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What To Do When You Have Nail Fungus

What Other Conditions Can Be Mistaken For Fungal Nails

How do you know if you have a fungal nail infection?

Here are some other conditions you may have instead of fungal nails:

  • Lines and ridges: These are common and may be considered normal. They may worsen during pregnancy. A large groove down the center of the nail can be caused by nail biting. Some people may develop these changes following chemotherapy.
  • Senile nails: As you age, the nails become brittle and develop ridges and separation of the nail layers at the end of the nail. To avoid this, try to clean solutions and don’t soak the nails in water.
  • Whitish or yellowish nails can occur due to onycholysis. This means separation of the nail from the nail bed. The color you see is air beneath the nail. The treatment is to trim the nail short, don’t clean under it, polish if you want to hide the color, and wait two to three months. Persistent onycholysis can make the nails susceptible to fungal infection.
  • Red or black nails due to a hematoma, or blood under the nail, usually occur from trauma . The discolored area will grow out with the nail and be trimmed off as you trim your nails. If you have a black spot under your nail that was not caused by trauma, you may want to see a dermatologist or a podiatrist if it involves a toenail to make sure it is not melanoma . A simple biopsy can rule out malignancy .
  • Trichophyton

    How Is It Treated

    Whether to treat a fungal nail infection is up to you. If it isn’t treated, it won’t go away. It might get worse.

    If you decide to treat a fungal nail infection, you can try a non-prescription antifungal medicine that comes in a cream, lotion, or nail polish. Your doctor can also prescribe a stronger medicine. You may need to use this medicine for a few weeks or for as long as a year. Even so, it may not get rid of the infection.

    Antifungal pills give the best chance of curing a severe fungal nail infection. But they may cost a lot and have serious side effects. You will need to see your doctor for regular testing if you take these pills.

    Complications: What If The Infection Is Left Untreated

    If the nail fungus spreads deeper into the nail bed, it will cause the nail to thicken and turn green, yellow, brown, or black. As the infection progresses, the infected nail becomes brittle and pieces of it will start to break off from the toe or finger completely. Should the condition be left untreated, it can spread to other nails or cause skin around the infected nail to become inflamed. In more advanced stages, a foul smell may develop and white or yellow patches may be seen on the exposed nail bed. Over time, severe fungal nail infections can cause permanent damage to the nail root or nail bed.

    It can be quite embarrassing to have this condition since this is an infection thats hard to hide. People with Onychomycosis may also find it difficult or painful to wear shoes, walk, or stand for long periods of time if their toenails have been infected severely.

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    When To See A Doctor

    In most cases, toenail fungus is considered a cosmetic problem. Still, it may cause serious complications for some people.

    If you have diabetes, toenail fungus may lead to foot ulcers or other foot problems. According to a 2012 study, chronic toenail fungus is a significant risk factor for bacterial cellulitis of the leg.

    If you have diabetes or a weakened immune system, you shouldnt use home remedies for toenail fungus. Contact your doctor for the appropriate course of action.

    How Do You Get A Fungal Nail Infection

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    Most fungal nail infections occur as a result of the fungi that cause athlete’s foot infecting the nails.

    These fungi often live harmlessly on your skin, but they can sometimes multiply and lead to infections. The fungi prefer warm, dark and moist places like the feet.

    You’re more likely to get a fungal nail infection if you:

    • don’t keep your feet clean and dry
    • wear shoes that cause your feet to get hot and sweaty
    • walk around barefoot in places where fungal infections can spread easily, such as communal showers, locker rooms and gyms
    • have damaged your nails
    • have a weakened immune system
    • have certain other health conditions, such as diabetes, psoriasis or peripheral arterial disease

    Fungal nail infections can be spread to other people, so you should take steps to avoid this if you have an infection.

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    Who Gets Toenail Fungus

    Men are more likely to get it than women. The older you are, the better your chances are, too. People who have diabetes, athlete’s foot, or a weak immune system, who smoke, or whose family members have it are also at a higher risk. If you spend a lot of time in the water or you’ve injured your toenail, your odds for getting toenail fungus go up.

    What Oral Medications Are Available

    To treat fungal nail infections from inside the body, you can take tablets that inhibit the growth of fungi or kill them. They are all prescription-only. Terbinafine and itraconazole are typically used for this purpose.

    • Terbinafine is preferred if the nail fungus is caused by a skin fungus . This is usually the case.
    • Itraconazole is generally used if the nail infection is caused by yeast or mold.

    Itraconazole and terbinafine tablets can both be taken either continuously or with breaks between treatments. But they are used differently:

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    A Pharmacist Can Help With Fungal Nail Infections

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    Speak to a pharmacist if the look of your nail bothers you or it’s painful.

    They may suggest:

    • antifungal nail cream it can take up to 12 months to cure the infection and does not always work
    • nail-softening cream it’s used for 2 weeks to soften the nail so the infected part can be scraped off

    The infection is cured when you see healthy nail growing back at the base.

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    When Should You See Your Doctor

    A black toenail doesnt necessarily require a doctors visit the need for medical treatment depends on the initial cause. Knowing the cause can help you make this decision. On the flipside, if you dont know the cause, its a good idea to see your doctor just in case your black toenail is a sign of a serious medical condition.

    Not all cases of toenail fungus require a doctors visit. However, if you also have diabetes, you should see your doctor for treatment.

    A dermatologist can also help diagnose and treat black toenail. Youll need to see a dermatologist if you suspect melanoma. However, if your black toenail is caused by another underlying health issue, such as diabetes, then youll also need to see your primary doctor to treat the cause.

    Any black toenail that doesnt go away should be looked at by a doctor. If youre concerned about your black toenail and dont already have a dermatologist, you can view doctors in your area through the Healthline FindCare tool.

    Treatment From Your Gp

    Your GP can prescribe antifungal tablets. You’ll need to take these every day for up to 6 months.

    Tablets can have side effects including:

    • headaches
    • loss of taste
    • diarrhoea

    You cannot take antifungal tablets if you’re pregnant or have certain conditions. They can damage your liver.

    If your nail has a very bad infection, you may need to have it removed. This is a small procedure done under local anaesthetic.

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    When To See A Doctor About Toenail Fungus

    If you are experiencing persistent toenail fungus or pain is present, you may need to see a specialist. A dermatologist or podiatrist may be able to assess your symptoms and send a small sample of the affected toenail or flesh to a laboratory to be analyzed as there are various types of fungi and yeasts that cause onychomycosis. Knowing the specific cause of your foot fungus can help identify what route to take to treat your condition.

    Nail changes can also be caused by underlying conditions, like psoriasis and diabetes, so its important to seek professional medical advice if your condition persists or worsens. Bacterial and fungal infection of skin in diabetes patients often result in hospital admissions, and in severe cases, can result in amputations. If you are at a higher risk for infection, you should skip home remedies and seek professional medical treatment.

    What About The Cost Of Oral Medications For Fungal Nails

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    A further consideration is cost. Because newer oral antifungal agents are very expensive, some insurance companies balk at paying for what they consider a “cosmetic issue,” unless nail fungus causes pain or other functional symptoms. Terbinafine and fluconazole are now available as generic drugs and are quite inexpensive.

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    Nail Fungus: Polish Cream Or Tablets

    Nail fungus can be very persistent. Topical treatment with nail polish may take up to one year. Tablets for treating fungal nail infections usually have to be taken for several weeks or months. They are much more effective than topical treatments, but they have more side effects.

    Brittle nails and a whitish-yellowish or brownish discoloration are typical signs of nail fungus. The nails may also become thicker and change shape. The affected part of the nail sometimes detaches from the nail bed. The treatment options for nail fungus include nail polishes and creams as well as tablets. Nail polishes and creams are available in pharmacies without a prescription.

    How Does A Nail Fungus Start

    Nail fungus infection is a common dermatological disorder that begins either under the nail or in the nail itself. It is mostly caused by a dermatophyte fungus, though there are cases that it is caused by Candida yeast as well. Also called onychomycosis, the condition affects both fingernails and toenails, though it is more prevalent in toenails. Fungi thrive in warm and moist environments, which perhaps describe a lot of footwear. Nail fungus infection can also start with the same dermatophyte fungus that causes athletes foot, the Trichophyton. So when a person has athletes foot, its also likely that the fungal infection would spread to the nails.

    Fungal infection gives nails an abnormal appearance. The first sign of it may be a discolored dot on the nail or the skin under the nail. There may be white or yellow streaks on the nail, a crumbling corner or tip of the nail, flaking on the nails surface, yellow spots at the bottom of the nail, and scaling under the nail. The infected nail may also be thickened or brittle, and it may detach from the nail bed. In some cases, there may also be odor coming from the infected nail.

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    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 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 athletes 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

    • Tolnaftate
    • Terbinafine

    When to see a doctor for toenail fungus

    Preventing toenail fungus

    What Causes A Nail Fungal Infection

    Do you suffer from nail fungus? You have to do this!!!! *** VERY IMPORTANT TIP ***

    The infection is usually caused by exposure to a fungus. The fungus grows in wet, dark conditions. The fungus grows when your feet are in warm, sweaty environment . It enters your nail through a crack in the nail.

    Nail fungal infections happen at any age. They are more common in adults older than 60 years of age. They are common in people who have diabetes or circulation problems. They also are common in people with a weakened immune system. Men are more likely than women to get fungal nail infections.

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    Living With A Nail Fungal Infection

    If you have a nail fungal infection, some things can help:

    • Keep your nails cut short and file down any thick areas.
    • Dont use the same nail trimmer and file on healthy nails and infected nails. If you have your nails professionally manicured, bring your own nail file and trimmer from home.
    • Wear waterproof gloves for wet work . Wear 100% cotton gloves for dry work.
    • Wear socks made of wicking material . This pulls moisture away from the skin. Change your socks when they are damp from sweat or if your feet get wet. Put on clean, dry socks every day. Put over-the-counter antifungal foot powder inside your socks to keep your feet dry.
    • Wear shoes with good support and a wide toe area. Dont wear pointed shoes that press your toes together.
    • Avoid walking barefoot in public areas, such as locker rooms.

    How To Prevent Toenail Fungus

    Because fungi are everywhere , they can be present months before they find opportunities to strike and before signs of infection appear. By following certain precautions, including proper hygiene and regular inspection of the feet and toes, chances of the problem occurring can be significantly reduced.

    • Regularly clean and dry feet to resist disease. Follow a strict regimen of washing the feet with soap and water.
    • Change socks and hosiery daily and change out shoes on a regular basis.
    • Clip toenails straight across so the nail doesnt extend beyond the tip of your finger or toenails.
    • Wear socks that are made of synthetic fiber to wick away moisture. Cotton and wool socks dont wick away moisture as fast as synthetic fiber does. This can be helpful in denying a hospitable environment for the fungi to grow in.

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    What Are The Treatments For Black Toenail

    Fungal infections of the toes are relatively treatable at home when caught early. Over-the-counter ointments, creams, and polishes are usually effective. Severe cases may require a prescription antifungal treatment.

    If a black toenail is caused by an injury, the resulting spot from broken blood vessels will disappear once your nail grows out.

    Black toenail caused by trauma from an injury usually resolves on its own without treatment. However, if your toenail grows out and it still appears black, then the symptoms might be related to another underlying cause.

    Toenail discoloration related to diabetes and other health conditions requires treatment for the underlying causes.

    Dangers Of Traditional Treatment Options

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    Fungal nail infection is treatable with oral anti-fungal drugs, topical medications, surgery, or laser treatments. The problem with these modern treatments, however, is that they can sometimes cause complications. Depending on the chosen treatment, some of the possible side effects that may occur include skin rashes, blisters, loss of appetite, gastrointestinal issues, headaches, respiratory problems, abnormal nail growth, or liver damage.

    Due to the many risks associated with modern treatments for fungal nail infection, many people are now opting for alternative remedies that are relatively safer. As an added bonus, its also possible to treat fungal nail infection using just a few basic ingredients one already has available at home.

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    Keep Fungus Away From Shoes In The First Place

    • Clean nail clippers thoroughly in boiling water with a toothbrush. Wipe them dry with rubbing alcohol and follow up with a clean towel.
    • Protect your feet around swimming pools and locker rooms by wearing flip-flops and drying feet thoroughly. These locations tend to be breading grounds for foot fungus, so you should take protective measures when in these locations.

    Find out more about toenail fungus:

    What Tests Might I Have For Toenail Fungus

    Your provider will probably take a small sample from underneath your nail to further analyze it. Viewing the cells under a microscope can confirm a toenail fungus diagnosis. If the initial test is negative, a scraping can be sent to see if the fungus grows out in a culture. It also helps your provider identify the type of fungus.

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