Infectious skin diseases
I have athlete's foot, specifically the hyperkeratotic type.
I previously bought a topical antifungal medication, but after applying it for a while, I still feel itchy afterward.
I apply it after showering, but the itchiness returns the next day, and I don't feel any improvement.
Am I using the wrong medication? The main issue is that my left foot, which was previously unaffected, suddenly developed symptoms and seems to be worse than my right foot.
I have seen a doctor, but the prescribed medication hasn't been effective; the itchiness is unbearable, and it's very frustrating.
The skin on my feet is very thick, and even though I trim it regularly, it grows back quickly.
I am also overweight.
Is there a better medication or soaking treatment available? Or could you recommend a doctor in Hsinchu? Thank you!
A-Wen, 20~29 year old female. Ask Date: 2015/08/25
Dr. Li Yufen reply Dermatology
Hello: If it is confirmed to be the hyperkeratotic type of athlete's foot, in addition to applying antifungal cream like Clotrimazole to inhibit the fungus, you can also combine it with keratolytic ointments to improve the thickened skin condition.
Dermatologists in Hsinchu can refer to the website of the Taiwan Dermatological Association at http://www.derma.org.tw/user_finddoctor.php.
Thank you!
Reply Date: 2015/08/25
More Info
Athlete's foot, or tinea pedis, is a common fungal infection that affects the skin on the feet, often leading to symptoms such as itching, burning, and thickened skin. The condition can be particularly troublesome, especially when it becomes persistent or spreads to other areas, as you've described with your left foot suddenly developing symptoms.
Understanding Athlete's Foot
Athlete's foot is typically caused by dermatophytes, a type of fungus that thrives in warm, moist environments. This explains why the condition is often seen in athletes or individuals who frequently wear tight shoes or engage in activities that cause their feet to sweat. The thickened skin you mentioned is a common response to the fungal infection, as the body attempts to protect itself from the irritant.
Treatment Options
1. Topical Antifungal Medications: Over-the-counter options like clotrimazole (Lotrimin) or terbinafine (Lamisil) are often effective for treating athlete's foot. However, if you've been using a product like "卡黴速停" (likely a topical antifungal), and it hasn't provided relief, it may be worth trying a different formulation or a prescription-strength medication. Sometimes, the fungus can be resistant to certain treatments, necessitating a change in medication.
2. Oral Antifungal Medications: In cases where topical treatments fail, or if the infection is widespread, a doctor may prescribe oral antifungal medications such as fluconazole or itraconazole. These can be more effective for severe or persistent infections.
3. Soaking and Drying: Soaking your feet in a solution of vinegar and water or Epsom salts can help reduce itching and inflammation. After soaking, it's crucial to dry your feet thoroughly, especially between the toes, as moisture can exacerbate fungal growth.
4. Proper Foot Hygiene: Keeping your feet clean and dry is essential. Change socks regularly, especially if they become damp, and consider using moisture-wicking socks. It's also advisable to wear breathable shoes and avoid tight-fitting footwear that can trap moisture.
5. Exfoliation: If you have thickened skin due to the infection, gentle exfoliation can help. However, be cautious not to irritate the skin further. Using a pumice stone or foot file after soaking can help remove dead skin.
6. Consulting a Specialist: If over-the-counter treatments and home remedies do not yield results, it may be beneficial to consult a dermatologist or a podiatrist. They can provide a more accurate diagnosis, possibly perform a culture to identify the specific fungus, and recommend a tailored treatment plan.
Lifestyle Considerations
Given your mention of being overweight, it's important to consider that excess weight can contribute to foot problems, including athlete's foot. Maintaining a healthy weight can alleviate some pressure on your feet and improve overall foot health. Additionally, consider incorporating foot exercises to strengthen the muscles and improve circulation.
Conclusion
Athlete's foot can be a frustrating condition, especially when it seems resistant to treatment. It's essential to be persistent and proactive in seeking relief. If your current treatment isn't working, don't hesitate to reach out to a healthcare professional for further evaluation and a more effective treatment plan. Remember, the key to managing athlete's foot lies in consistent treatment, proper hygiene, and addressing any underlying factors that may contribute to the condition.
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