How to get rid of black fungus toenail infection,how to get rid of ringworm on pets,how to get out odor underarms in clothes - You Shoud Know

admin | Get Rid Of Bacterial Infection | 06.10.2015
Toenail fungus is a chronic and potentially contagious problem that affects millions of people worldwide. There are several different types of toenail fungus and as such, the symptoms, progression and treatment can vary slightly depending upon the precise ailment that’s infecting the nail bed.
Nail fungus often begins as a small spot of white, yellow or green that appears under the nail, typically near the edge.
Onychomycosis can be caused by several different types of fungus, including dermatophytes, candida (better known as the yeast that causes yeast infections) and non-dermatophytic varieties of mold.
Also, individuals who suffer from a compromised immune system are more likely to get toenail fungus.
Individuals who are on immune suppressant medications, such as individuals with cancer, auto-immune disorders and organ transplant patients, are more prone to toenail fungus. In addition, individuals who are on antibiotics – particularly long courses of antibiotics – are more likely to develop fungal infections, as the antibiotics kill off the body’s bacteria, including beneficial bacteria that serves to keep fungus in check. There are a few different treatments that can be effective in eradicating nail fungus, though most methods require continual treatment for a course of several weeks. Systemic anti-fungal medications, available in pill form, are one of the most common and effective treatment approaches. Topical anti-fungal medications can be painted onto the infected toenails or applied as a cream or ointment.
Laser treatments, including the Pinpointe-type laser therapy, Fox Diode laser therapy and Noveon-type laser treatment, have been proven to be effective in treating toenail fungus infections by heating and killing fungi, thereby disrupting the infection. Thyme oil and its main properties, including thymol, have been found to be effective in treating toenail fungus when applied twice daily. Anecdotal evidence shows that pure orange oil (10%) has been found to be effective when applied twice daily, immediately after applying a blend of half rubbing alcohol and half vinegar. Vicks Vapor Rub is said to be an effective nail fungus treatment when applied daily before putting on your socks. Soak your feet in a water and vinegar solution nightly for six months or until the fungus clears.
There are a number of ways to prevent the formation of nail fungus, although no prevention method is 100% effective. Do not re-use a nail file or clippers on uninfected nails without first disinfecting them in isopropyl alcohol.
And most importantly, seek treatment immediately if you suspect that you may have nail fungus! Advanced cases of well-established nail fungus often require medical treatment using prescription medications and other treatment methods, like surgical debridement. The area below and around the nail can get red and inflamed due to infection or due to an intense natural reaction to the fungus. If you observe these symptoms, or if you’re experiencing pain, seek medical attention. Also, if home remedies and over-the-counter treatments do not help, seek assistance from your physician. Toenail fungus can be an unsightly and uncomfortable problem that’s often difficult to cure. Is there a non-prescription method for getting rid of toenail fungus besides going to the doctor? Once the base of the nail is affected, all new nail growth will be affected by the fungus, resulting in symptoms like thickened nails that are discolored (green, yellow or even brown or black), and they tend to break off easily. Initial infection can occur whenever your toenail contacts an object or surface that has been contacted by an infected toenail. Once one toenail is infected with fungus, it can rapidly spread to other nails, as there’s skin-to-skin and nail-to-nail contact among your toes that allows for the spread to occur. Individuals who have poor circulation, poor hygiene or a poor immune system are more prone to developing fungal infections, both toenail fungus and other forms.
So while you can’t transfer fungus from your nails to another body part, many individuals who suffer from this condition are more apt to develop an infection in another area too.
These medications are only effective when taken for a long period of time, until the infected portion of nail completely grows out. The cost depends on the method of removal and whether the nail matrix is destroyed to prevent re-growth. The podiatrists we spoke to emphasized that each case is unique, therefore, providing an accurate price quote was rather difficult due the number of variables (which toe is affected, how many toes are affected, the precise variety of fungus, the presence of bacterial infections, the type of anesthesia and any underlying health conditions.
There is some anecdotal evidence that suggests that some toenail fungus remedies are relatively effective, particularly in mild cases.
One approach blends a few different remedies: Soak your feet in a 50-50 mix of water and vinegar for 30 minutes nightly.
While treating nail fungus, you should also eat a healthy diet, wear loose, open-toed shoes like flip-flops as much as possible, and keep your feet dry (this may require changing your socks a couple times per day). I didn’t know that Tea Tree Oil and Grapefruit seed extract can aid the recovery of toenail fungus.
3) wait a minute or two for the hydrogen peroxide to bubble under the nail, then put clear iodine on the nails and under the nails.
I’ve never had a toenail fungus problem, but one of my friends did once and she ended up having to have her entire toenail removed on both of her feet (big toe) because it just kept coming back regardless of how well she clipped and dried.
I’ve suffered from toe nail fungus for years, and it’s extremely embarrassing to deal with!
I know how it feels.The problem with people suffering from nail fungus is that they find it difficult to expose their toes in public places.
This is a well written and well researched article on the best toenail fungus treatment options. Still some of the fungus are there but I suspect if I continue doing my daily ritual, it will all be gone.
I have been suffering from extreme toenail fungus, it has gone as far as three of my toenails are non existent. Some things did help to prevent the fungus from spreading and others were great for temporary symptom relief however I’d have to use various products multiple times a day and none of the gains was ever anything more than temporary.
The other cream isn’t as effective, seems slower to work than the Lamisil but my insurance covers it.
The only real unwanted side effect for me while on this medication were during the first three days I had a very bad headache. My daughter developed sever toe nail fungus after having meningitis and all the antibiotics they gave her. This will be after I cut nails down as far as possible and make sure there is a rough surface that can be penetrated. I know I sound crazy and I probably am since I’ve had to deal with this since just after my car accident July 21, 1990!!!! The toenail fungus can be defined as a common problem in which, a fungus or bacteria get attracted to dark and damp environments and locate right under and around the toenails. The condition is medically known as onychomycosis that is generally featured by little pain (initial stage), itching and discoloration of the nail.
To get rid of toenail fungal infection, one should take precaution that the fungus should not progress further. One can apply some essential oils such as lavender, tea tree or olive essential oils alone or in the combination onto the affected areas.
Some of the naturopaths suggest using simple vapor rubs as simplest way to cure fingernail infection. Another great way to cure toenail fungal infection is applying diluted Listerine and clove’s oil that has capability to eliminate any infection especially fungal. If you are one of those people who observe their body keenly, you cannot fail to notice when your toenails change in color. Going with nail fungus untreated can especially the black variety can cause you to have tetanus. Like other nail fungus symptoms, those of black toenails are not any different apart from the color.
Look out for these black toenail symptoms and book an appointment with a podiatrist as soon as possible.
Although the pictures, give you an idea whether you have the fungus or not, only a doctor can determine this for sure by scrapping a piece from the infected toe and observing it under the microscope. When it comes to treating black toenail fungus, nothing works better than prescription medicine. The doctor can also choose to give you a pulsed black toenail fungus treatment where you do not have to take the whole dose continually, but break on monthly basis. These are taken for a period of 6 weeks to a year or a year and half depending on the drug. These topical treatments side effects as well, you could experience burning, itching, weeping, stinging and redness among other symptoms.
If you are too scared to try the prescription medications, you podiatrist could suggest nail fungus laser treatment, which also has a success rate of 80%-90%. Treating black toenail fungus at home works for most people when the infection is still recent. How to treat black toenail fungus using the above products requires patience and religious application. Getting rid of black toenail fungus is not easy if you do not change how you treat your toenails. Wear open shoes to enable your toes to breathe, only wear closed shoes when it is necessary. In fact, the fungus tends to thrive under some certain conditions, like a weakened immune system, skina€™s unbalanced pH level, continuous exposure to a moist environment containing poor hygiene, sweaty shoes and socks, and diabetes.
When left untreated, this condition could result in splitting, cracking and even whole loss of toenails. Apple cider vinegar is mildly acidic and could assist you in preventing toenail fungus from spreading. Alternatively, you could make an antifungal scrub of exfoliating by simply mixing the ground rice flour with several spoons of ACV. Having antiseptic and antifungal properties, tea tree oil can be an effective solution for your toenail fungus. You could mix several drops of tea tree oil with 1 teaspoon of the coconut oil or olive oil. Another great option when it comes to tips on how to get rid of toenail fungus is baking soda which is readily available staple in almost kitchens. You can mix A? cup of the baking soda with A? cup of 3% hydrogen peroxide and A? cup of Epsom salt and 4 cups of hot water.
Similar to apple cider vinegar, white vinegar also has antibacterial properties which could help in fighting off skin infection and restoring the pH level of skin. Remember that, in case your skin gets irritated, you should add more water to that solution.
With its antibacterial, antiseptic, antiviral, antiparasitic, antifungal, and analgesic properties, oregano oil could help treat toenail fungus naturally.
Not only will Listerine mouthwash help you get fresh breath, but it also allows you to treat toenail fungus naturally.


Containing the compounds like ajoene and allicin, garlic has antifungal properties that could help cure toenail fungus. In case garlic oil is not readily, you could make your own by simply frying about two crushed garlic cloves into 1-2 tablespoons of olive oilA before straining it. Owning both antifungal and antiseptic qualities, lemon juice with its citric acid can help stop the infection from spreading.
You can apply the fresh lemon juice over your affected skin area for about 30 minutes before washing it off wither the warm water. As an alternative, you could mix lemon juice with the olive oil (in the same ratio) to create a good mixture.
Use either of these treatments for several times per day for about 1 month or longer till you get good results. Having volatile compounds along with antiseptic properties, lavender oil could fight any type of infection and also prevent skin irritation. Among many natural ways on how to get rid of toenail fungus naturally, orange oil might be lesser known. You can make use of a dropper to apply the pure orange oil between your toes and both under and on your toenails.
It is worth noting that in case after using the methods on how to get rid of toenail fungus recommended in the list above, you still notice your problem get worse, you should seek medical help instantly. Aside from the tips on how to get rid of toenail fungus at home above, there are some steps you need to take to prevent the reoccurrence of toenail fungus, including avoidance of prolonged exposure to moisture and dampness, wearing open-toed, loose shoes often, eating a balanced dietA rich in nutrients, and so on. If you have any idea about this How ToA post, share your thoughts with us by dropping words below this article, we will feedback soon. VKool encourages comments, but please remember: Play nice, keep it clean, stay on-topic, and avoid promotional content.
Many people open up a free search engine and type in the question: a€?Why is my toenail black?a€? Most assume that ita€™s the result of an injury, which may very well be true.
Sudden blunt force trauma occurs when you drop something heavy on your toe or you get upset and kick an object much harder than your foot.
Runners toe occurs when the nail bed endures multiple minor insults, and is not restricted solely to runners. This results in a bruise that forms at the base of the nail, and may be accompanied by swelling. Medical treatments, topical anti-fungal medications as well as home remedies to treat a toenail fungal infection. It can have a significant impact on your social life, particularly if the fungus spreads to your fingernails – a frequent occurrence. One of the most common ailments is called Onychomycosis; there are four different sub-types of this condition. This is often paired with an array of other symptoms that worsen as the infection spreads deeper below the nail. Once you develop toenail fungus on one nail, it easily spreads to other nails due to direct contact between the skin of the toes and nails. In fact, nail fungus can spread among a nail salon’s clients if they re-use files, clippers and other equipment, without disinfecting properly. In advanced cases, the primary difficulty involves the fact that the fungal infection impacts the entire nail and it often colonizes the nail bed, located at the base of the nail – the area where new nail grows.
For most treatment methods, the anti-fungal treatment must continue as the nail grows out in order to achieve full, lasting treatment. In cases where only a portion of the nail is affected, just a portion will be removed by your podiatrist. This oil has natural antimicrobial properties, though scientific studies have not verified its efficacy.
This extract has natural antimicrobial properties and some believe it’s effective in treating nail fungus. Studies have found it’s a bit less effective than ciclopirox and about equally effective as ketaconazole, making it a suitable alternative treatment. There is anecdotal evidence for its efficacy, but there have been no scientific studies performed on this treatment.
This will lower the pH of your toenails, thereby making it difficult for the fungus to thrive.
Also, push back the cuticles to ensure you can apply the topical treatment right at the base of the nail. Therefore, it’s important to monitor your toenails for any symptoms of a nail fungus infection so you can seek out treatment as soon as possible. Disposables like nail files, pumice stones and grinders should not be re-used among clients.
A warm, dark, moist environment promotes fungal growth; so an airy, dry environment is ideal for limiting fungal growth. A balanced diet helps promote a strong immune system that will prevent the spread of fungus and promote healing. It’s best to clip after a shower or bath, as the nail will be soft and easier to remove. In addition, toenail fungus can lead to significant complications which are often painful; these complications can lead to secondary bacterial infection too. Often, the topical treatments must be paired with an oral anti-fungal medication that attacks the fungal on a systemic basis, from within.
Most cases of toenail fungus involve a condition called Onychomycosis, which actually has four different strains. Over the next few weeks, if untreated, the infection will progress deeper under the nail until the entire length of the nail is infected.
Common modes of transmission include sharing shoes and clothing with an infected person, walking barefoot in pool areas and gym showers, along with sharing pedicure (or manicure) tools and equipment with a person who is infected.
It can also be transferred when an uninfected nail contacts a shoe, nail file or other object that has contacted an infected nail.
Therefore, fungal infections can arise anywhere on your body where these conditions are present, including the genitals, face, scalp (particularly under matted, tangled hair or hair with braids, dreadlocks or a weave), ears, in your mouth, in your armpits, under your breasts and even in between skin folds. These tend to be the more effective (and more expensive) of the two options, as they treat the fungal infection from the inside out.
There are two methods that can be utilized, including a traditional surgical approach and a laser procedure.
The lasers can also be used to destroy the nail matrix to prevent nail re-growth in cases of chronic, difficult-to-treat cases of toenail fungus. I’ve heard that Listerine and Apple Cidar Vinegar (ACV) when soaked nightly can relieve it but most people have received bad results. Several years I suffered from nail fungus until my doc gave me the simplest tip he had: Just put cedarsoles made from cedarwood in all the shoes. During your daily shower use a soapy nail brush to brush away any dryness on or underneath.
There are many uses for vinegar, but who would have thought that it’d help toenail fungus?
I also didn’t know that one could get laser surgery on toe fungus, which is supposed to be an excellent form of medical treatment.
I have had this condition for 6 years now in 1 foot, although my other foot has just started to show signs of fungal too. If you really want to get rid of the overgrowth of fungus & yeast in your body, you absolutely have to eat a very clean diet.
Within the first week after only a few days I noticed I no longer had to spray my feet several times a day. I now take a pill when I get up, use Lamisil cream in the morning and apply the Ketoconazole at night. Doing it all = mixing vinegar bleach, peroxide, and Listerine (all full strength btw) and soaking my feet in it for 30-60 minutes a day. Then I’ll make a cornmeal paste and let it sit on my toenails probably until it dries. These essential oils are having healing property for the skin and hence, can be effective in treating the toenail fungal infections. However, there are no researches, studies or clinical trials, but vapor rubs are considered to be effective treating toenail infections especially the fungal infections.
Furthermore, the discoloration will cause you embarrassment and you may want to hide your toenails all day long in closed shoes or under layers of nail polish. Apart from the above causes, it could also be a sign of melanoma, a skin cancer that also affects the nail.
This is why you should avoid lifting heavy objects as the impact of the weight is felt on your toes and feet.
You have to follow the instructions and advice of your doctor while on treatment for it to be smooth. The other treatment is surgical removal of the infected toenail leaving room for a new and uninfected to grow. For starters, how to get rid of black toenail fungus requires that you wash your feet and toenails regularly and dry them thoroughly. On the other hand, a blow drier will dry out the moisture that makes the fungus thrive in your toenail. The symptoms of toenail fungus include swelling, inflammation, yellowing, crumbling and thickening of the nail. However, luckily, there are some ways on how to get rid of toenail fungus naturally and fast without too much cost.
Then, you use one cotton ball to dip into that mixture before applying it over your affected area.
Baking soda could be used to treat toenail fungus while still neutralizing your foot odor naturally. Listerine mouthwash could kill germs and bacteria within your mouth and also your toenails thanks to some compounds which act as a strong antiseptic. In case your skin is sensitive, you should dilute that essential oil with the same amount of carrier oil, like grape seed oil.
The advanced cases of well-established nail fungus usually require medical remedy using prescription medications along with other treatment methods, such as surgical debridement.
More importantly, maintaining good personal hygiene is always necessary for infection-free skin. Usually, black toenails indicate that the nail is dying, though there are numerous potential causes. Injury can be broken down into two main categories, sudden blunt force trauma and repeated minor insults.
A blunt force injury severe enough to kill the nail will often render you unable to walk because of the level of pain associated with it.
Wearing socks or shoes that are too small can result in this, those it is more common among athletes than anyone else. Black toenail fungus often results in the discoloration of the toenail, though it depends on the severity of the infection.
Onychomycosis accounts for a significant portion of all nail infections, with up to eight percent of all adults affected!


Ultimately, the fungus can affect the entire nail, including the nail bed – the area where the new nail grows from; this causes all new nail growth to be infected as well. It can also spread via nail files and clippers, so it’s essential to use separate clippers and nail files on infected nails.
In order for the treatment to be successful, an entirely new toenail must grow in while you’re undergoing treatment. The topical medication is typically painted or rubbed onto the nail twice daily until the entire nail grows out and it’s replaced by healthy nail – a process that can take up to a year. The sooner you treat the fungal infection, the easier and less time consuming treatment will be. If your feet sweat profusely, consider changing into fresh socks and use an absorbent powder to remedy this issue. The bacterial infection can pose a serious risk in individuals with an underlying condition like diabetes or immune compromised individuals.
So the  development of this condition varies depending on the precise type of fungus and the conditions.
Fungus is always present in certain areas of your body and the antibiotics kill off the body’s natural bacteria which serve to keep this fungus in check, so over-growth occurs, resulting in a fungal infection.
There are several varieties of laser therapy approved for use in the United States, including pinpointe-type laser therapy, Fox Diode laser therapy and Noveon-type laser treatment. Alternatively, some apply pure, 10% (or greater) essential oils, like tea tree oil, orange oil and thyme oil. They can be effective, but you must follow the directions and continue treatment until the entire nail has grown out. Because the cedar is the most antifungal tree in nature it also works in relation to nail fungus. Dry the nails when you get out of the tub while drying your hair, applying makeup whatever..
Well, I started using Vicks, rubbing it on my toes after I thoroughly dried my feet with a clean towel. The fungus has not worsened or spread to any of my other unaffected nails, on either my hands or feet. I figure it can’t be any more damaging to my liver than being a hardened alcoholic for some 50, 60, 70 years and I’ve known plenty of drunks who lived to age 80 and beyond cancer free. Since the instructions say the tablets can intensify the effects of caffeine I stopped drinking it but the headaches were severe enough that I was tempted to stop the med which was clearly working so instead I just drank some coffee and after I only had a mild headache for two days and then it went away. Has a y one else developed toe nail fungus after something like this a d found a way to help?
Umm no it’s fungus and it is what is helping to cause all this trauma and doing most of the subjecting that is being done!!!!!!!!!! The socks are to be washed with disinfectant solution and one should put disinfectant powder in the socks and shoes. Some of the people suggest using vinegar; whether white or apple cider to cure fingernail or toenail fungal infection in a safe way. Soaking affected food into the lukewarm water containing fresh raw garlic bulbs can also help curing the situation up to major extent. However, if the nail has almost destroyed due to the fungus that has now deeply seated into the nail tissues and is not responding to any of the natural or home remedies, local incision remains the only treatment.
When they are black, you could have contracted fungus and the best thing is to seek treatment as soon as possible. Therefore, it is important to have a podiatrist check it out before you begin applying topical creams or taking oral antifungal medicines. Furthemore, if you drop the heavy objects on your toes the black spot will automatically appear as a sign of injury. Therefore, you may require to have a discussion with your doctor and schedule tests to investigate how your kidney, liver, bone marrow and skin are doing while under the medications. People who have had adverse side effects may not have kept their appointments with their doctors. However, if you let your doctor know about what else you are using, he or she can give you a prescription that will go alongside what you are currently using.
Soak your feet in warm water reaching your ankles, which should have ? a cup of vinegar added to it, or warm salty water instead.
You may have to wash your feet and toenails every morning and evening before applying a home remedy or a prescription cream.
The following at-home remedies resorting natural ingredients available in any local grocery store. Then, soak your affected area into the solution for 30 minutes before scrubbing your affected area gently and thoroughly.
Having antifungal properties, orange oil could treat infected toenails and skin infection as well. Some are serious, and only a medical professional can give you a definitive diagnosis about why a toenail is black. Usually, the toenail will gradually begin to bruise at the base, and work its way up, unless you hit it in the center of the nail, which usually doesna€™t cause a bruise. This is because athletes are on their feet constantly, often running, and with each stride they apply force on the nail, they cause more damage. Runnera€™s toe can be as painful, if more painful than blunt force trauma, once circulation has had the chance to return, though with repeated minor insults, adrenaline usually masks the pain associated with it, so many runners are unaware of the result until it’s too late. Commonplace topical drugs include amorolfine, butenafine and ciclopirox, also called ciclopiroxolamine.
If you can catch the toenail fungal infection before it spreads throughout the entire nail and before it becomes established in the nail bed, the treatment can be much faster – a matter of weeks instead of months. If an individual’s hands or feet are continually wet or in closed-toed shoes, this can accelerate the development.
I would definitely try out the natural methods before ever seeing a doctor, as one can usually cure things like this with natural remedies. Since I still have that last little bit to clear up I spoke with my doctors who prescribed a second round of tablets and Ketoconazole cream. My feet haven’t looked this good in years and more importantly my feet haven’t felt better in over a decade. It gets enough sweat or moisture to live and spread and finally, makes the nail discolored, one of the features of fungal infection of the toenail.
Such powder absorbs the sweat and other moisture from the fungus infected nails and cuticles keeping them dry and healthy.
Garlic is disinfectant, anti-fungal and antibacterial agent that can cleanse that local area in very effective way. This is the surgical procedure in which, the affected nail is removed and then the affected area is covered with bandage for some days; patient being on antibiotic courses should change the dressings on the regular basis. You should get the best nail fungus medication, as it is the only cure for black toenail fungus. Thanks to the olive oil, your skin will be soft while lemon juice could help you control fungal infection naturally. Nevertheless, orange oil could lead to allergic reactions and even some secondary effects; thus, it is crucial for you to test some orange oil on just a small spot of your skin before starting to use it.
It could mean that the infection has caused bleeding beneath the nail bed, much to the likes of a blood blister. If any infected nail remains when you cease treatment, it won’t be successful and the toenail fungus will recur once you cease treatment. I cut the nail as short as possible without bleeding of overdoing it before I applied the ointment. I’ve been using over the counter topical Lamisil cream twice a day in conjunction with the pills. Then at night, if it isn’t night already, I will wash them, then spray with the liquid ingredients that I soaked in, then dry and coat with cream and rub before covering.
One should keep in mind that after any application or soaking, the toenail are to be thoroughly dried because if it remains wet or moist, there are fair chances for fungus to grow again. Find out the causes, symptoms and treatment for black fungal infection on toenails shortly. I lifted my nail as much as possible and pushed the ointment in there, then on top and all the way around.
I made sure to use a clean towel daily, wash everything I wore that day and apply some type of anti-fungus powder, cream to both my shoes, socks and flip flops. I wear flip flops at home when I am not at work to keep them dry and free of dark dampness. People who have acrilic nails sometimes get fungus under them and this is how they cure it. All the cures, Vicks, vinegar, OTC products, and doctor's scripts do one thing by killing the virus while the nail grows completely out.
Don't apply it to the nail, apply it around the nail and under the nail, being careful to get down deep into the crevices. The medication ranges from medication taken internally or topical, ALL was way too expensive and unreliable!
I saw my mother with it in the toenails and fingernails (raised her 9 children and kept a large garden), younger brother had suffered with it in all his fingernails and lost them, this takes many weeks and months to grow back. Never again will I suffer this, been years since and never came back, too bad my folks suffered before me!By Deb S. There are products on the market, but the key is consistent use daily over several months, if not always, and cutting damaged nail away as it grows.
I tried Vicks (which seemed to work, but I wasn't great about doing it regularly), soaking in Epsom salts, hot water, tea tree oil, etc.
My doctor said that there are pills that will kill it off, but that the pills are very hard on your body, much worse than the fungus itself. I finally made an appointment with the podiatrist and he removed a strip of the nail, right down to the bed. I don't have to feel embarrassed when wearing sandals or feel like I need to have my nails painted all the time.Good luck! I would keep it by my bedside with cotton swabs and dab some all over my toenail and the surrounding skin area. However, it did not work for me until I took a suggestion from my doctor and began filing the toenail as paper thin as possible before soaking it in warm water and Epsom salt. It has been about 3 months now, but it has gotten significantly better and so patience and diligence is a must too. My 82 year old mother had done everything her doctor prescribed including internal meds, external soaks, drops, and wraps, all to no avail.



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