The antifungal medicines used for treatment need to be taken for several months - sometimes longer.Treatment that clears the infection does not always restore the nail's appearance to normal.Treatment does not always cure the infection.Some people may prefer not to take treatment because: For example, a single small toenail may be infected and remain painless and of little concern. This is an option if the infection is mild or causing no symptoms. This photo shows fingernail fungal infection, which is less common than toenail fungal infection: Tinea unguiumįungal nail infection treatment Not treating This photo shows the typical appearance of fungal infection of the toenails: Walking may become uncomfortable if a toenail is affected. If left untreated, the infection may eventually destroy the nail and the nail bed, and may become painful. The skin next to the nail may be inflamed or scaly. White or yellow patches may appear where the nail has come away from the skin under the nail (the nail bed). The main reason people see their doctor is because the appearance is unsightly. Commonly, this is all that occurs and it often causes no other symptoms. The nail may look thickened and discoloured (often a greeny-yellow colour). Often the infection is just in one nail but several may be affected. Fungal germs are common and an infection can occur 'out of the blue'. In some cases there is no apparent reason.Smoking also increases the risk of developing a nail infection.Nail infections are more common in people who live in hot or humid climates.A general poor state of health such as heavy alcohol consumption.A poor immune system (for example, if you have AIDS or are on chemotherapy).You have an increased risk of developing a fungal nail infection if you have various other conditions - for example:.A nail that has recently been damaged is also more likely to become infected. Constant washing may damage the protective skin at the base of the nail. For example, if you are a cook, a cleaner or a hairdresser. Fingernail infections are also more likely to occur if you wash your hands frequently, or have them in water a lot.The fungus may spread to a finger if you scratch your itchy toes and toenail. Fingernail infection may occur after a toenail infection has become established.See the separate leaflet called Athlete's Foot (Tinea Pedis). This may spread to the toenails if the skin infection is not treated early. For example, athlete's foot (tinea pedis) is a fungal skin infection of the toes.
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