[30F] With ingrown toenails and foot issues

Patient Description

A 30-year-old female has been experiencing ingrown toenails for approximately 6 months. The patient reports that soaking her feet in water provides some relief. Additionally, she has noticed flaky skin, thick toenails, and foot odor. There are no signs of infection such as increased redness, swelling, or pus around the ingrown toenail. The patient has not recently changed footwear, experienced foot injuries, or altered her foot care routine. She does not have a family history of nail disorders or similar foot issues. Her medical history includes chronic conditions such as shortness of breath, opioid dependence, and lupus, with no known allergies. She is currently taking Suboxone 8/2mg twice a day.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Fungal Infection (Onychomycosis): This is a common condition that can cause thickened, brittle, or crumbly toenails, often accompanied by a foul odor. The flaky skin and thick toenails you mentioned could be related to a fungal infection, especially since you recently used a shower where someone had a foot fungus. Treatment typically involves antifungal medications, which can be topical or oral, depending on the severity.

  • Ingrown Toenails: This occurs when the edge of the toenail grows into the surrounding skin, causing pain and sometimes leading to infection. Soaking your feet can help relieve discomfort, but if the problem persists, it might require professional treatment, such as lifting or removing the nail.

What you can do

While these conditions are generally not serious, they can be uncomfortable and may require treatment to prevent complications. Here are some steps you can take:

  1. Maintain Good Foot Hygiene: Keep your feet clean and dry. Change socks regularly and wear breathable footwear to reduce moisture buildup.

  2. Use Antifungal Treatments: Over-the-counter antifungal creams or powders can be applied to the affected areas. If symptoms persist, consult a healthcare professional for prescription options.

  3. Proper Nail Care: Trim your toenails straight across and avoid cutting them too short. This can help prevent ingrown toenails.

  4. Foot Soaks: Continue soaking your feet in warm water to relieve discomfort from ingrown toenails. Adding Epsom salt can also help reduce inflammation.

  5. Track Your Symptoms: Use MDandMe to journal your symptoms, track progress, and gain insights. This information can be valuable when discussing your condition with a healthcare provider.

What you should look out for

It's important to monitor your symptoms and seek medical attention if you notice any of the following:

  • Increased redness, swelling, or pus around the toenail, which could indicate an infection.
  • Persistent or worsening symptoms despite home treatment.
  • Difficulty walking or significant pain in your feet.

Remember, while I can provide guidance, it's essential to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to reach out!

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1 mo ago

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People Also Ask


What are the common symptoms of a fungal nail infection?

Common symptoms of a fungal nail infection include thickened, brittle, or crumbly nails, discoloration (often yellow or brown), and sometimes a foul odor. The surrounding skin may also become flaky or itchy.


How can I prevent ingrown toenails from occurring?

To prevent ingrown toenails, trim your toenails straight across and avoid cutting them too short. Wear properly fitting shoes that do not crowd your toes, and maintain good foot hygiene.


What are the signs that an ingrown toenail might be infected?

Signs that an ingrown toenail might be infected include increased redness, swelling, pain, and the presence of pus around the toenail. If you notice these symptoms, it's important to seek medical attention.


Are there any home remedies for managing foot odor?

Home remedies for managing foot odor include keeping your feet clean and dry, changing socks regularly, using antifungal powders, and wearing breathable shoes. Soaking feet in a mixture of water and vinegar or using tea tree oil can also help reduce odor.


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