About 10 years ago I noticed that my right big toe nail had a deep dark orange circle on it. I thought it was a fungal thing so I went to the doctor. She gave me lamasil, but after a month my mom made me stop taking it because it was bad for the liver or something and it looked like it was getting worse. I tried using creams and soaking it in peroxide and a few other over the counter medications but nothing helped. It wasn't causing me pain or anything so I just forgot about it after a year or so. The entire nail at this point was just a very light yellow and kind of crusty underneath and very brittle. After I joined the Air Force I decided to go to a dermatologist and try to get it fixed again because it was pretty ugly. He cut some of the nail away and said that it certainly looked fungal to him, but to be sure he sent it to the lab for testing. About 2 weeks later they called me and said it wasn't fungal and I must have done something to traumatize the nail. I found that pretty hard to believe, because I've never injured my foot before at all. Anyway he offered to surgically remove the nail in a way that it wouldn't grow back. I declined because it wasn't causing me any pain and I'd rather not have surgery for a purely aesthetic reason. Now, about 5 years later from my second doctors appointment I pretty much just rip the thing off every 3 months. There is no pain, and the entire nail pulls away with ease. It's pretty gross, but other than that it doesn't really cause my any discomfort. Also, I should mention that I do have a very slight case of eczema that comes and goes, the worst case being on the tip of my middle right finger for about 3 months. It seemed kind of like I had scales on it and I could peel the skin away. I haven't seen it since the first time it happened. My other nails have no signs of yellowing and I've never had a fungal infection anywhere else on my body. Could this be something else, do you guys think it might be fungal and the lab results were incorrect? I have a video of me ripping the nail off if needed.
Reading your thorough history description made it quite easy to follow. Thank you...
I really think it is fungal based on the appearance and the high percentage of yellow, brittle nails. As they say, common things being common.
Yellow nails can be caused by a variety of reasons :
2)Diabetes,Circulatory or Auto-Immune Disorders
3)Yellow Nail Disease (Genetic)
You were young when it first started.
Fungal infections thrive in warm, moist places.
The big and small toes are most likely to get fungal infections because of the constant friction from the shoes.
Wearing non-breathable shoes cause sweat that mixes with bacteria.
Wearing the same shoes much of the time.
Walking bare foot in public areas like spas. I'd like to mention the risk of being infected with MRSA too.
Insufficient towel drying prior to putting on shoes while still moist.
Athletes are prone to fungus. They are prone to injury and wearing the same sneakers for hours at a time.
Paying attention to foot health is an important indicator to one's health.
#2 - I think you would be aware of any chronic diseases by now with symptoms.
#3- Yellow Nail Disease is different than yellow nails. It is a painful disorder and a rare genetic disorder.
#4- You didn't notice any injury at the time.
#5- Is also a symptom of other diseases that you would know about.
I agree with your Mom about the Lamisol and liver disease.
There are ways to decrease the fungus possibility :
- Always wear clean, fresh cotton socks.
- Wear shoes that are made from breathable material.
- Switch your shoes off and on especially sneakers.
- Dry your feet thoroughly with a few minutes to air dry before putting in your shoes.
- Avoid walking around barefoot in public places especially showers.
- Be aware of others with fungal infections and don't share towels, bath mats or clothes.
- NEVER try on shoes without socks. Avoid the pedi-socks at the store because they are small and tend to slip off.
- Be very selective when choosing a nail salon. Watch their techniques and the way they clean their equipment.
- Heavy use or constant use of nail polish can destroy the top layer of the nail.
- If you go to a podiatrist, be sure to carefully follow the directions on medication.
- Maintain good foot hygiene. Don't cut your nails too short. Clip them straight across.
There are anti-bacterial brush-on medications that podiatrists use.
Are you sure your middle finger gets eczema?
It's contagious and perhaps you are infecting it when tearing off the toenail?
Just a thought...
Best of luck and thank you for your service in the Air Force.
- Lamisil Information for Consumers
- Lamisil Information for Healthcare Professionals (includes dosage details)
- Side Effects of Lamisil (detailed)
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