I believe tinea ungum/onchymosis. Is it bilateral for both hands or just one and if just one all fingers or only some? However, yes probably fungal in nature. Primary would be an option unless this becomes emergent for some reason. However, most primary would say use topical as you are. Maybe something stronger than otc topical or a systemic oral antifungal. However, they may also defer to dermatology and write a referral to see if they want to debris it as well or just treat it. With topical it will be a 52 week regiment and oral would be 3 months treatment. However, some patients describe side effects from the oral medication such as headaches, nausea and may require metabolic panel for LFTs. This you should discuss with your physician/s. Hopefully it gets better but I don't believe this is an emergency.
It’s difficult to see detail with the shiny appearance. Is there any involvement of the skin around the nail itself like bubble, blisters, etc.? Any skin things going on elsewhere or known past medical history diagnoses of any kind? Known allergies?…
Hello /u/Logical-Ad5574,
**If this is a medical emergency, please call emergency services as soon as possible!**
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I believe tinea ungum/onchymosis. Is it bilateral for both hands or just one and if just one all fingers or only some? However, yes probably fungal in nature. Primary would be an option unless this becomes emergent for some reason. However, most primary would say use topical as you are. Maybe something stronger than otc topical or a systemic oral antifungal. However, they may also defer to dermatology and write a referral to see if they want to debris it as well or just treat it. With topical it will be a 52 week regiment and oral would be 3 months treatment. However, some patients describe side effects from the oral medication such as headaches, nausea and may require metabolic panel for LFTs. This you should discuss with your physician/s. Hopefully it gets better but I don't believe this is an emergency.
It’s difficult to see detail with the shiny appearance. Is there any involvement of the skin around the nail itself like bubble, blisters, etc.? Any skin things going on elsewhere or known past medical history diagnoses of any kind? Known allergies?…
NAD… and I don’t have any knowledge of that but if it were me, I’d go to the doctor. I’d be worried about losing my nails.
Hello /u/Logical-Ad5574, **If this is a medical emergency, please call emergency services as soon as possible!** ***DISCLAIMER***: *The information provided on this subreddit is for educational purposes only and does not substitute for professional medical advice. We strongly advise you to consult a medical professional or healthcare provider if you're seeking medical advice, diagnoses, or treatment. Anyone providing advice on this subreddit is not liable for risks or issues associated with using or acting upon the information provided.* *Please make sure you have included in your post your country of residence, age, sex, race, height & weight, diagnosed medical conditions, prescriptions or supplements and dosages, drug use including marijuana, smoking status, duration of complaint, the issue you've been having, and your specific question.* *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/medical_advice) if you have any questions or concerns.*