#10 - THE FUNGUS AMONG US
The Healthy Rotarian: #10 The Fungus Among Us
Toenail fungus, or onychomycosis, is an infection underneath the surface of the nail caused by fungi. The nail often becomes darker in color and smells foul. Debris may collect beneath the nail plate, white marks frequently appear on the nail and the infection is capable of spreading to other toenails, the skin, or even the fingernails. Bed and bathroom partners may spread the fungi between direct contact. Unless treated, the infection can spread and possibly impair your ability to work or even walk. The resulting thicker nails are difficult to trim and make walking painful when wearing shoes. Onychomycosis can also be accompanied by a secondary bacterial or yeast infection in or about the nail plate. The fungus grows best in moist, damp, dark places such as feet in closed shoes with sweaty feet, dirty socks worn over and over without washing, failure to bathe and dry feet/shoes. Those with chronic illnesses like diabetes, circulatory problems, or immune-deficiency are especially prone to fungal nails. Toenail fungus is often ignored because the infection can be present for years without causing any pain. The disease is characterized by a progressive change in a toenail's quality and color, which is often ugly and embarrassing.
A daily routine of cleansing over a period of months may temporarily suppress mild infections. White markings that appear on the surface of the nail can be filed off, followed by the application of an over-the-counter antifungal agent. Even the best over-the-counter treatments may not prevent a fungal infection from coming back. You should visit a podiatrist when you notice any discoloration, thickening, or deformity of your toenails. The earlier you seek professional treatment, the greater your chance at getting your nails to clear. Treatments may vary, depending on the nature and severity of the infection. Your podiatrist can detect a fungal infection early, culture the nail, determine the cause, and form a treatment plan, which may include prescribing topical or oral medication, and debridement of an infected nail. Proper hygiene and regular inspection of the feet and toes are the first lines of defense against fungal nails. Clean and dry feet resist disease. Laser treatment of the fungal nail has become popular and successful. Most mild cases can be effective with one laser treatment costing approximately $100. Have a question? Go to http://toenail-fungus.org
Nurse Sipple
