Is Swelling and Pain Normal After Nail Removal for Paronychia? - Surgery

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Nail avulsion for paronychia?


Hello doctor, four days ago I went to see a doctor for paronychia and had my nail removed.
The doctor said that the pain would go away once the nail was removed, but on the fourth day, I noticed that the wound is somewhat swollen and it hurts.
Is this normal? Also, there is some discharge from the wound.

Wen, 20~29 year old female. Ask Date: 2019/11/01

Dr. Li Zhonghuai reply Surgery


Hello! Elevate your legs while sleeping and when watching TV.
Avoid contact with tap water, and make sure to change your dressings properly.
The wound will heal gradually.
Take care! Changhua Hospital cares about you!

Reply Date: 2019/11/01

More Info


After nail removal due to paronychia, experiencing some swelling and pain is relatively common, but it is essential to monitor the symptoms closely. Paronychia is an infection of the skin around the nail, and the removal of the nail is often necessary to allow for proper healing and to alleviate pain. However, the healing process can vary from person to person, and several factors can influence the recovery.


Normal Post-Operative Symptoms
1. Swelling and Pain: It is normal to experience some degree of swelling and pain after the procedure. The body responds to injury with inflammation, which can cause swelling, redness, and tenderness in the affected area. This is part of the healing process as your body works to repair the tissue.

2. Discharge: It is also common to have some discharge from the wound, which can be clear, yellow, or even slightly bloody. This discharge is a sign that your body is healing, but it should not be excessive or have a foul odor.

3. Duration: Typically, mild swelling and pain should begin to subside within a few days to a week. If the pain worsens or if the swelling does not improve, it may indicate a complication.


When to Seek Medical Attention
While some swelling and pain are expected, certain signs may indicate a problem that requires medical attention:
- Increased Pain: If the pain becomes severe or is not relieved by over-the-counter pain medications, it could be a sign of infection or other complications.


- Excessive Swelling: If the swelling continues to increase after a few days or is accompanied by a significant change in color (such as becoming very red or warm), this could indicate an infection.

- Foul Odor or Unusual Discharge: If the discharge becomes foul-smelling or changes in color to a green or brownish hue, this may suggest an infection.

- Fever: If you develop a fever, this is a systemic sign that your body may be fighting an infection.


Care Tips
To promote healing and manage symptoms, consider the following care tips:
- Keep the Area Clean: Gently clean the area with mild soap and water. Avoid using alcohol or hydrogen peroxide, as these can irritate the wound.

- Dress the Wound: If your doctor has advised you to keep the area covered, use a sterile bandage. Change the dressing as recommended by your healthcare provider.

- Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation.

- Avoid Irritants: Keep the area dry and avoid exposing it to irritants or excessive moisture, which can exacerbate swelling and pain.


Conclusion
In summary, some swelling and pain after nail removal for paronychia can be normal as part of the healing process. However, it is crucial to monitor your symptoms and seek medical attention if you notice any concerning signs. Always follow your healthcare provider's post-operative care instructions to ensure a smooth recovery. If you have any doubts or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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