What should I do if the paronychia is draining pus at home?

Written by Liu Gang
Dermatology
Updated on September 28, 2024
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Paronychia is mostly caused by nail ingrowth into the flesh or local trauma, and can be treated at home with topical povidone-iodine disinfection and mupirocin ointment application if pus appears. Additionally, oral cephalosporin antibiotics can be taken to help healing gradually. However, paronychia tends to recur frequently. Once it occurs, it is recommended to visit a dermatology department at a formal hospital to have the nail trimmed or to consider surgical treatment to prevent recurrence. It is also advisable to avoid wearing tight, cramped shoes to prevent trauma or crushing injuries. Once paronychia develops, the amount of local pus can vary; generally, quicker recovery can be expected once the pus is cleared. (Use medications under the guidance of a doctor.)

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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.

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Written by Huang Ling Juan
Dermatology
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How to remove granulation tissue from paronychia

For polyps caused by paronychia that repeatedly flare up and are quite obvious, surgical methods are necessary for complete correction. Surgical options include nail groove plasty and lateral nail fold incision, both of which are effective treatments for severe paronychia. If the polyp from paronychia is not severe, it can be treated with topical medications to shrink the polyp and reduce swelling. Commonly used medications include skin and mucous membrane disinfectants such as povidone-iodine, and continuous damp dressing with medical alcohol can be applied to further reduce swelling, which is beneficial for muscle atrophy. Highly concentrated saline solution or phenol can also be used for local scalding through continuous damp dressing. The growth of a polyp in paronychia indicates repeated inflammatory irritation, which leads to local proliferation, so it is essential to address paronychia promptly when it occurs.

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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 Zhu Zhu
Dermatology
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Can erythromycin ointment be used for paronychia?

Erythromycin ointment can be used for paronychia. Paronychia is a disease where an infection occurs in the nail groove or the surrounding soft tissue. If left untreated, paronychia can develop into more severe conditions such as subungual abscess. Paronychia often results from injuries such as abrasions, puncture wounds, ingrown nails, or pulling out hangnails. Erythromycin ointment can be used as a topical medication for paronychia, but it is important to keep the affected area clean and dry.

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Written by Huang Ling Juan
Dermatology
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Can paronychia heal by itself?

Paronychia, if not severe, generally heals on its own. There are many causes of paronychia, which is usually induced by bacterial or fungal infections. Most patients can recover by themselves, but for recurrent paronychia, it is important to identify the triggers and causes, and take the corresponding symptomatic treatment. For bacterial infections, active anti-infection treatment should be taken, such as applying Mupirocin ointment or Fusidic acid cream locally. If it is caused by a fungal infection, antifungal treatment is needed, such as applying Oxiconazole nitrate ointment or using Compound Ketoconazole cream, etc. It is important to maintain local skin hygiene to prevent the condition from worsening, leading to pus formation or nail loss. (Use medications under the guidance of a doctor)