How is paronychia radically cured?

Written by Liu Gang
Dermatology
Updated on September 01, 2024
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Paronychia is a purulent infectious disease caused by the repeated irritation of a nail embedding into the flesh, most commonly found on the big toe. If the purulent infection is severe, it may require incision and drainage. If the symptoms are mild, it may be treated with appropriate oral and topical anti-inflammatory medications. To completely cure this condition, surgery is necessary to remove the nail embedded in the flesh and then use sutures to forcibly correct the placement. This can prevent recurrences in future life. Regular walking habits should be maintained without jumping, and wearing shoes that are too tight should be avoided. Dietary and lifestyle habits should also be regulated.

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Written by Huang Ling Juan
Dermatology
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How to treat an ingrown toenail that has become infected and pus-filled?

Paronychia with suppuration can be controlled by disinfecting the area with iodine and then applying anti-inflammatory ointments, typically mupirocin ointment or erythromycin ointment. If there is significant local swelling, it may be necessary to perform a lateral nail avulsion or nail removal under local anesthesia to ensure adequate drainage of the pus and control the infection effectively. After controlling the infection, for more severe cases of ingrown toenail deformity, it may require further correction of the nail and a procedure to reshape the nail groove to manage the inflammation and correct nail deformities. Treatment should also include oral antibiotics, taken under medical supervision, such as erythromycin tablets. Since paronychia with pus formation can easily lead to systemic infection, it is crucial to treat it aggressively.

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Written by Huang Ling Juan
Dermatology
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Can paronychia cause fever?

Paronychia can potentially cause fever. In the early stages of paronychia, the affected area typically becomes red, swollen, and painful. If symptoms become severe, systemic infection symptoms such as chills, fatigue, loss of appetite, and high fever may occur. For paronychia, if the local symptoms are not severe, anti-inflammatory ointments can be applied to the area, such as mupirocin ointment or erythromycin ointment. If symptoms are severe and fever occurs, oral antibiotics are necessary for treatment. If pus has formed, it is necessary to perform an incision and drainage to remove the pus, and regularly clean and change dressings to achieve effective treatment. Paronychia is generally caused by bacterial infections, predominantly by Staphylococcus aureus. Therefore, one should not attempt to squeeze the infected area, as this can worsen the condition.

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Written by Huang Ling Juan
Dermatology
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How to treat paronychia

For acute paronychia, broad-spectrum antibiotics are mainly used for topical application. Options include mupirocin ointment, fusidic acid cream, or erythromycin ointment for symptomatic treatment. At the same time, it is important to wear loose shoes to avoid squeezing the foot and worsening the symptoms. If there is no improvement in symptoms after three days of using topical medications, surgical treatment may be considered based on the specific situation. For chronic paronychia, antibacterial or antifungal medications may be used. Medication should be gradually discontinued after the inflammation has subsided. During treatment, keep the affected area dry and avoid contact with water. Paronychia refers to an infection of the tissue surrounding the nail, typically presenting with localized swelling and pain.

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Written by Huang Ling Juan
Dermatology
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What to use for swelling of paronychia?

Paronychia, characterized by redness, swelling, and pain, can be treated by applying iodine tincture for local disinfection and cleansing, which helps reduce swelling. Under a doctor’s guidance, anti-inflammatory ointments such as compounded polymyxin B, fusidic acid cream, or mupirocin ointment can also be applied. For severe redness, swelling, and pain, oral antibiotics may be administered in conjunction with the treatments mentioned above to reduce inflammation. It is important to follow a medically supervised and proper regimen when using antibiotics and to increase water intake during treatment. If the paronychia is caused by an ingrown nail piercing into the nail fold, trimming the nail may relieve the local swelling and pain. It is recommended to seek treatment at a professional hospital. Paronychia is a common condition, and taking preventive measures can help avoid its onset.

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Written by Zhu Zhu
Dermatology
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How to treat paronychia?

The treatment of paronychia begins with identifying the cause, which predominantly is due to bacterial infection of the nail groove and surrounding tissues, leading to an inflammatory response. Therefore, to effectively treat paronychia, it is essential to combat the infection and apply or take some anti-inflammatory medications. Additionally, if pus formation occurs, proper drainage is necessary. After developing paronychia, it is advised against self-medicating or performing incisions to drain pus; instead, treatment should be sought from a dermatologist or a surgeon.