Onychocryptosis (ingrown toenail) requires nail removal?
Hello doctor, I cut my nail too deep and ended up with an infection.
There is pus and bruising around the nail.
I went to see a doctor, and they said it would be best to remove it.
After the procedure on Sunday, the doctor advised me to change the dressing every two days.
On Tuesday, when I went to change it, the gauze stuck to the wound, and it was very painful to remove.
Can I stop covering it up? The doctor gave me Bioplaceton to apply when changing the dressing and prescribed cefadroxil to take twice a day for five days.
Should I continue using the ointment they provided, or should I switch to a different one? How should I clean and care for the wound? I feel like the doctor didn't fully drain the pus from my wound.
What else should I do? Thank you.
Lin, 20~29 year old female. Ask Date: 2018/03/28
Dr. Li Zhonghuai reply Surgery
Hello! Please clean the wound with sterile saline.
You can apply the ointment a bit thicker to prevent it from sticking to the wound, and be sure to cover it with a gauze.
If you are unsure about changing the dressing properly, please return for a follow-up! Take care! Changhua Hospital cares about you!
Reply Date: 2018/03/28
More Info
Managing an ingrown toenail infection, especially after surgery, requires careful attention to post-operative care and treatment to ensure proper healing and to prevent further complications. Here’s a comprehensive guide on how to manage your situation effectively.
Post-Surgery Care
1. Wound Care: After the removal of an ingrown toenail, it’s crucial to keep the area clean and dry. If your doctor advised changing the dressing every two days, it’s important to follow that guideline initially. However, if the dressing is sticking to the wound and causing pain when removed, you can consider the following:
- Moistening the Dressing: Before changing the dressing, you can moisten it with saline solution or clean water to help loosen it. This can reduce pain and trauma to the healing tissue.
- Using Non-Adhesive Dressings: If the current dressing is too adhesive, ask your doctor about using a non-adhesive dressing or a hydrocolloid dressing that is less likely to stick to the wound.
2. Cleaning the Wound: When cleaning the wound, use a gentle saline solution or mild soap and water. Avoid using alcohol or hydrogen peroxide, as these can irritate the wound. Gently pat the area dry with a clean towel or gauze.
3. Topical Treatment: Your doctor prescribed Bioplaceton, which is a topical treatment that can help promote healing. Continue to use it as directed by your physician. If you notice any signs of increased redness, swelling, or discharge, contact your doctor for further evaluation.
4. Oral Antibiotics: You were prescribed cefadroxil, an antibiotic that helps to treat bacterial infections. It’s important to complete the full course of antibiotics as prescribed, even if you start to feel better before finishing the medication. This helps to ensure that the infection is fully eradicated.
5. Monitoring for Complications: Keep an eye on the wound for any signs of complications. Symptoms such as increased pain, swelling, redness, warmth, or discharge can indicate that the infection is not resolving. If you notice any of these symptoms, seek medical attention promptly.
When to Seek Further Medical Attention
- If you feel that the pus was not adequately drained, or if the area continues to be painful and swollen despite treatment, it may be necessary to return to your healthcare provider. They may need to assess the wound and possibly perform further drainage if there is an abscess.
- If you experience systemic symptoms such as fever, chills, or increased fatigue, these could indicate that the infection is spreading, and you should seek medical care immediately.
Additional Tips for Recovery
- Rest and Elevation: Keep your foot elevated as much as possible to reduce swelling and promote healing.
- Footwear: Wear open-toed shoes or sandals to avoid pressure on the affected toe while it heals.
- Avoiding Irritants: Keep the area free from irritants such as tight shoes or excessive moisture, which can exacerbate the infection.
Conclusion
In summary, managing an ingrown toenail infection post-surgery involves diligent wound care, adherence to prescribed medications, and monitoring for complications. While it may be tempting to stop dressing the wound, it’s essential to follow your doctor’s advice and ensure the area is protected during the healing process. If you have any concerns or if the condition worsens, do not hesitate to reach out to your healthcare provider for guidance. Your health and recovery are paramount, and proactive management will help ensure a smooth healing process.
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