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Paronchia cream
I have nailbed infection since 1 week. I am doing warm water soaks but it is healing very slowly.. can u suggest if i shud apply some antibiotic cream over it? Right now it hurts a lot when washed or rubbed against friction
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Please share what medicine you are taking? If infection is localised to nail bed, you can apply mupirocin ointment over it, 2 to 3 times daily, continue warm water soaks.
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Hello,
I’ve gone through your history carefully. What you’re describing is a very typical pattern after taking a high-dose broad-spectrum antibiotic like Augmentin 1000 mg.
Such antibiotics can disturb the gut microbiome severely, and that can trigger:
Hard stools lead to fissure formation
Burning sensation during passing stool
Dependency on probiotics for smooth bowel movement
Irritation of the anal mucosa
Your main issue now is not the fissure alone, but the antibiotic-induced gut dysbiosis that’s why symptoms come back the moment you stop probiotics.
A few important points:
1. Taking random probiotics with different strains every few days does not restore the gut properly it actually keeps the system confused and dependent.
2. Fissure healing requires both internal gut recovery and external lifestyle correction.
3. Burning stool indicates active inflammation, not just a simple tear.
4. Dependence on probiotics for every 3–4 days means your gut microbiota is still not reset, and you need a structured, step-wise plan diet, hydration, fiber pattern, gut rest, and proper timing.
This cannot be fixed by taking more probiotics; it needs a guided recovery plan based on your stool pattern, diet, antibiotic exposure, and fissure severity.
If you want a proper structured plan to break this cycle and heal the fissure completely, message me privately.
You can reach me on w.h.a.t.s.a.p.p nine three two six zero two zero five three six for a detailed evaluation and personalised guidance.
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Based on the photo, this looks like acute paronychia — an infection of the skin around the nail fold.
There is redness, swelling, tenderness, and possible early pus formation, which explains why it hurts when touched or washed.
Next Steps
1. Continue Warm Water Soaks
Do 3–4 times/day, 10 minutes each.
Add a pinch of salt + a drop of Betadine if available.
This helps the infection drain and decreases pain.
2. Apply an Antibiotic Ointment (Very Important)
Yes — you should apply an antibiotic cream.
Choose any ONE of these:
Mupirocin 2% ointment (Bactroban / T Bact) → BEST
Fusidic Acid cream (Fucidin)
Neosporin ointment (if above not available)
Apply 2–3 times/day after soaking.
Keep the fingertip dry after application.
3. If Pain Is Severe or Swelling Increasing
Add an oral antibiotic for 5 days:
• Amoxicillin–Clavulanate 625 mg, twice daily
OR
• Cephalexin 500 mg, three times daily
Only if symptoms are worsening or if pus pocket forms.
4. Do NOT squeeze or cut the skin
This delays healing and can worsen infection.
Health Tips
When to See a Doctor
If any of these happen:
• Swelling increases
• Yellow pus becomes visible
• Pain becomes throbbing
• You develop fever
• No improvement in 2–3 days
A doctor may need to do a small drainage if pus is trapped under the nail fold — it gives immediate relief.
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It looks like you have a mild nailbed (paronychia) infection. Warm water soaks are helpful, but since it has persisted for a week and is painful, you can apply a topical antibiotic cream, such as mupirocin, to the affected area 2–3 times daily. Keep the nail clean, dry, and avoid trauma or tight footwear. If there is increasing redness, swelling, pus, spreading pain, or fever, you should see a doctor in person, as oral antibiotics or minor drainage may be required.
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Avoid trauma.
Apply t bact oint twice daily
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You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Only whatsapp message no calls
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Seems like pus accumulation,show to a surgeon,may need drainage
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No need to worry sir ,
Amoxyclav 500mg bd
Ranitidine 150mg bd
Accelofenac 500mg od
For 3 days
Next Steps
if pus is more you can visit nearby doctor and to get removed and get a simple wound management
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid freid and spicy food
Water intake mor3
Do connect and
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Dr. Laxmi Koppishetty
General Practitioner
8 yrs exp
Rajahmundry
Kindly consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
T bact
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Dr. Digvijay Vashistha
General Physician
1 yrs exp
Faridabad
If you need guidance, I’m here—feel free to book your consultation.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Paronychia
Needs to be evaluated
Do consult
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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