What could be the cause of a painful toe nail growth?

Hello,

Welcome to icliniq.com.

Hope you are doing well.

I have gone through the details as well as the image that you have provided (the attachments removed to protect the patient's identity).

Before providing a provisional diagnosis, I have a few questions regarding the same so that I can get a detailed history. Kindly provide the answers to the following:

1. Was there any history of trauma to the affected area?

2. Are there symptoms of pain?

3. Are there symptoms of itching?

4. Is there a history of washing feet frequently?

5. Is this the first time this is happening? If not, please provide details of previous similar episodes.

6. Is there pus formation and yellow-to-white discharge noticed on the affected area?

7. Have you taken any treatment for the same in the past?

8. Is there any change in size as compared to 2 weeks ago?

9. Is there any medical history including diabetes, cholesterol, or any medical history for which medications are being taken currently?

Kindly provide the details for understanding the condition better.

Kindly update with the same.

Thanks and regards.

Hello,

Welcome back to icliniq.com.

Thank you for the information provided.

It seems you have paronychia. It is an infection of the nail bed which appears as a swelling on the sides of the nails. They may or may not be painful based on their chronicity. They are common and treatable.

They usually appear due to genetic susceptibility, and consumption of medicines including anti-anxiety and medications for depression.

They appear as reddish to white, tiny to larger swollen areas arising from the sides of nails.

Based on the image and history, I suggest you follow the instructions mentioned below,

1. Take a capsule of Augmentin 625 mg (Amoxicillin and Clavulanic Acid) in the morning after breakfast and one capsule after dinner for 5 days.

2. Take a tablet of Pantoprazole (antacid) 30 minutes before breakfast and one tablet 30 minutes before dinner for 5 days.

3. Apply Mupirocin (antibiotic) ointment on the affected area thrice daily for 4 weeks.

4. Lukewarm salt water can be made and the affected area can be soaked for 10 minutes daily to prevent secondary bacterial infections.

However, I would also highly recommend an in-person consultation with a specialist doctor to rule out other possibilities of skin conditions through close examination and testing.

Hope this helps.

Thanks and regards.