How to determine if you have paronychia

Written by Huang Ling Juan
Dermatology
Updated on September 04, 2024
00:00
00:00

To determine if it's paronychia, first there will be obvious swelling, pain around the nail, and sometimes exudation. Paronychia is usually caused by the penetration of a foreign object under the nail, or by trimming the nails too short. If the nails are trimmed irregularly and become embedded in the nail bed, this can also lead to paronychia. If there is obvious swelling, pain, and tenderness around the nail, paronychia should be considered. Paronychia is usually related to ingrown nails. For mild ingrown nails, topical application of iodine can gradually alleviate the paronychia. In cases of severe paronychia, it is necessary to visit a hospital where a doctor can perform a nail removal and also change dressings timely. Significant pain may require oral antibiotics treatment or intravenous antibiotics. During treatment, avoid alcohol and spicy, irritating foods.

Other Voices

doctor image
home-news-image
Written by Liu Gang
Dermatology
52sec home-news-image

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

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.)

doctor image
home-news-image
Written by Huang Ling Juan
Dermatology
58sec home-news-image

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.

doctor image
home-news-image
Written by Zhu Zhu
Dermatology
41sec home-news-image

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.

doctor image
home-news-image
Written by Huang Ling Juan
Dermatology
1min 10sec home-news-image

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.

doctor image
home-news-image
Written by Liu Jing
Dermatology
52sec home-news-image

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.