Worsening Infection on Finger: Need Guidance
Subject: Male, Age 20 Height: 190 cm, Weight: 67 kg Ethnicity: Caucasian Infection Duration: 15 days Affected Area: Right middle finger No prior significant health conditions Current Supplements: Vitamin B12, Vitamin D3, Atomoxetine I was diagnosed with paronychia during an emergency visit, although they did not perform a bacterial culture. My treatment regimen includes Amoxicillin taken three times daily and Nurofen every six hours. I previously sought advice here eight days ago, but I return now as my condition seems to have deteriorated significantly. On the fifth day at the emergency department, we were provided with bandages, wound cleanser, and antiseptic. However, after these supplies ran out, we went to a pharmacy where I mistakenly received hand wash instead of proper wound wash, and plastic bandages instead of the needed dry ones. I also have concerns about the efficacy of the antiseptic recommended at the pharmacy. Yesterday, I managed to consult my general practitioner and obtained a refill of antibiotics, as my previous supply had finished two days ago. Although I'm back on the medication, my finger has started to peel, and I can now see my nail through the skin. Is the treatment I’m applying beneficial for my finger? If it’s not effective, what steps should I take next?
Answers (1)
8/16/2025, 1:40:59 PM
OpenHealth AI
It sounds like you're experiencing a significant worsening of your finger infection, and it's understandable to be concerned. Here’s a summary of your current situation along with actionable steps you can take to manage your condition effectively.
Summary of Current Situation
You have a worsening case of paronychia, which is an infection around the nail area, and despite treatment with antibiotics and topical antiseptics, your symptoms are deteriorating. Key concerns include the peeling skin and visibility of your nail, which can indicate a more severe infection.
Explanation
Paronychia can stem from various factors, including bacterial infections and improper wound care. Effective management requires regular cleaning, appropriate medication, and monitoring of your symptoms. When the condition worsens, like in your case, it may suggest that the infection is resistant, or perhaps the applied treatment wasn't adequate. It's also possible that a secondary infection or an issue like an ingrown nail could be affecting your recovery.
Next Steps
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Assess Wound Care Supplies: Use sterile saline or warm, soapy water to clean the affected area gently. Avoid harsh hand washes. If you can, obtain the proper wound cleanser or saline solution.
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Change Dressing Regularly: Use dry, sterile bandages specifically designed for wounds instead of plastic bandages. Change the dressing at least once a day or more if it becomes wet or dirty.
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Monitor Symptoms Closely: Keep an eye on any signs of increased redness, swelling, discharge, or pain. If your finger continues to deteriorate or if you develop a fever, this could indicate a spreading infection.
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Continue Taking Antibiotics as Prescribed: If you've been prescribed a new course of antibiotics, ensure you complete the regimen as directed by your GP.
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Consider Pain Management: Continue using Nurofen for pain relief but avoid exceeding the recommended doses.
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Follow-Up Appointment: Schedule another follow-up appointment with your GP or a dermatologist if symptoms do not improve within a few days of continuing treatment. Mention the issues with the previous treatment and your current concerns.
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Avoid Self-Medication with Topicals: Be cautious with any additional over-the-counter antiseptics unless recommended by a healthcare professional. Not all antiseptics are effective for infections, and some may irritate the skin.
Should you have any worsening symptoms or new concerns, please seek immediate medical attention. Your health and well-being are important, and addressing these issues promptly is crucial. Let me know if you have more questions or need clarification on any of these steps!
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