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Suggest Treatment For Toe Nail Fungal Infection

Posted on Wed, 30 Sep 2015

Question: I have toe nail fungus and I bought OTC medicine, an oil based, now I'm experiencing sharp, shocking, electrical pain off and on, and it has no preference of what type a shoe I'm wearing or whatever I'm doing. I also had a bunionectomy about 4 years ago, which left a large soft mass like thing that sits directly on top of this same toe and there is somewhat numbness, however, I CAN feel this sharp, electrical pain......

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
onychomycosis, diabetes, vascular cause

Detailed Answer:
Hello and Welcome

I appreciate your concern

If its indeed a toe nail fungal infection, i.e onychomycosis then topical terbinafine in combination with clotrimazole for two months can be advised. Oral therapy can be initiated with terbinafine if the fungal infection persists or recurs. Fasting blood sugar and HBA1c levels must also be checked to rule out diabetes and associated diabetic neuropathy which can present with such symptoms. Doppler ultrasound of the lower limb including the posterior tibial and dorsal pedal vessels to look for a vascular cause, can be advised if the above causes are ruled out.

Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (15 hours later)

Thank you so much Dr. XXXXXXX your advise and expertise is greatly appreciated. Have a great week :)

Respectfully,
XXXX

Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Brief Answer:
Most welcome

Detailed Answer:
You are most welcome.

Wishing you best of health

Thanks

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar