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Treatment for dead toenail which pulled loose.

Resolved Question:

My toenails , about half way up are dead and have pulled loose from my toes . The bottoms are good, There is nothing wrong with my feet , no smell just my two big toes, I havent stumped them or anything. Can you tell me whats going on?


Category: Family Physician-GP

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Category: Sexually Transmitted Diseases(STD)Specialist
Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
Will you be able to attach an image of your toenails?
It can happen due to a long term fungal or local infection of the nails.
I can guide you once I see how it looks like.
Regards.


Patient replied :

YES DIABETES RUNS IN FAMILY, YES ON HYPERTENSION


Expert:  Dr. Deepu Sebin Sebastian replied 3 Days.

Hello,
In absence of any kind of injury, this seems to be due to fungal infection.
I will advise you to apply Clotrimazole ointment around the toes, and control the infection first. It commonly happens in diabetics with poor control of sugar.
Once the infection in controlled you can get it excised by a general surgeon and new nails will form over the nail bed. That will lead to a stronger nail. Then if good hygiene is maintained this problem won't arise again.
Regards.


Dr. Deepu Sebin Sebastian
Category: Sexually Transmitted Diseases(STD)Specialist
Experience: 
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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