What should I do if the paronychia is draining pus at home?

Written by Liu Gang
Dermatology
Updated on September 28, 2024
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Paronychia is mostly caused by nail ingrowth into the flesh or local trauma, and can be treated at home with topical povidone-iodine disinfection and mupirocin ointment application if pus appears. Additionally, oral cephalosporin antibiotics can be taken to help healing gradually. However, paronychia tends to recur frequently. Once it occurs, it is recommended to visit a dermatology department at a formal hospital to have the nail trimmed or to consider surgical treatment to prevent recurrence. It is also advisable to avoid wearing tight, cramped shoes to prevent trauma or crushing injuries. Once paronychia develops, the amount of local pus can vary; generally, quicker recovery can be expected once the pus is cleared. (Use medications under the guidance of a doctor.)

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Written by Huang Ling Juan
Dermatology
1min 3sec home-news-image

How to determine if you have paronychia

To determine if it's paronychia, first there will be obvious swelling, pain around the nail, and sometimes exudation. Paronychia is usually caused by the penetration of a foreign object under the nail, or by trimming the nails too short. If the nails are trimmed irregularly and become embedded in the nail bed, this can also lead to paronychia. If there is obvious swelling, pain, and tenderness around the nail, paronychia should be considered. Paronychia is usually related to ingrown nails. For mild ingrown nails, topical application of iodine can gradually alleviate the paronychia. In cases of severe paronychia, it is necessary to visit a hospital where a doctor can perform a nail removal and also change dressings timely. Significant pain may require oral antibiotics treatment or intravenous antibiotics. During treatment, avoid alcohol and spicy, irritating foods.

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Written by Li Chang Yue
General Surgery
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How to trim an ingrown toenail with paronychia?

If paronychia occurs with an ingrown toenail, one must not cut the nail bed too short. It is advisable to visit a professional institution where local disinfection can be carried out, followed by surgical removal or wedge resection of the nail embedded in the nail bed. This helps to reduce the risk of infection and stabilizes the condition of paronychia, avoiding local contamination, formation of paronychia, secondary abscesses, suppuration, nail bed infections, and other serious issues caused by self-trimming. Thus, if one has paronychia or an ingrown nail, it is best to visit a formal hospital and have it treated by a doctor. If necessary, a nail removal surgery can be performed to completely and effectively cure paronychia.

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Written by Huang Ling Juan
Dermatology
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How to treat an ingrown toenail that has become infected and pus-filled?

Paronychia with suppuration can be controlled by disinfecting the area with iodine and then applying anti-inflammatory ointments, typically mupirocin ointment or erythromycin ointment. If there is significant local swelling, it may be necessary to perform a lateral nail avulsion or nail removal under local anesthesia to ensure adequate drainage of the pus and control the infection effectively. After controlling the infection, for more severe cases of ingrown toenail deformity, it may require further correction of the nail and a procedure to reshape the nail groove to manage the inflammation and correct nail deformities. Treatment should also include oral antibiotics, taken under medical supervision, such as erythromycin tablets. Since paronychia with pus formation can easily lead to systemic infection, it is crucial to treat it aggressively.

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Written by Liu Gang
Dermatology
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How is paronychia radically cured?

Paronychia is a purulent infectious disease caused by the repeated irritation of a nail embedding into the flesh, most commonly found on the big toe. If the purulent infection is severe, it may require incision and drainage. If the symptoms are mild, it may be treated with appropriate oral and topical anti-inflammatory medications. To completely cure this condition, surgery is necessary to remove the nail embedded in the flesh and then use sutures to forcibly correct the placement. This can prevent recurrences in future life. Regular walking habits should be maintained without jumping, and wearing shoes that are too tight should be avoided. Dietary and lifestyle habits should also be regulated.

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Written by Liu Gang
Dermatology
43sec home-news-image

How to treat paronychia by yourself?

Paronychia is a purulent infectious disease formed when the nail embeds into the flesh. If the infection is in the purulent stage, it can be appropriately treated at home. After disinfection with iodine, use a needle to puncture and clean out the pus and blood. If the paronychia infection is severe, it is advised to visit the dermatology department of a formal hospital for a minor surgery. This disease has a tendency to recur. It can be permanently resolved by removing the nail and performing a forced correction on the affected area. To prevent recurrence, try not to wear shoes that are too tight and avoid prolonged walking, as the disease is related to one's walking posture and footwear.