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04.03.2015, admin
When fungi infect a nail, the result can be an infection of nail fungus called onychomycosis. When a nail is infected, a condition called onycholysis may also develop, which causes the nail to separate from the nail bed. Toenail fungus infections are often hard to treat, because it is difficult to reach the infection that embeds itself inside the nail. After a fungal infection gets started in a nail, it will usually remain indefinitely unless it is treated, so begin to treat the condition at the first sign of nail fungus. Older people usually have reduced blood circulation, and their nails grow slower and get thicker as they age, causing a greater risk for infection. People with immune systems weakened by AIDS, leukemia, cancer treatments or other medication and those who have diabetes or have had an organ transplant should see a doctor immediately if they have symptoms of nail fungus. Even people who do not have weakened immune systems may experience pain and permanent damage to their nails from fungal infections. Molds and yeasts or a group of fungi called dermatophytes can cause nail fungal infections. They typically cause infections only when your exposure to warmth and moisture is continuous.
Always use good hygiene, keep nails clean and wash your hands after touching a nail that has infection to prevent spreading it to other nails. Wear synthetic socks to draw moisture away and to help keep your feet dryer than they would be if you wore wool or cotton socks. If you get pedicures, either bring your own instruments, or ensure that your nail salon sterilizes their instruments before using them on your toes.
Psoriasis, contact dermatitis, yellow nail syndrome, nail bed tumor and other conditions can appear to be a nail fungal infection, so your doctor will need to scrape some of the debris from under your infected nail and analyze it to identify the cause of your infection.
If your infection is not severe, your doctor may prescribe ciclopirox, an anti-fungal nail polish called Penlac, for you to apply to your nails and skin every day for about a year.
Your doctor may advise you to use other topical anti-fungal medications, and apply them along with a non-prescription lotion that contains urea, which helps them absorb faster.
Oral medication is frequently recommended for people who experience pain or discomfort due to a nail infection, have diabetes or cellulitis and for those who dislike the appearance of their infected toenails and want an effective treatment for it.
Possible side effects of anti-fungal drugs can be as minor as skin rashes or as severe as liver damage. If you have a very painful or acute nail infection, your doctor may recommend surgical removal of your nail.
Photodynamic therapy involves using a laser to irradiate the nail after treating it with an acid. Some people prefer to treat toenail fungus with home remedies because they are less expensive, and the medical treatments are not always effective. People with toenail fungus have reported that applying Vicks VapoRub to the affected area has helped with the condition. Some people have reported that applying hydrogen peroxide to infected nails daily helps the condition to some extent.
You may be able to cure toenail fungus with household bleach diluted in water and applied to the toenail. Use toenail clippers to trim your nails as short as you can without cutting into the quick. Mix one part of bleach with ten parts of water and apply to your infected toenails with a cotton swab.
Mix one part of bleach to ten parts of water and soak your feet in the solution for 15 to 20 minutes every day. You may soak your feet in the mixture for 30 minutes one time a week if your condition is less severe, or to eliminate the possibility of recurrence after a cure. Keep soaking your feet for at least three months to be certain that your fungus is completely eliminated. Some natural ingredients are successful in helping to heal fungus, but they may not work very quickly or be as effective as you would like them to be. ZetaClear has proved to be effective in treating toenail fungus with all natural ingredients. Fungisil is another highly effective product and produces the same results as ZetaClear, but it may take about a month longer for some people to eliminate toenail fungus. The following remedies have no scientific verification, but have been effective in treating toenail fungus for some people.
Some people report curing toenail fungus with Australian tea tree oil, but there is no verification of its effectiveness. Some studies show that Thyme oil has the potential to be effective in treating toenail fungus. Some people believe that grapefruit seed extract is a natural antimicrobial, but studies show that the antimicrobial activity in the extract may be due to contamination with synthetic preservatives that were probably not made from grapefruit seeds. The cost of laser treatment can be from $1000 to $2500, and insurance policies usually do not cover the procedure. Non-prescription creams and ointments are fairly inexpensive sometimes costing less than $20 – but are usually not very effective.
Alternative remedies usually cost less than $50, but there are no studies proving their effectiveness. Home remedies are very economical and usually use products that you already have in your kitchen.

It does not seem to matter whether you use prescription medication, natural products or home remedies to treat toenail fungus it takes at least a minimum of three months to cure, and sometimes the process takes over a year.
My name is Kim Wang and this site is my work in progress helping to pass on some of the things my mother has taught me over the years. I am a Type 2 diabetic and have been receiving treatment for a toe infection for four months. A natural-looking cosmetic improvement of the nail using light cured resin, similar to a white filling, with anti fungal properties which grows out with the nail.
The toe nail is made up of several parts, each of which serves a specific function – the nail plate is the large, flat part of the nail; on the leading edge of the nail plate (the distal edge), where the underside of the plate attaches to the front of the toe is the Hyponychium.
Diseases that influence local and systemic immunity can predispose to onychomycosis, including diabetes mellitus, HIV, and peripheral ischemia.
There are different classifications of nail fungus — depending on type of fungus and manifestation — which may have somewhat different signs and symptoms. These medications help a new nail grow free of infection, slowly replacing the infected portion of your nail.
Antifungal lacquer:  If you have a mild to moderate infection of nail fungus, your doctor may prefer to prescribe an antifungal nail polish called ciclopirox (Penlac).
Surgery:  If your nail infection is severe or extremely painful, your doctor may suggest removing your nail.
A white or yellow spot appearing under the tip of the nail may be the first sign of a nail fungal infection. Men tend to be more prone to toenail fungus than women, especially if they have a family history of the condition. Toenail fungus occurs more frequently than fingernail fungus, because shoes provide a perfect warm, moist environment for fungi to flourish, and the blood does not circulate in the toes as well as it does in the fingers, so your immune system does not fight against the infection as effectively in the toes. During cold weather, you can wear wool or cotton socks over the synthetic socks to keep your feet warm. You can get non-prescription ointments and creams to treat it, but they usually are not very successful in curing the infection. You should apply the polish daily for a week, and then use alcohol to wipe off the layers of Penlac and start the process again, keeping it up for a year. Your doctor may decrease the amount of infected nail to treat with a process called debridement – filing the surface of your nail. Consequently, doctors may advise people who have liver disease, congestive heart failure or are taking certain medications not to take anti-fungal drugs. You will probably grow a new nail to take its place, but it may be a year long process for it to completely grow back. These home remedies have no controlled clinical trials to prove their effectiveness, but some people have reported that they helped or cured their nail fungus.
Experts recommend that you soak your feet in a solution of one part vinegar to two parts warm water for 15 to 20 minutes every day.
The peroxide helps to control the excessive bleeding that occurs if you trim a nail too closely. If you do not see improvement in a few months, continue the treatment for at least a year before giving up.
However, there have been some very effective products developed recently, and they seem to produce successful results rather quickly. The product proved to be 100% effective in tests, and most users reported improvement in about two weeks. I started a blog where I take a picture every week to document whether it’s actually working.
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Initially there is a distal yellow or white patch of discoloration that extends and darkens with time, the nail becomes thickened and crumbly, and then splits. The nail bed lies under the nail plate, and at the rear of the nail you will find the lunula, which is the lighter crescent shape where the back of the nail joins the finger.
Over-the-counter antifungal nail creams and ointments are available, but they aren’t typically very effective. Studies have shown the most effective treatments to be terbinafine (Lamisil) and itraconazole (Sporanox). You typically take these medications for six to 12 weeks, but you won’t see the end result of treatment until the nail grows back completely. You may be advised to use these creams with an over-the-counter lotion containing urea to help speed up absorption.
The basis of laser treatment is to try heat the nail bed to these temperatures in order to disrupt fungal growth. A new nail will usually grow in its place, though it will come in slowly and may take as long as a year to grow back completely.
Although it may be tempting to hide nail fungal infections under a coat of pretty pink polish, this can trap unwanted moisture and worsen the infection. The nail may become discolored, thickened and develop brittle crumbling edges as the fungus goes deeper into the nail.
Toenail fungus can also cause serious complications for people with diabetes or for people with suppressed immune systems.
However, there are various home remedies as well as medications available to treat nail fungus.

Diabetics frequently have an impaired nerve supply to their feet because of poor blood circulation and have a greater risk of developing a serious skin infection called cellulitis. The warm, moist environments in showers and swimming pools are ideal places for these microscopic organisms to live, and they can attack your skin even through invisible cuts or a tiny separation between your nail and nail bed. People over 60 years old usually have a slightly weakened defense against the invasion of fungi, so they are more prone to develop toenail fungus as they age. Yeast and bacteria microorganisms as well as fungi can infect your nails, so your doctor can decide on the best treatment when he or she knows what is causing your infection. It has been effective in clearing some toenail fungus infections when used as directed, and it is usually more effective when used in combination with topical urea cream. When you take these medications for six weeks to three months, you should grow a new nail without infection, taking the place of the infected nail. After removing the infected nail, your doctor may treat the nail bed with ciclopirox to help prevent recurrence of the infection.
Physicians have been using a Noveon-type laser for some types of cataract surgery, and it is now proving to be quite effective at treating toenail fungus with no pain.
As with all toenail fungus treatments, it can take a long time six months to a year for any remedy to work, so do not become discouraged and stop the treatment too quickly.
If you are not consistent with the treatment and let it lapse, the fungus may get stronger, and you will have to start over. The following products were tested and proved to remove toenail fungus and improve toenail appearance dramatically. Their toenails were free of fungus after about three months, but some people kept using the product for a while longer to ensure that the infection would not recur. The fungal infection was completely gone after only three months of use for 80% of those tested. Whichever remedy you decide to use, be patient and persistent, use good hygiene and common sense and then finally say good-bye to toenail fungus. Other less common patterns of involvement include white superficial onychomycosis and proximal subungual onychomycosis. Toenail infection is more common than fingernail infection, and often all toenails become infected.
This part is the cuticle, and as you trace the edge of the fingernail around the side the joining of nail and epidermis is called the lateral nail fold.
Topical medications usually don’t cure nail fungus, but they may be used with oral medications. The condition is usually not painful and often has no other symptoms, but it is unsightly and can be painful for some people. Even a seemingly minor injury or nail fungal infection can cause potentially serious consequences for people with diabetes. Ciclopiroxolamine and butenafine are also used to treat nail fungus and are effective when used every day for a year or longer. Topical medications normally do not cure the toenail fungus unless you use them in combination with oral medications. It may take more than four months to get rid of an infection with these medications, and the infection may return if your feet remain in a warm, moist environment.
Even common laser pointers can aid the appearance and growth of an infected nail when they are pointed close to the nail for a few minutes each week. If the vinegar soak causes irritation, make the solution weaker, or soak for a shorter time or less frequently.
According to a large North American Study by Columbia University College of Physicians and Surgeons, chronic fungal infection of the nail affects up to 14% of the population.
Adjacent skin is usually infected and it can become a painful condition leading to functional impairment. Mycological examinations (direct microscopy and culture), the most commonly used diagnostic methods, have a false negative rate of approximately 30%. Recurrent infections are possible, especially if you continue to expose your nails to warm, moist conditions. Your doctor may file the surface of your nail (debridement) to lessen the amount of infected nail to treat and possibly make the topical medication more effective.
If the nails become very thick, wearing shoes may be uncomfortable unless you trim down the thickness.
When you use terbinafine in conjunction with amorolfine nail lacquer, it can be more successful and produce more cost effective results. ZetaClear uses natural oils in its formula and is extremely potent, but it does not cause skin irritation.
Histological analysis of periodic acid Schiff (PAS)-stained nail clippings significantly adds to the sensitivity of nail cultures.
However, you must use great care when trimming the thickened nail, because excessive bleeding may occur if you cut into the quick.

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