. Then it spread to three more toes on that foot. When Liz realized she had nail fungus, she was faced with another unpleasant fact: Its really hard to treat.

The toenails have the smallest blood vessels, explained podiatrist Tracey Vlahovic. They are the furthest away from the heart. Its going to take anywhere from six months to a year, to even two years for some people, for the nail to grow from cuticle to the tip of the nail.

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Signs And Symptoms Of Foot Fungus

Itchy skin is an early sign of foot fungus, or scaly, peeling skin, or tiny blisters on the skin that will pop at times, says Sundling. The skin tends to break out in the shape of a moccasin, or the area of the foot that a moccasin would cover. You dont see foot fungus on the top of the foot very often. Its common to get a fungal infection between the toes as well, she adds.

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Nurses Know That Home Remedies Knock Out Nasty Nail Fungus

Many people have been reluctant to go to a doctors office because of COVID-19. Unless something is really serious, the risks may seem too great. Nasty nail fungus infections just dont seem like that big a deal, but the longer they persist, the worse they get. When a condition is not worrisome, we are OK with home remedies. To be on the safe side, people with diabetes and those with psoriasis should have their discolored or deformed nails checked by a doctor.

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Toe Or Toenail Injury

If you stub your toe hard, you may drive the nail into the soft tissue surrounding it, which can cause it to become infected.

You can also create problems by trimming your nails too short near the edges, which can allow them to grow down into the fleshy part of your toe.

If you cut your nails so closely that you create a raw spot, this wound can also become infected.

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Symptoms Of Fungal Toenails

Toenail fungus can cause a series of health problems and it can be uncomfortable for many to talk about. Here are some symptoms of fungal toenails to be aware of:

Nail discolorationnails are often yellowish, grayish, or brownish. It can start as a single white spot and then spread.

Nail distortionthe nail itself grows thick and brittle, as well as the edges. The nail may be deformed.

Odorwhile odor is not always present, toenail fungus can cause serious aromas in your feet and toes. If you notice a sudden change in the way your feet smell, it could be fungus.

There Is A Wide Range Of Options With Varying Success Rates

Other than keeping your toenails trimmed and perhaps painted, you may not pay much attention to them â unless a problem develops. Healthy toenails are pink, shiny and smooth, but a fungal infection can cause them to become discolored, thick, brittle and even painful.

Toenail fungal infection, known as onychomycosis, is a common but challenging condition toenail fungus treatments include a wide range of options with varying success rates.

Causes of toenail fungus

Fungal nail infections are usually caused by fungi called dermatophytes that infect the skin beneath the nail yeast is another common culprit. Toenails are especially vulnerable to infection when your bare feet contact damp surfaces such as showers, swimming pools and locker rooms. If you have athleteâs foot, the infection can spread to the nails.

Wearing closed shoes such as athletic shoes for extended periods also can contribute to infection if your shoes and/or socks are damp from perspiration or heat. Moreover, if your shoes fit snugly enough to put pressure on your toes, they can damage the nail bed, making it more susceptible to infection.

People with chronic diseases, such as diabetes or circulatory problems, also may be more prone to toenail infections.

Symptoms of toenail fungus

Toenail fungus symptoms can develop slowly over time and may go unnoticed at first. Symptoms can include:

Toenail fungus treatments

When to see a doctor for toenail fungus

Preventing toenail fungus

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Clean Socks And Shoes

Regularly changing your socks and shoes can also cut down on the growth of unwanted foot fungus. Both socks and athletic shoes can also be washed in hot water to rid the growth of yeasts and fungi that may be growing on the fabric. Some shoes can be machine dried. Drying shoes in the sun is another option when cleaning footwear.

Adding a half-cup of baking soda or one cup of vinegar to the washing machine can help eliminate bacteria or fungus on socks or shoes.

Boots and other footwear that are not machine washable could be wiped out with a vinegar and water solution or sprayed with an over-the-counter antifungal spray. Medicated powders are also helpful in treating shoes for foot fungus.

Allowing the feet to breathe by taking off shoes and socks when possible can prevent fungal growth. Protect your feet by wearing breathable footwear and clean socks. Antimicrobial socks and shoes made from bamboo, copper, or specialty fabrics are also available. They can help reduce unwanted bacteria and yeast from growing in your footwear.

A proactive approach to keeping your feet clean and dry can prevent the spread of toenail fungus. You can wash or soak feet with warm soapy water or a foot bath using everyday household items. Soaking your feet in an all-natural, homeopathic concoction can be beneficial in reducing or eliminating toenail fungus.

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How Do Dermatologists Treat A Fungal Nail Infection

Treatment usually begins with your dermatologist trimming your infected nail, cutting back each infected nail to the place where it attaches to your finger or toe. Your dermatologist may also scrape away debris under the nail. This helps get rid of some fungus.

To completely get rid of the infection, most people also need one or more of the following treatments:

Medicine you apply to the nail: If you have a mild infection, a medicine that you apply to your nails may get rid of the infection. This treatment helps keep new fungus out while the nails grow. Fingernails typically grow out in four to six months. Toenails take longer, usually takes 12 to 18 months.

Probably the most difficult part of this treatment is remembering to use it as often as prescribed. Some treatments must be applied every day. Others you apply once a week. To get the best results, its essential that you apply these medicines exactly as directed.

The US Food and Drug Administration has approved the following medicines that you apply to the nail to treat nail fungus:

Side effects from these medicines are generally mild. Possible side effects include redness and swelling, an ingrown toenail, and stinging or burning when you apply the medicine. In clinical trials, none of these side effects caused patients to stop using the treatment.

Antifungal pills, however, can cause side effects. Your dermatologist will watch you closely. Youll also need to have blood tests every month to check for problems.

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One: Help Avoid And Actively Remove Spores From Your Environment

• Wipe down your showers, floors and high-risk surfaces with an antifungal detergent
• Hot-was your bed sheets and socks with an antifungal laundry wash like Canesten
• Wear thongs in public areas like swimming pools, showers and changing rooms
• Treat any existing Athletes foot infections
• Keep your toenails trimmed and remove the build-up of dead skin, dirt and bacteria from beneath your toenails
• Dont share shoes or socks with someone who has a fungal nail infection
• Avoid nail salons that have questionable hygiene practices or dont sterilise their instruments

Why Wont My Toenail Fungus Go Away

Now that its sandal season, youre probably going to be showing off your toenails a little more, and yellowish nails can leave you feeling self-conscious about toenail fungus. While toenail fungus may not seem like an immediate concern, youre going to want to take proactive treatment because its unlikely that the fungus will go away on its own. Today, we take a look at some of the ways you can treat lingering toenail fungus.

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Top 5 Signs Your Toenail Fungus May Have Escalated To An Infection

A little case of toenail fungus is practically a rite of passage you quickly learn not to go barefoot in a locker room or shared shower area again and to always pack clean socks. But what happens when your toenail problem goes beyond a suspect smell and yellowed appearance?

At Rocky Mountain Foot and Ankle Center, with locations in Wheat Ridge, Granby, Evergreen, and Arvada, Colorado, our team of podiatrists and foot and ankle surgeons provide care for fungal toenail infections and much more. They believe in educating patients about skin and nail care so you can help avoid common problems and keep your feet healthy and strong.

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What Is The Outcome For Someone Who Has Nail Fungus

With treatment, many people can get rid of nail fungus. Even when the fungus clears, your nail may look unhealthy until the infected nail grows out. A fingernail grows out in 4 to 6 months and a toenail in 12 to 18 months.

To clear the fungus, its important to:

• Use the treatment exactly as prescribed

• Apply the medicine for as long as prescribed

• Keep all follow-up appointments with your dermatologist

Nail fungus can be stubborn. If you had a severe infection, its possible to clear the infection. A healthy looking nail, however, may be unrealistic, but you can expect the nail to look better and feel more comfortable.

Even with clearing, nail fungus can return. Youll find steps to reduce your risk in Tips: 12 ways to prevent another nail infection.

ImageGetty Images

ReferenceGold LFS and Rosen T. Onychomycosis: Diagnosis, treatment, and prevention strategies. Dermatology News . March 2016:2-15.

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Medical Complications From Untreated Fungal Toenail Infection

Without proper treatment to stop your toenail fungal infection from getting worse, or spreading, complications will eventually develop. Fungal infections of your toenail can spread to the surrounding skin and when your skin becomes cracked, bacteria can enter and cause an abscess.

An abscess on the toe is a tender mass generally surrounded by a colored area from pink to deep red. They are often easy to feel by touching. Inside they are full of pus, bacteria and debris.

Untreated toenail fungal infections can lead to cellulitis and should be treated immediately with antibiotics. Untreated skin infections of the toe may lead to severe cellulitis and if the infection enters the bloodstream it can become septicemia, also known as bacteremia or blood poisoning. Once the infection enters the bloodstream the bacteria and their toxins are carried through the bloodstream to your entire body. If the bacteria levels become high enough, septicemia can quickly become life threatening.

A good reason to seek treatment if you suspect you have a toenail fungal infection is because of the similarity of symptoms for differing diagnosis of more serious toenail conditions. You may have a toenail fungus, but you could also be experiencing similar symptoms of a toenail viral infection , complications from toenail trauma, a pre-malignant lesion or, more seriously, melanoma of the nail bed.

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What Is Tinea Unguium

When a dermatophyte causes toenail fungus, the condition is called tinea unguium. A dermatophyte is a mold that needs a protein called keratin to grow. Keratin is the main structural material of your nails that makes them hard. Dermatophytes cause 90% of toenail fungal infections. Tinea unguium is also known as onychomycosis.

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Why Toenail Fungus Should Never Go Untreated

While toenail fungus is common about 10% of all Americans and 50% of people over 70 get it its still an unpleasant and embarrassing condition. Its also contagious and difficult to treat. But that doesnt mean you shouldnt avoid treating it.

In the early stages, toenail fungus will likely not cause discomfort or embarrassing yellow, thick nails or pain that can make walking difficult. And, if you seek treatment early, you can prevent it from getting worse and painful.

Staying One Step Ahead Of Toenail Fungus

An established fungal infection is hard to eradicate, but you can stop its spread and improve your toenails appearance.

Toenail fungus isnt a pressing health problem. Yet a fungal infection can ruin the appearance of your nails and cause pain as it lifts the nail away from the nail bed. And fungal infections are notoriously difficult to get rid of. You may want to consider fungal toenail a condition to be managed rather than cured, says Dr. James P. Ioli, chief of the podiatry service at Harvard-affiliated Brigham and Womens Hospital.

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