Ingrown Toenail – Remedies, Treatment and Surgery options

20. July 2010

Ingrown Toenail(s) Infection

An ingrown toenail occurs when the nail grows down and into the skin of the toe. It is caused by abnormal growth of the toenails, usually the big toes, and the surrounding tissues. When the lateral edges of the nail grow into the flesh of the toe, the small piece of nail or the whole nail applies pressure on the skin resulting in pain, swelling and redness. If the condition persists, it also results in infection and inflammation. Patients with ingrown toenails are among the most common visitors to chiropodists or podiatrists.

The condition of ingrown toenails is known by various terms like toe infection, nail infection, ingrown nail or onychocryptosis. Infected ingrown toenail is a very common problem affecting primarily the big toenails. Most people develop an ingrown toenail big toe during their 20s and 30s, but it is also seen in teenagers in case of a tearing in the corners of their toenails.

The sideways growth of the nail edges into the skin of the toe causing discomfort. The abnormally growing nail acts like a foreign body and causes a break in the skin due to the constant poking. The ingrown nail can also apply pressure in the nail fold area without any skin penetration causing pain though it isn’t considered as ingrown toenail. In some cases, a corn/callus is also noticed down the side of the nail as a reaction to the pressure instead of the nail actually penetrating the skin.

Ingrown Toenail Symptoms
Symptoms of ingrown toenail include sore and painful nail folds with redness and swelling of the surrounding skin. Infection of tissue and tenderness in toe along the sides of the nail and pain is observed along with increased warmth. In a few cases where the condition is chronic, repeated episodes of pain and infection or one of these occur. An infection may be present if the skin is red, painful or swollen on the sides of the nail. This infection may cause complications for diabetics or other patients due to poor circulation of blood on their feet. If left untreated, the nail can go under the skin causing more severe ingrown toenail infections.

An examination of the infected foot may show skin which is swollen, firm, red, or tender to touch. Presence of pus in ingrown toenails is also reported in some cases. Skin along the edge of the nail appears to be growing over the nail.

Ingrown Toenail Causes
An ingrown toenail can develop due to various reasons like poorly fitting shoes and toenails that are not trimmed the right way. Cutting the toenails incorrectly, too short or not straight across causes them to re-grow into the skin. Tight hosiery or footwear with narrow toe boxes makes it even worse.

Injuries to the toenail and deformities of the foot or toes like unusually thick toenails and curve toenails are also the factors for an ingrown toenail. It can also be hereditary in some cases.

Ingrown Toenail Risk Factors
The risk factors for ingrown toenails include poor fitted footwear, poor foot hygiene, athletic adolescents and children, toenail infections, diabetes, obesity, naturally short nails, congenital foot deformity and congenital toenail malformation. Repeated injuries to foot, prior nail surgery, poor posture and gait, fungal nail disease, abnormal nail growths, arthritis and excessive foot sweating are also some of the other risk factors.

Persons with very long toes and also those born with curved nails that tend to grow downward are also prone to ingrown toenails. Anyone can develop this condition but adults are more prone to suffer as the nails tend to thicken with age.

Ingrown Toenail Remedies
How to get rid of an ingrown toenail?
This condition can be resolved without medical treatment unless it’s a complicated case where a physician is required for treatment. An ingrown toenail can be unpleasant and painful. Hence, here are a few ingrown toenail home remedies:

Soak your foot for approximately 15 minutes in warm water with a tablespoon of common salt added to it. Warm water in the presence of common salt acts as a natural disinfectant preventing infections by cleansing away dirt particles and destroying breeding germs. It also softens and heals the skin tissue of the infected toe. After soaking for 15 minutes, dry the foot with a soft towel and twist a small cotton wool ball into a thin thread and wedge it under the ingrown nail. If this process is repeated for a few days before bed, the nail will start growing outwards.

Tying up a lemon slice around the affected toe before bed can heal the infection. The acidic lemon juice fights against microbial growth and prevents the spread of the infection.

Cleaning the area with water and a solution of hydrogen peroxide is also a remedy for toenail infection. Peroxide is capable of healing minor infections.

Infusion of iodine also helps in healing an ingrown toenail. It is also potent in inhibiting bacterial growth. However, this method should not be used on a deeper wound.

Gently massage the skin surrounding the ingrown toenail with some tree oil as it softens the tissues of the nail and relieves pain. It also eases out the pressure created by the nail on the surrounding skin.

These home remedies for ingrown toenail, however, work only as long as a  infection doesn’t develop. When a  infection is observed, consulting a podiatrist at the earliest becomes necessary as complications may result if the wound goes deeper. Those who are suffering from diabetes or other conditions affecting blood circulation should never treat the ingrown toenails on their own and should consult a doctor.

Ingrown Toenail Treatment
When an ingrown toenail infection is found, immediate treatment is necessary otherwise it may lead to other infections. Here are a few tips on how to treat ingrown toenail?

In an early stage, as part of ingrown toenail home treatment, the pain and swelling can be relieved by soaking the foot in warm water and adding some Epsom salt to it. Epsom salt, being an antiseptic, will heal any signs of mild infection.

Tight socks, hose or shoes should be avoided as these tend to put pressure on the toenails.

Shoes that are broad at the base should be preferred as they are comfortable to wear. In case of an infection, open-toed sandals are the best. Try to wear socks so as to keep your feet covered to prevent infection.

Avoid painting the toenails while they are in-grown as unnecessary chemicals near the site may cause infection.

For cutting the nails, the toenail clippers should be used. Toenails should not be kept too short.

Always trim the toenails in a perfectly straight line. Do not ever try shaping them because that makes them more likely to become ingrown.

For fast pain relief, ibuprofen or acetaminophen can be used.

Placing a small cotton ball under the ingrown nail will work to keep the affected area safe. This will also help in nail grow and reaching over the skin. The cotton should be changed daily so as to keep a check on infectious growth.

Once affected, there is a great possibility that it will happen again so preventive measure should be taken.

For treating ingrown toenail, the cotton method should always be applied along with antibiotics as antibiotics only reduce the infection and don’t help in growing the nail back out.

Toenail is very susceptible to infections when it is in-grown, so the best should be done to keep it covered and clean for ingrown toenail relief.

Ingrown Toenail Surgery
If the ingrown toenail condition is not cured by home remedies or treatments and it keeps recurring, surgery becomes mandatory as the final ingrown toenail treatment. An ingrown toenail surgery is minor and involves a simple procedure.

A local anesthesia will be administered before the surgery and then the toe will be cleaned with an antiseptic to avoid infection. The nail will be removed after loosening it using a scalpel.

In mild cases, only an edge of the nail may be removed without disturbing the nail bed. However, in  cases, entire nail will be removed and the nail bed cells are killed by liquefied phenol or a laser or else a surgical debriding. But the nail won’t ever grow back in case of killing the nail bed cells.

Dressing will be done using a non-stick paraffin gauze and crepe bandage. The foot should be kept elevated and rest should be taken for 2-3 days. In case of an ingrown toenail removal, 3-4 months are required for the nail to grow again.

Ingrown toenail surgery isn’t much costlier and varies according to the time required and severity.

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Liver Pain – Location, Causes, Symptoms and Treatment

17. July 2010

The liver is situated on the right side of the abdomen just below the ribs and the diaphragm which separates the chest and the abdomen. It’s not only the largest gland but also the detoxifier of the human body. The various functions of liver include break down of food (including fats and nutrients), conversion of glucose to glycogen, producing urea, purifying blood from harmful substances, producing amino acids, storing vitamins and minerals and maintaining the glucose level in blood.

The liver acts as a detoxifier by filtering the wastes of the human body. Apart from various other reasons, any underlying condition can result in the non-functioning or poor-functioning of the liver usually causing pain in the liver. Moreover, liver pains are observed and in fact play a major role in a variety of conditions like Wilson’s disease, Gilbert’s syndrome and Hepatitis A, B or C.

Pain in the liver can be a part of our life due to a couple of reasons like fatty liver pain, liver cancer pain, cirrhosis or other chronic or acute diseases of liver. The most common cause of cirrhosis disease is Alcoholic abuse. The basic means of the inflammation of liver is when liver cannot filter poisons, drugs, toxins and these types of other doses in order to recover the body by flushing them out. Additional cases of liver damage include autoimmune deficiency, hepatitis, and even overuse of acetaminophen (Tylenol).

Where is liver pain felt?
Oh, that’s so easy to answer!!  Isn’t it? The obvious answer would be ‘in the liver’. But there is more to it than just ‘in the liver’.

Liver pain location: Liver pain is usually confused with abdominal pain, kidney pain or back pain due to its location. It is felt in the upper-right quadrant underneath the rib cage. Usually felt as a dull ache, liver pains can be sharp and in some cases, experienced along with back pain.

Fatty Liver Pain
When there is an accumulation of a large amount of fat in the liver, it results in swelling. This condition of swollen liver is known as steatosis. In steatosis, only presence of large amount of fat is noticed without any inflammation. However, when fatty liver occurs along with inflammation, the liver cells are damaged and this condition is known as steatohepatitis.

Diabetes, obesity and over-consumption of alcohol are known to be the major factors for fatty liver pain.

Swollen liver pain is caused by the expansion of the liver. As the liver expands, its membrane is stretched and the organ gets heavier. This results in abdominal pain which intensifies slowly if left untreated.

Causes of Liver Pain
There causes for liver pain are as different as its symptoms.

Steatosis, also known as fatty liver causes liver pain. The presence of excessive fats causes the liver to swell and this result in liver pain.

Diabetes type-2, hypertension and metabolic syndrome are some other medical conditions that are responsible for the pain in liver.

Enlarged spleen presses the liver causing liver pain.

Liver pain is also observed after drinking alcohol and it is among the most common factors for it.

Patients in the last stage of liver cancer undergo intense liver pain along with other problems like weight reduction, tiredness and lack of energy.


Other possible causes of liver pain:
•Biliary obstruction
•Bearn-Kunkel syndrome – liver pain
•Cholangitis
•Congestive cardiac failure
•CMV
•EBV
•Dubin-Johnson Syndrome – liver tenderness
•Fatty liver of pregnancy
•Drugs
•Fitz-Hugh-Curtis syndrome
•Gallstones
•Hepatic vein thrombosis
•Hepatitis causes swelling of the organs and thus results in pain in the right rib (liver pain in right side).
•Hepatic abscess
•Hydatid cyst
•Hodgkin’s disease
•Hepatocellular carcinoma
•Liver abscess – tender liver
•Leukemia – tender liver
•Metastatic carcinoma
•Lymphoma
•Pylephlebitis – tender liver
•Mononucleosis – liver tenderness
•Schistosomiasis japonica – tender liver
•Schistosomiasis – liver tenderness
•Toxins
•Schistosomiasis mansoni – tender liver
•Weil syndrome – liver tenderness
•Tuberculosis
•VLCAD deficiency – Liver pain


Liver Pain Symptoms

Other than numerous other symptoms and signs, the initial symptom of liver pain is a sharp and dull pain in the upper right abdomen underneath the rib cage accompanied by a skin rash. Liver pain symptoms also include itching, pain while inhaling or coughing, difficulty in breathing, swollen testes, nausea, vomiting, brownish blemishes and spots over skin, dark circles under the eyes and yellow discoloration of the eyes like in jaundice. Abdominal swelling is also noticed even though there is a weight loss.

Liver Pain Treatment

Treating a liver pain is possible only by initiating with elimination of the possible causes of the disease. Taking the example, an alcohol or drug addict should quit alcohol and drugs completely before starting the medications. There are some possible treatments to get relieve from pain of liver:

•Sufficient hydration and electrolyte repletion
•Therapy must be preponderantly preventive, good sanitation, relying on clean drinking water, and appropriate personal hygiene
•It’s only advisable for those patients to be hospitalized who are unable to maintain oral intake
•Flagyl
•Antiviral agents
•Interferon alpha II b
•3TC
•Entecavir
•Adefovir
Remedies and Alternative Cures for Liver Pain
•A few safer, simpler and easiest techniques to cure your liver -
•Water is very important for the human body and it helps to remove the toxins too, so it’s advisable to take at the least 8 glasses of water per day.
•Diet also plays a very significant role; try to switch your diet with some fresh fruits and pure juices, and fresh vegetables. Asparagus, plums, legumes, broccoli, and brown rice are also very effective particularly.
•Take supplementations of whole-food. As we all may already know that cirrhosis contains Vitamin B1 and it’s proven by almost all physicians that Vitamin B1 can be helpful to decrease glucose of blood levels found in the human body. Insufficiency of Vitamin A is also declared as the strong reason for the peoples who are suffering from the liver diseases, and Vitamin K is another proven advantageous thing as well.
•Linseed oil is very essential fatty acids helpful and required for the proper function of liver.
•To flush away the toxins from the body as quick as possible, Herbal detoxification can be a good way to do so.
•The above listed steps are practiced and recommended by a lot of doctors.
Liver Pain Do’s and Dont’s
Apart from the treatments and medications, there are some other things to be observed and avoided when suffering form liver pain.

A lot of people with damaged liver function have excessive protein in their body, which can build up extra-ordinary amount of ammonia in the body.

Alcoholic abusing is always said to be the one of the worst thing for the human body, don’t drink alcohol.

Do not take any type of medicines or drugs without the prescriptions of physician. Anything containing acetaminophen is hazardous for the liver patient, try to avoid it; it can be dangerous for the peoples suffering from such diseases.

Mostly, you can care your liver health by diet, supplements of whole-food, and through avoiding those things which can cause dysfunction of liver. Some of the conditions are non-reversible like cirrhosis and have a hopeless prognosis. Health is wealth, Take care of your health and liver now.

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Aching Legs : Leg Aches Causes, Symptoms and Remedies

17. July 2010

Aching Legs and Feet
Nowadays, leg pain (or leg aches) is a very common cause for those who are suffering from an injury, now there are a lot of non-traumatic factors of lower leg aching. Chronic leg aches can cause due to several reasons that can harm bones, muscles, joints, ligaments, tendons, nerves, blood vessels, and skin. Normally, tissues with inflammation cause these diseases, aching legs and feet is usually caused by inflammation and it is called as the base of these types of muscle ache. Ailments of back can occur due to leg ache. People (especially elderly) also experience aching legs at night for a prolonged period of time.

Leg Pain (Aches) Causes
The causes of aching legs include :

a. Trauma

b. Non-Trauma

Trauma
Trauma is the strongest reason of aching legs. Fallings, near fallings, and injuries by twisting can affect bones, joints and muscles or almost all of them. Excessive use of injured places can also be a reason of pain and it can also turn into a multiple minor traumatic injury.

Fractures
Some of the synonyms of the word fracture are broken and cracked; these all means the same when it comes to bone injuries. These types of injuries are caused when the bone of the human body is compromised.

Shin splints
Shin splints can take place by an excessive use of the injured area to the shin bone or tibia. It can also be called as tibial stress syndrome. Jumping running, and dancing are the commonest causes of shin splints.

Sprain and strains
Injury of ligament can also be called as sprain and it causes when the fibers of ligament gets stretched. Stretching of muscles and tendons can also cause a strain. All of them, sprains and strains result in inflammation and swelling which occurs pain.

Bleeding
Severe injuries can start bleeding into joints and tissues. Because blood can’t be compressed, so when the pressure increases, the amount of pain also increases significantly.


Non-traumatic Leg Pain
Aching of legs with non-traumatic causes by several reasons, and there isn’t even a single formula for sorting out all of the proven cases. Health care practicians prepared different approaches that helps to find but through diagnosis. Some of the times it could help to sort out the possible causes based on the leg part that aches, whether the pain is in your single leg or both, whether it bounds up while you’re active or when you take rest. Some of the causes of non-traumic leg pain (aches) include :

Low back pain
Low back pain from sciatica (inflaming of nervous ischiadicus) can radiate into the cheeks and down the leg. The wideness of pain depends on the root of the nerve which is involved; that is why the pain mayhap felt in the shin, thigh, or foot.

Leg pain in children
This cause is the special one among all of the others, While normally the aching legs of children’s isn’t something serious to care about, These types of pains can be due to joint infection that causes back lower pain, injury doing damage to plates of growth, and pain ascribable systemic illnesses that includes juvenile rheumatoid arthritis, Henoch-Schonlein purpura or rheumatic fever.

Diabetes
There are few varieties of what causes aching legs to a patient of diabetes. If blood glucose levels aren’t controlled well for many years, blood vessels and nerves lose or deteriorate their function, and in result, it causes leg ache.

Symptoms of Aching Legs
Depending on the reason and the situation of individual, symptoms of aching legs may have a huge amount of presentation. The pain could be explained in varying ways, e.g., as dull, sore, sharp, aching legs, heavy, or burning. It can be intermittent or constant, or worse or made better with rest or activity. There can be other related symptoms too, hinging on the cause.

Remedies or Treatment for Aching Legs
So many of the world’s population are obliged to stand up and be upright for the best part of the day. Thus, our feet are not used to the agonizing pressure and therefore develop foot, leg and a number of other aches. Health of feet and leg are pivotal, as these are with you for the whole duration of your life, so keep care of them!  If unduly done, it can lead to sinister issues including swollen ankles and twisted veins. Furthermore, I intend to provide you with some useful ways to prevent such disorders:

Herbal Remedies are extremely useful. In turn, these give a soothing relief for legs, but more importantly relieve you of your huge stress levels, and make you relaxed. You can try ‘fenugreek’ powder, along with your normal meal. Treat it as your supplement. Take just 2 spoonfuls of this. Also, bathing in rosemary helps also

Moreover, Hydration is key to anything in life I feel, though public are rather skeptical about the issue. In order to prevent blood clots, take a steam bath which promotes brain and overall blood circulation. Good for those who are in exams period!

Finally, to prevent swelling it is ideal to elevate your legs. It is said if you elevate it above your heart level, veins will restore to normal motion. Thus, this is perfect after 8 harsh hours at the office and will pay dividends when you are 80 years old!

 

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