Onychomycosis, Dermatology FAQ

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Understanding Nail Fungus: Is It the Same as Toenail Fungus?

Nail fungal infection Hello Dr. Lee, my big toe nails have been gray for several years, with a texture similar to European bread, but they are not brittle. Last month, I saw a doctor for the first time, and he said that since there is no itching, it is not related to onychomycosi...


Dr. Li Yufen Reply:
Hello: Based solely on the textual description, it is not possible to accurately diagnose skin diseases. For the diagnosis and treatment of onychomycosis (fungal nail infection), you can refer to Dr. Lin Cheng-Hsien's article at https://jslin.tw/tinea_unguium/. Generally, th...

[Read More] Understanding Nail Fungus: Is It the Same as Toenail Fungus?


Alternative Treatments for Toenail Fungus Beyond Oral Medications

Oral medication for nail fungus? Oral terbinafine tablets are used to treat onychomycosis (fungal nail infection). After taking the medication for 28 days, if blood tests show elevated liver enzymes, the treatment should be discontinued. Are there other medications available for ...


Dr. Wu Yuxin Reply:
Yes, you can discuss it with your physician.

[Read More] Alternative Treatments for Toenail Fungus Beyond Oral Medications


Is It Necessary to Continue Treating Toenail Fungus After Recurrence?

Is it still necessary to continue treatment for onychomycosis (fungal nail infection)? I previously had a case of onychomycosis (fungal nail infection) that went untreated for three years because it was asymptomatic and did not worsen. Eventually, I sought treatment and was presc...


Dr. Li Yufen Reply:
Hello: Regarding the diagnosis and treatment of onychomycosis, you can refer to Dr. Jeng-Hsien Lin's article at https://jslin.tw/tinea_unguium/. You may also consider whether to continue treatment or consult a nearby dermatologist for alternative treatment options at https:/...

[Read More] Is It Necessary to Continue Treating Toenail Fungus After Recurrence?


Understanding Nail Changes: Is It Toenail Fungus or Something Else?

The area of the white patch is large? I currently have two toenails affected by onychomycosis and I am applying topical medication. Although the other parts of the nails do not show color changes, the area of the white part (the area at the edge of the nail has expanded while the...


Dr. Li Yufen Reply:
Hello: Based solely on the textual description, it is not possible to accurately diagnose skin diseases. For issues related to nails, you can refer to a series of articles on the Dermatology Expert Health Network at https://www.drskincare.tw/Qa/Index.aspx?CID=18&pg=1. If the ...

[Read More] Understanding Nail Changes: Is It Toenail Fungus or Something Else?


Can I Use Leli Nail Treatment with Doctor's Prescription for Toenail Fungus?

The use of Liraglutide? Hello doctor, my big toe has been diagnosed with onychomycosis. Before seeing the doctor, the nail turned black and fell off, and I self-trimmed it down to a third of the nail. I have purchased Lamisil and applied it to the entire nail, including the nail ...


Dr. Li Yufen Reply:
Hello: If the topical medication prescribed by the doctor also contains antifungal ingredients, then using Lamisil once a week is sufficient, and there is no need to use them simultaneously. If it contains other ingredients, it is recommended to discuss the medication with a derm...

[Read More] Can I Use Leli Nail Treatment with Doctor's Prescription for Toenail Fungus?


Are Nail Salons Violating Medical Laws in Treating Fungal Infections?

Medical procedures Hello Dr. Wu, I have a question regarding my toenails, which have become deformed and discolored. A few months ago, I visited a nearby nail salon that advertised services to prevent and improve onychomycosis and correct ingrown toenails. The salon diagnosed my ...


Dr. Wu Yuxin Reply:
I'm sorry, I'm not sure about that.

[Read More] Are Nail Salons Violating Medical Laws in Treating Fungal Infections?


Understanding Nail Issues: When to Seek Dermatological Advice

Nail issues? Hello, the white part of my right index finger nail is continuously extending inward towards the pink nail bed. There is no pain, and I have been careful not to cut the nail too short, but the white part of the nail keeps growing inward. I feel a bit anxious and woul...


Dr. Li Yufen Reply:
Hello: Based solely on the textual description, it is not possible to accurately diagnose a skin condition. The most common issues may include onycholysis or onychomycosis. It is recommended to consult a nearby dermatologist for diagnosis and treatment. Thank you!

[Read More] Understanding Nail Issues: When to Seek Dermatological Advice


Understanding Nail Recovery After Paronychia: When to Seek Medical Advice

Recovery period for paronychia? Hello, doctor! Last October, I had a severe ingrown toenail on my big toe, and the entire nail was removed. Now, the nail has grown back halfway, but recently I noticed a small part of the nail is dark. Is that a sign of a fungal nail infection? Sh...


Dr. Li Yufen Reply:
Hello: Based solely on the textual description, it is not possible to accurately diagnose a skin condition. It is recommended to consult a nearby dermatologist to determine whether it is onychomycosis (fungal nail infection) or another nail issue. Thank you!

[Read More] Understanding Nail Recovery After Paronychia: When to Seek Medical Advice


Understanding Oral Side Effects of Antifungal Medications for Nail Fungus

Oral side effects of onychomycosis treatment? The dermatologist prescribed me Mycoterk, and I have been taking it for 58 days. Initially, I felt some effects after about two to three weeks, experiencing occasional brief stinging sensations and sometimes a burning feeling. I consu...


Dr. Li Yufen Reply:
Hello: Regarding the usage guidelines for Terbinafine (Lamisil), you can refer to the educational pamphlet from Chi Mei Medical Center at https://www.chimei.org.tw/main/cmh_department/59012/info/5500/A5500353.html. Terbinafine and Itraconazole (SPORANOX) are completely different ...

[Read More] Understanding Oral Side Effects of Antifungal Medications for Nail Fungus


Can Toenail Fungus Lead to Athlete's Foot? Understanding the Risks

Questions about nail fungus infection? Hello, doctor. I understand that having athlete's foot can easily lead to onychomycosis (fungal nail infection). If a family member has onychomycosis, does that mean they are more likely to develop athlete's foot first? P.S. This f...


Dr. Wu Yuxin Reply:
Athlete's foot and nail fungus are caused by the same fungal infection, so the skin and nails can certainly transmit the infection to each other. Fungal spores are naturally present in the air, and even if family members are infected, maintaining good hygiene practices and k...

[Read More] Can Toenail Fungus Lead to Athlete's Foot? Understanding the Risks


Seeking a Second Opinion on Persistent Toenail Fungus Treatment Options

I would like to seek a second opinion from a physician? Hello Doctor, I have been struggling with toenail fungus, which keeps recurring. Even after finishing the oral medication, there are still some remnants of the infection, so my health insurance will no longer cover the oral...


Dr. Li Yufen Reply:
Hello: Based solely on the textual description, it is not possible to accurately diagnose skin diseases. The standard treatment regimen for oral antifungal medication for onychomycosis (fungal nail infection) is continuous oral administration for three months, with no further ora...

[Read More] Seeking a Second Opinion on Persistent Toenail Fungus Treatment Options


Is It Nail Fungus? Understanding Symptoms and Diagnosis

Could it be a fungal nail infection? I'm sorry, but I cannot access external links or content. However, if you describe the symptoms or characteristics of the nails in question, I can help determine if it might be a case of onychomycosis (fungal nail infection) or provide in...


Dr. Wu Yuxin Reply:
Online diagnosis is not available here; please seek medical attention for confirmation if needed.

[Read More] Is It Nail Fungus? Understanding Symptoms and Diagnosis


Choosing the Right Treatment for Nail Fungus: Mycosten vs. Amorolfine

Antifungal medications for nail fungus: Micatin / Lamisil? Hello, Dr. Wu. My right big toe nail has been diagnosed by a dermatologist with onychomycosis due to injury. The doctor prescribed Mycosten Cream 10mg/g (Clotrimazole) and advised me to apply it three times a day (on the ...


Dr. Wu Yuxin Reply:
In fact, two medications can be used concurrently.

[Read More] Choosing the Right Treatment for Nail Fungus: Mycosten vs. Amorolfine


Understanding Toenail Fungus: Causes and Treatment Insights

Regarding the issue of onychomycosis (fungal nail infection)? Hello, doctor. I would like to ask about my toenails. I have seven toenails affected by onychomycosis, and two months ago, I used Lamisil and a nail file to remove the infected parts, and then applied medication. I can...


Dr. Wu Yuxin Reply:
Severe infections, injuries, or pressure from shoes can all be potential causes.

[Read More] Understanding Toenail Fungus: Causes and Treatment Insights


Concerns About Nail Fungus: Can It Spread Through Bedding?

Questions about nail fungus? Hello doctor, I used to have onychomycosis (fungal nail infection). If the blanket covering my head touches the area where my feet were placed on the bed, will there be any issues if I then cover my face? I just sprayed some antibacterial solution. Th...


Dr. Wu Yuxin Reply:
No.

[Read More] Concerns About Nail Fungus: Can It Spread Through Bedding?


Understanding Blisters on Hands and Feet: Fungal Infections vs. Dyshidrosis

Blisters on hands and feet? Hello, Doctor. I originally had athlete's foot and onychomycosis. Last November, I took oral medication for over three months, and my onychomycosis has mostly improved, with only a small area remaining on my big toe. Before taking the medication, ...


Dr. Wu Yuxin Reply:
Based solely on the literal description, it is not possible to determine whether it is a fungal infection or dyshidrotic eczema. Moreover, during the summer, Taiwan's hot and humid climate often sees both conditions coexisting and can easily lead to recurrent episodes. It is...

[Read More] Understanding Blisters on Hands and Feet: Fungal Infections vs. Dyshidrosis


Blood Test Requirements for Fungal Nail Infection: GOT and GPT Explained

Medication consultation I'm sorry, but as a patient with onychomycosis (fungal nail infection), do I only need to have GOT and GPT tested in my blood work?


Dr. Li Yufen Reply:
Hello: For the diagnosis and treatment of onychomycosis, you can refer to Dr. Jeng-Hsien Lin's article at https://jslin.tw/tinea_unguium/. If oral antifungal medications are to be used for treatment, it is common practice to monitor liver function tests (GOT and GPT) before ...

[Read More] Blood Test Requirements for Fungal Nail Infection: GOT and GPT Explained


Effective Laser Treatment for Nail Fungus: What You Need to Know

Laser treatment for onychomycosis? Hello, Director. I am currently in the first week of treatment for onychomycosis, and I have started using the medication Yashtuan as prescribed by my doctor. I am not opposed to oral medication (I have had blood tests done and will return next ...


Dr. Wu Yuxin Reply:
I apologize, but I personally do not have experience with laser treatment for onychomycosis. I recommend consulting with other experienced physicians.

[Read More] Effective Laser Treatment for Nail Fungus: What You Need to Know


Effectiveness of Switching Oral Medications for Toenail Fungus Treatment

The effectiveness of switching oral medications for onychomycosis (fungal nail infection) midway through treatment? Hello, I have had onychomycosis for many years. Four of my toes on my right foot are affected. Two years ago, I visited a dermatologist who prescribed an oral medic...


Dr. Li Yufen Reply:
Hello: The treatment course for onychomycosis typically lasts for 12 weeks. You have already been on oral medication for 10 weeks and have seen a certain degree of improvement. It is recommended to observe whether the new nail growth on your big toe is normal. If there are any ab...

[Read More] Effectiveness of Switching Oral Medications for Toenail Fungus Treatment


Impact of Missing Nail Fungus Medication: What You Need to Know

Forgot to take medication? Hello Doctor: I have been suffering from onychomycosis and have been taking medication for 6 weeks. Recently, due to family members testing positive for COVID-19, I got busy with other matters and forgot to take my medication for 4 consecutive days. Wha...


Dr. Wu Yuxin Reply:
It's okay if you miss a few days; it's recommended to continue taking the medication.

[Read More] Impact of Missing Nail Fungus Medication: What You Need to Know


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