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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Toe Pain, Cut In Skin, Tender And Painful Bump. Draining Pus, Bleeding. What Should I Do?

hi , i am having some toe pain on my right big toe . I first thought it was an ingrown toenail but im starting to think it may be more. There is also a bad cut in the skin where the toe nail ends. I have a tender painful bump at the top right corner . Ive been soaking it in salt water and using neosporin to prevent infection . It is draining puss and is starting to bleed . What should I do ?
Wed, 26 Dec 2012
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Emergency Medicine Specialist 's  Response
Hi,
Thanks for writing your query.

Your problem seems to be due to infection due to ingrown toe nail.
As the swelling has bursted and it is bleeding along with pus discharge, you should consult a surgeon for proper incision and drainage of the swelling. You should start oral antibiotics and anti-inflammatory medicines after consulting your doctor.
Continue applying Neosporin skin ointment.

You can also have a Culture and Senstivity test of the pus draining from the wound, as this will help to know the causative organism and the appropiate antibiotic needed.

I hope this is helpful to you.
Thanks.
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Toe Pain, Cut In Skin, Tender And Painful Bump. Draining Pus, Bleeding. What Should I Do?

Hi, Thanks for writing your query. Your problem seems to be due to infection due to ingrown toe nail. As the swelling has bursted and it is bleeding along with pus discharge, you should consult a surgeon for proper incision and drainage of the swelling. You should start oral antibiotics and anti-inflammatory medicines after consulting your doctor. Continue applying Neosporin skin ointment. You can also have a Culture and Senstivity test of the pus draining from the wound, as this will help to know the causative organism and the appropiate antibiotic needed. I hope this is helpful to you. Thanks.