How to trim an ingrown toenail with paronychia?

Written by Li Chang Yue
General Surgery
Updated on September 22, 2024
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If paronychia occurs with an ingrown toenail, one must not cut the nail bed too short. It is advisable to visit a professional institution where local disinfection can be carried out, followed by surgical removal or wedge resection of the nail embedded in the nail bed. This helps to reduce the risk of infection and stabilizes the condition of paronychia, avoiding local contamination, formation of paronychia, secondary abscesses, suppuration, nail bed infections, and other serious issues caused by self-trimming. Thus, if one has paronychia or an ingrown nail, it is best to visit a formal hospital and have it treated by a doctor. If necessary, a nail removal surgery can be performed to completely and effectively cure paronychia.

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Written by Li Chang Yue
General Surgery
49sec home-news-image

How to trim an ingrown toenail with paronychia?

If paronychia occurs with an ingrown toenail, one must not cut the nail bed too short. It is advisable to visit a professional institution where local disinfection can be carried out, followed by surgical removal or wedge resection of the nail embedded in the nail bed. This helps to reduce the risk of infection and stabilizes the condition of paronychia, avoiding local contamination, formation of paronychia, secondary abscesses, suppuration, nail bed infections, and other serious issues caused by self-trimming. Thus, if one has paronychia or an ingrown nail, it is best to visit a formal hospital and have it treated by a doctor. If necessary, a nail removal surgery can be performed to completely and effectively cure paronychia.

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Written by Zhang Jian Bo
Dermatology
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Can paronychia heal by itself?

Paronychia cannot heal on its own; it definitely requires timely treatment at a hospital. If not treated promptly, the condition could worsen and may even necessitate surgical removal of parts of the nail bed or keratin. Upon detecting paronychia, it's important to first clean the affected area thoroughly. Applications such as iodine tincture can be used topically, and soaking in boric acid or alcohol is also possible. During recovery, it is advisable to avoid spicy and greasy foods. Additionally, it's crucial to quickly begin antimicrobial treatment. Antibiotics can be taken orally or administered via intravenous drip to treat the infection systemically, such as amoxicillin. Ichthyol ointment can be applied to the swollen areas, but any medication should be used following a doctor's prescription. During the treatment period, it is recommended to consume a diet high in protein and fiber, especially foods rich in vitamin C like kiwifruit and passion fruit.

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Written by Liu Gang
Dermatology
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How is paronychia radically cured?

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 Liu Jing
Dermatology
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How to treat suppurative paronychia?

Paronychia is a bacterial infection that requires enhanced cleaning of the nail groove and administration of anti-infection symptomatic treatment. Rest, a light diet, and nutritional support are important. Oral or intravenous antibiotics should be used, with cephalosporins recommended. Additionally, combating anaerobic bacteria is necessary. This can be coordinated with surgical dressing changes and local treatment. Iodine disinfection may be employed, and incision and drainage may be necessary to promote pus discharge. Ichthyol ointment may also be used to help draw out the pus. During treatment, increased water intake and improved cleanliness and care of the nail groove are recommended, along with avoiding dirty water to aid recovery.

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Written by Zhang Jian Bo
Dermatology
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How to deal with big toe paronychia on your own?

The patient with an ingrown toenail managed it themselves, requiring minimized activity and elevating the foot to promote local circulation. Additionally, topical disinfectants such as iodine tincture can be used, not merely applied, but used for moist dressing. Take some cotton soaked in iodine tincture and apply it to the swollen area around the nail fold, generally recommending a five to ten-minute application. Antibiotic ointments can also be applied externally, such as mupirocin cream. After application, cover it for two hours, and treat it two to three times a day. If this method does not effectively alleviate the pain, consider taking antibiotics that have previously caused no allergies, with a preference for cephalosporins or penicillin-type antibiotics. If the antibiotics still do not effectively relieve the pain, it is advised to seek medical attention at a hospital. (Use medications under the guidance of a doctor.)