How to manage an ingrown fingernail with swelling and pus?

Question

Hello doctor,

I think I have an ingrown fingernail. I tried to open it up to release the pus, and then I applied rubbing alcohol on it. It does not sting, and it is now bigger than it was when it was swollen before.

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

Thank you for sharing your problem. An ingrown nail is a common condition, usually caused by cutting the nails too short or, in the case of toenails, wearing tight-fitting shoes. It may also worsen due to improper nail care, repeated trauma, or poor hygiene around the affected area.

In my opinion, you should clean the swollen area with an antibiotic cream or hydrogen peroxide, as this helps fight the bacteria causing the infection. Secondly, you may take an anti-inflammatory medicine like Ibuprofen, even if the pain is mild, as it helps reduce both pain and swelling.

You can also apply a pain-relieving gel such as Benzocaine and Menthol, or a small amount of Benzocaine for temporary relief. Additionally, soaking the finger in lukewarm water mixed with a cup of Epsom salt can help reduce infection and discomfort. Keeping the area dry and avoiding pressure on the affected nail will also support healing.

If these measures do not provide relief, a minor surgical procedure may be required to remove the ingrown nail.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.