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THE CK BIRLA GROUP The CK Birla Hospital for Women is part of the $1.8 billion diversified CK Birla Group. The Group has interests across technology and automotive, home and building, and......more
THE CK BIRLA GROUP The CK Birla Hospital for Women is part of the $1.8 billion diversified CK Birla Group. The Group has interests across technology and automotive, home and building, and healthcare and education. Healthcare has been at the heart of the Group’s charitable work, and their hospitals include: The Calcutta Medical Research Institute (CMRI), a super speciality hospital in Kolkata with 427 beds • The BM Birla Heart Research Centre (BMB) a cardiac speciality hospital in Kolkata with 205 beds • The Rukmani Birla Hospital (RBH) a super speciality hospital in Jaipur with 230 beds These three hospitals have performed more than half a million successful surgeries, 190,000 Cath lab procedures and 22,000 cardiac surgeries. Supported by the latest technology and modern infrastructure, they have pioneered several firsts and set many milestones in India’s healthcare industry over the last five decades.

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Hello Everyone,<br/><br/>I am Dr. Shilpi Bhadani, a plastic surgeon, practicing in Ghorgaon.<br/>...

Hello Everyone,

I am Dr. Shilpi Bhadani, a plastic surgeon, practicing in Ghorgaon.

So I’ll talk about hair transplantation. Alopecia or baldness is a very common problem nowadays and across younger age group as well as the old age group. Hair transplant offer a permanent solution. In this if basically understood it is the transplantation of hair from one part of the scalp to the other part. In severe cases we may need to use body hair from the axilla or the pubic region of the chest hair even the leg hair, but most commonly in about 99% of the cases we use scalp hair from the back of the head to the front to cover the bald areas. No basically there are two methods for hair transplant. It is either Follicular unit transplantation or Follicular unit exaction. The two methods the implantation are not different that is the putting the hair is almost the same is the method by which we exact the hair is different. So in Follicular unit transplantation or FUT method, we actually take a strip of the hair from the back and the donor area is stitched and then the team of technicians they separate the strip….. the individual follicles from the strip and then they are made ready for the transplantation. Whereas in Follicular Unit Extraction, the individual follicle, the bunch of follicles are extracted and one follicle may contain one hair up to three hair so they are individually extracted and implanted. So there is a myth that floats that FUT is not safe or it leaves a very bad scar and FUE is nonsurgical, so you have to get this very clear that both are surgical methods, FUT or FUE. Hair transplantation is a surgical methods not a nonsurgical procedure and the methods of FUT have improved overtime and we actually now do a trichophytic closure. So the hair… the new hair in the scar actually grows through the scar. So it actually obscure the scar. You can hardly make out that a strip of hair is taken from there and in FUE also. There will be punctate scars that will be left behind. So it’s just a matter of perception whether what you think is right and it actually…. the choice of the procedure depends on the donor area and the recipient area and your level of baldness whether which is used. Sometimes we also use a combination of the two increase the hair yield. Now there are many, you know clinics, which offer that, you know, ‘we offer unlimited hair transplant’ and see donor area is always limited so there cannot be an unlimited hair transplant and also that if a fair amount of density is expected by the person underdoing the hair transplant, you may will have to go undergo a second session to get a good density. So coverage and density are two different things. So initially we target coverage and if you want more density then of course you can a second procedure can be done. The hair that is transplanted grows….. starts growing in about four months’ time and the complete result can assessed after eight months to nine months’ time. And I the follow up period if PRP or Platelet Rich Plasma Theory is done after the hair transplant the hair growth is really better. Some medications are continued after the hair transplant also up to to certain amount of time but it’s a procedure that requires six to eight hours if we are targeting a bigger coverage area and it’s a procedure done under local anesthesia. When choosing a hair transplant center it is important for you to research and the qualifications of the surgeon or the person doing the hair transplant is very important because a lot of unauthorized centers that have sprung nowadays and you safety is the prime concern. As I said that it is a surgical procedure so things may get complicated so you have to choose a center which is well equipped which is well equipped to deal with emergencies if at all there is a need. Usually there is no need but then you safety is the prime concern. So understand that it is a surgical procedure and it has to be done safely and it has to be result oriented.

If you want a consultation from me for hair transplant you can contact me via Lybrate. Thank you.

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Hello everyone. I am Dr Shilpi Bhadani, a plastic surgeon in Gurgaon. Today I will speak about La...

Hello everyone. I am Dr Shilpi Bhadani, a plastic surgeon in Gurgaon. Today I will speak about Laser Hair Reduction.

Laser hair reduction is increasing in popularity as a method to remove unwanted body hair. The most common areas include the underarms, facial hair, the chest hair in males, the back hair also in males, leg, arms, bikini line. So there is almost no body part which is spared from laser hair reduction. 

But it is important for the people who are seeking laser hair reduction to understand that, "what is the expectation and whether the reality will match the expectation or not?"

So, the first consultation with the laser specialist is important. And one must know the modality that is being used for the Laser Hair reduction. There can be multiple modalities like - Diode, Nd-YAG Q-Switched and IPL. Out of this, Diode and Nd-YAG are equally successfull an popular. However, the gold standard is Diode laser hair reduction. 

The black hair is most effectively targeted and it is mostly targeted in the growth phase. Now, hair grows in a cyclic manner that is why it needs sessions to ultimately reduce the hair growth. And one thing you need to understand that it is not hair removal, it is hair reduction. So, although some people do achieve freedom from hair but gradually you will need maintenance and that will depend on person to person. Although it is not much. When you had about 6-8 sessions, then it is really good. 

Laser hair reduction for the face usually sort after by women or girls who have the syndrome called as Polycystic Ovarian Syndrome in which there is Hirsutism that means the unwanted facial hair in male growth pattern is there. LOaser hair reduction is a very effective modality for this unwanted growth of hair but it must also be understood by the patients that PCOD must be treated. So, simultaneous treatment for PCOD is essential. So, you will need a consultation with person who treats PCOS liek an endocrinologist or a gynaecologist simultaneous to the Laser Hair Reduction.

So, it is grwoing in popularity and it is very very successfull method.

We do Laser Hair Reduction at our clinic. If you want to contact, you can contact me through Lybrate.

Thank you.

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Hi, this is Dr Leena Yadav. I am consultant IVF and reproduction with Bourn Hall Fertility Centre...

Hi, this is Dr Leena Yadav. I am consultant IVF and reproduction with Bourn Hall Fertility Centre from the last 3 years now. I have given take home pregnancies and today what I am going to discuss with everyone here is about Egg Freezing or what we call as Oocyte Freezing. I want all the young females that they should opt Egg freezing or Oocyte freezing if they are planning to get married the late 30s or if they want a child bearing which is late after their marriage.

Why do I suggest you go for Egg Freezing?

Because the egg quality deteriorates gradually after the 30s and that is why the best time to preserve your oocytes is between 20-30 years. We would like to tell you that the egg quality deteriorates after the 30s. The females who are working and had their marriage but do not want a child right now, they can actually plan up Egg Freezing. If you plan up Egg Freezing at this point of time, that means you stop your biological clock. If you do your Oocyte freezing at 22-23 years, these oocytes can later be used to form embryos. The only thing we have to do is to de-freeze them and use these oocytes fertilise with your partner sperm and form embryos for you we can do this embryo transfer for you whenever you want to get pregnant. This can be done at the age of 35-42 years. But if you freeze your Oocytes between 20-30 years of age, you are actually stopping the biological clock there and actually focusing on having good Oocyte quality.

The other thing is you should also focus on Oocyte freezing if you have a family history of early menopause or you have a history of Pre mature Ovarian failure or if you people are diagnosed with some cancer or undergoing Chemotherapy. People who are diagnosed with cancer and are planning to have chemotherapy should prefer Oocyte or the egg freezing before taking the first cycle of Chemotherapy itself. Because if you take this decision after the cycle of Chemotherapy, then the Oocyte quality we get after the first shot of Chemotherapy will be really affected.

So, I would like that you should think about these things and get back to us. If you want to contact us for the same, you can connect with us through Lybrate and they will get you connected to us.

Thank you.

 

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Hi, everyone. I am Dr. Leena Yadav, a consultant IVF in Bourn Hall Fertility Center in Gurgaon. I...

Hi, everyone. I am Dr. Leena Yadav, a consultant IVF in Bourn Hall Fertility Center in Gurgaon. I would like to share some important inputs to you people for IVF and the embryos which we form in IVF.

Now, here I am going to talk about the Embryo, which is called Blastocyst. I don't know how many people are aware of it. But Blastocysts are embryos, they are Day-5 Embryo which we form and Blastocyst transfer has got a success rate which a day-2 or a day-3 embryo can not give you.

So, at Bourn Hall, we have specialized with IVFLab, which is equipped to form these embryos called Blastocysts.

What is the advantage of taking a Blastocysts transfer over a Day-2 or a Day-3 when you plan your IVF cycle?

Blastocysts are Embryos which are definitely healthier as compared to a Day-2 or Day-3 embryos because the only those embryos go to Day-5 which has got the capacity to have an Implantation. Definitely, if we focus on doing Blastocysts for you, we are focusing on the higher success rate of IVF cycle. Blastocysts are embryos which give good clinical pregnancy and which give you good take home live pregnancy rate.

So, at Bourn Hall, we focus on doing Blastocysts for the couples because our Andrologist and the team is completely trained and our lab is well equipped for doing all these transfers and these Blastocysts.

With Blastocysts, who have had multiple IVF failures, they have electively planned for the elective Blastocysts so that we can give them a good pregnancy rate after having multiple IVF failures. Also, Blastocysts are Embryos which have got fewer risks of abortion as they are healthy embryos and also they have increased chances of Implantation inside the Uterus.

I would definitely like if you all are in the problem of Infertility and you want to contact us for solving the problem of Infertility and further planning a cycle for you, you can please contact us through Lybrate and we will definitely be happy to share our inputs with you.

Thank you so much.

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Ck Birla Hospital For Women

Block-J, Mayfield Garden, Sector-51Gurgaon Get Directions
  4.3  (2319 ratings)
28 Doctors
13 Specialities
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Doctor in Ck Birla Hospital For Women

Dr. Gaurav Bansal

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon
91%  (2207 ratings)
17 Years experience
500 at clinic
₹300 online

Dr. Sanjat Chiwane

Fellowship In Advanced Coronary Intervention, DM - Cardiology, MD - Internal Medicine, MBBS
Cardiologist
21 Years experience
800 at clinic
₹400 online
Unavailable today

Dr. Shreya Dubey

MBBS Bachelor of Medicine & Bachelor of Surgery, Diploma In Child Health (DCH)
Pediatrician
14 Years experience
800 at clinic
₹800 online
Unavailable today

Dr. Deepti Tiwari

Post Graduate In Food Science & Nutrition, BSc - Home Science, Diabetic Educator
Dietitian/Nutritionist
17 Years experience
600 at clinic
₹200 online
Available today
09:00 AM - 07:00 PM

Dr. Rajiv Goel

M.Ch - Urology, MS - Surgery
Urologist
17 Years experience
1000 at clinic
Unavailable today

Dr. Siddhesh Pandey

MBBS, MD - Radio Diagnosis/Radiology
Radiologist
18 Years experience
800 at clinic
Unavailable today

Dr. Sonia Malik

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrics & Gynaecology, DGO
IVF Specialist
45 Years experience
2000 at clinic
Unavailable today

Dr. Deepika Aggarwal

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MRCOG
Gynaecologist
20 Years experience
800 at clinic
Unavailable today

Dr. Saleem Naik

MBBS, MS - General Surgery, DNB - Gastroenterology
General Surgeon
20 Years experience
800 at clinic
Unavailable today

Dr. Garima Sawhney

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist
8 Years experience
800 at clinic
Unavailable today

Dr. Rama Yadav

MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, FCCS
Gynaecologist
16 Years experience
600 at clinic
Unavailable today

Dr. Arvind Kumar Chauhan

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Fellowship Oncosurgey
General Surgeon
20 Years experience
1000 at clinic
Unavailable today

Dr. Meenakshi Dua

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Obstetrics & Gynaecology
IVF Specialist
17 Years experience
1500 at clinic
Unavailable today

Dr. Astha Dayal

MD - Obstetrics & Gynaecology, MBBS
Gynaecologist
15 Years experience
800 at clinic
Available today
04:00 PM - 08:00 PM

Dr. Fayeza Akhtar

BPTh/BPT, Masters In Physiotherapy (Adult Neurology)
Physiotherapist
6 Years experience
600 at clinic
Unavailable today

Dr. Rachna Singh

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrics & Gynaecology
Gynaecologist
22 Years experience
800 at clinic
Unavailable today

Dr. Neeti Chabra Gupta

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, IFS Clinical ART Fellowship
IVF Specialist
10 Years experience
900 at clinic
Unavailable today

Dr. Renu Keshan Mathur

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrics & Gynaecology
Gynaecologist
31 Years experience
800 at clinic
Unavailable today

Dr. Chandar Shekha Sidana

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB, IDCC
Anesthesiologist
19 Years experience
800 at clinic
Unavailable today

Dr. Shreyasi Sharma

MD (Obstetrics and Gynaecology)
Gynaecologist
5 Years experience
800 at clinic
Unavailable today
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Specialities

Gynaecology

Gynaecology

A branch of medicine reserved especially for treating female conditions of the reproductive system
Pediatrics

Pediatrics

Aim to offer the best form of childcare to infants and children up to 18 years
General Surgery

General Surgery

Offers extensive care to patients suffering from abdomen related medical issues
Radiology

Radiology

A speciality, which uses hi-tech radio imaging for diagnosis of various medical conditions
IVF Speciality

IVF Speciality

Largely aims to help couples conceive through the method of in-vitro fertilization
Endocrinology

Endocrinology

Offers quality care to patients with medical problems related to the endocrine glands and hormones
Cardiology

Cardiology

Aims to provide effective diagnosis and treatment related to cardiac and circulatory problems
Dietitian/Nutritionist

Dietitian/Nutritionist

Expertly offers advice in dietetics, including recommendations on planned diets to patients
Anesthesiology

Anesthesiology

Concentrates on preoperative medicine and the administration of anaesthetic drugs prior surgery
Physiotherapy

Physiotherapy

Effectively treats physical injury or diseases through vigorous massages and exercises
Urology

Urology

Offers cumulative treatment of problems of the Urinary tract and male reproductive organs
Orthopaedics

Orthopaedics

Concentrates on efficient treatment of injuries and problems of the musculoskeletal system
Cosmetic/Plastic Surgery

Cosmetic/Plastic Surgery

Offers various surgical and non-surgical procedures to patients willing to enhance their appearance
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Pro and cons of consuming amlovas m2. 5/25 and arbitel 20 mg for high blood pressure. Can it be replace with a single tablet.

Fellowship In Advanced Coronary Intervention, DM - Cardiology, MD - Internal Medicine, MBBS
Cardiologist, Gurgaon
Pro and cons of consuming amlovas m2. 5/25 and arbitel 20 mg for high blood pressure. Can it be replace with a single...
1) You are effectively taking three tablets, Amlodipine Metoprolol and Telmisartan 2) Doses of all the medicines are small, so your question is justified 3) For a 10-15 mm change in BP you can try for aggressive diet and exercise schedules.
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Sir when I was not circumcised my penis size on erectness was 13.5 cm. Now its only 10.5 cm. How will it grow fast? Any idea.

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Sir when I was not circumcised my penis size on erectness was 13.5 cm. Now its only 10.5 cm. How will it grow fast? A...
10 cm penis is good enough for sexual activity. no medicines available for increasing length of penid
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I had internal hemorrhoid and got it treated by laser in april and after that I left everything which causes piles but now it again risen externally. Lumps are coming around my anus and they are paining. I am scared abt something serious.

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
I had internal hemorrhoid and got it treated by laser in april and after that I left everything which causes piles bu...
laser haemorrhoid surgery is still developing. u should have got stapler haemorrhoid surgery . to avoid recurrence. avoid constipation.
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Corn in Feet

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Corn in Feet

corn (or clavus, plural clavi or clavuses) is a distinctively shaped callus of dead skin that usually occurs on thin or glabrous (hairless and smooth) skin surfaces, especially on the dorsal surface of toes or fingers. They can sometimes occur on the thicker skin of the palms or bottom of the feet.

Corns form when the pressure point against the skin traces an elliptical or semi-elliptical path during the rubbing motion, the center of which is at the point of pressure, gradually widening. If there is constant stimulation of the tissue producing the corns, even after the corn is surgically removed, the skin may continue to grow as a corn.

 Signs and symptoms

The hard part at the center of the corn resembles a barley seed, that is like a funnel with a broad raised top and a pointed bottom. Because of their shape, corns intensify the pressure at the tip and can cause deep tissue damage and ulceration. Hard corns are especially problematic for people with insensitive skin due to damaged nerves (e.g., in people with diabetes mellitus). The scientific name for a corn is heloma(plural helomata). A hard corn is called a heloma durum, while a soft corn is called a heloma molle.

The location of soft corns tends to differ from that of hard corns. Hard corns occur on dry, flat surfaces of skin. Soft corns (frequently found between adjacent toes) stay moist, keeping the surrounding skin soft. The corn's center is not soft, however, but indurated.

Diagnosis

To exclude other differential diagnoses, a skin biopsy may be taken.

Treatment

 A popular method is to use a corn plaster, a felt ring with a core of salicylic acid that relieves pressure and erodes the hard skin. However, if an abnormal pressure source remains, the corn generally returns. If the source of any abnormal pressure is detected, this may be avoided, usually through a change to more comfortable footwear or with various types of shoe inserts or footwear with extra toe space. In extreme cases correcting gait abnormalities may be required. If no other treatment is effective, surgery may be performed.

6 people found this helpful

Doctor I am suffering with varicose veins. I got a selection in Indian Navy, and a medical after 5 days. What can I do for disappears that between 5 days. Please help me doctor it's my life changing turn.

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
vasicosities cannot disappear in 5 days. wear stocking in early disease or plan surgery if advanced varicosities
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Sir my friend is complaining about that his left testicle hang loose and lower ,looking little hard than right testicle and position also somewhat horizontal. Please help him out.

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Sir my friend is complaining about that his left testicle hang loose and lower ,looking little hard than right testic...
it is normal for left testis to hang lower. u may get ultrasound of scrotum to confirm inner problem
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Depression - Basic Overview

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Depression - Basic Overview

Depression is a serious mental illness in which feelings of sadness and loss of interest last for weeks and interfere with daily life.

There are numerous factors that can trigger the onset of depression, including:

  •  Actions and conditions (like threat, abuse)
  •  Illness (such as cancer or chronic pain),
  •  Social isolation or loneliness and
  • Stressful life events (such as divorce or money problems).
  • Depression can cause deep emotional pain both to the person experiencing it and, often, to that person's close family and friends.

There are several different types of medically recognized depression.

  • Major depression
  • Episodic Depression
  • Post Partum Depression
  • Pre and marital Depression
  • The most common type of depression is called major depression

It occurs when your symptoms interfere with your enjoyment of life or daily functions — including your work, sleep, and eating habits for atleast two weeks straight.

Episodic Depression

Some people experience only one episode of major depression in their life, while others may go through numerous episodes of the illness.

1 person found this helpful

I need to do surgery for circumcision. Can you please suggest me doctors or hospital? Is surgery possible at home? What will be the cost?

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
I need to do surgery for circumcision. Can you please suggest me doctors or hospital? Is surgery possible at home? Wh...
I can help u. Consult online. Surgery cannot be done at home. Cost 15000 - 20000, depends on type of anaesthesia.
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All About Ingrown Toenails!

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
All About Ingrown Toenails!

What are ingrown toenails?

Ingrown Toenails1. Ingrown toenails occur when the edges or corners of the nail grow into the skin next to the nail.

2.  Ingrown toenails that are not infected can be treated at home, but you should seek medical treatment if the nail has pierced the skin.

3.   You are at a higher risk of complications from an ingrown toenail if you have diabetes or other conditions that cause poor circulation.

Ingrown toenails occur when the edges or corners of your nails grow into the skin next to the nail. Your big toe is most likely to get an ingrown toenail.

What causes ingrown toenails?

Ingrown toenails occur in both men and women. According to the National Health Services (NHS), ingrown toenails may be more common in people with sweaty feet, such as teenagers. Older people may also be at higher risk because toenails thicken with age.

Many things can cause an ingrown toenail, including:

  • Cutting toenails incorrectly (cut straight across, since angling the sides of the nail can encourage the nail to grow into the skin)
  • Irregular, curved toenails
  • Footwear that places a lot of pressure on the big toes, such as socks and stockings that are too tight or shoes that are too tight, narrow, or flat for your feet
  • Toenail injury, including stubbing your toe, dropping something heavy on your foot, or kicking a ball repeatedly
  • Poor posture
  • Improper foot hygiene, such as not keeping your feet clean or dry
  • Genetic predisposition

Using your feet extensively during athletic activities can make you especially prone to getting ingrown toenails. Activities in which you repeatedly kick an object or put pressure on your feet for long periods of time can cause toenail damage and increase your risk of ingrown toenails. They include:

  • Ballet
  • Football
  • Kickboxing
  • Soccer

What are the symptoms of ingrown toenails?

Ingrown toenails can be painful, and they usually worsen in stages.

Early-stage symptoms include:

  • Skin next to the nail becoming tender, swollen, or hard
  • Pain when pressure is placed on the toe
  • Fluid building up around the toe

If your toe becomes infected, symptoms may include:

  • Red, swollen skin
  • Pain
  • Bleeding
  • Oozing pus
  • Overgrowth of skin around the toe

 

How are ingrown toenails diagnosed?

Your doctor will most likely be able to diagnose your toe with a physical exam. 

What are the treatment options for ingrown toenails?

Ingrown toenails that aren’t infected can normally be treated at home. However, if your toenail has pierced the skin, or there is any sign of infection, seek medical treatment. Signs of infection include:

Home treatment

To treat your ingrown toenail at home, try:

  • Soaking your feet in warm water for about 15 to 20 minutes three to four times a day
  • Pushing skin away from the toenail edge with a cotton ball soaked in olive oil
  • Using over-the-counter medicines, like calpol, for the pain
  • Applying a topical antibiotic, such as t-bact, to prevent infection
  • If the toenail does not respond to home treatments or an infection occurs, you may need surgery. In cases of infection, stop all home treatments and see your doctor.

    Surgical treatment

    Total nail removal may be used if your ingrown nail is caused by thickening. The doctor will give you a local pain injection and then remove the entire nail.

  •  According to the NHS, nail removal is 98 percent effective for preventing future ingrown toenails.

    After surgery

    Your doctor will send you home with your toe bandaged. You will probably need to keep your foot raised for the next one to two days and wear special footwear to allow your toe to heal properly.

    Avoid movement as much as possible. Your bandage is usually removed two days after surgery. Your doctor will advise you to wear open-toed shoes and to do daily salt water soaks until your toe heals. You will also be prescribed pain relief medication and antibiotics to prevent infection.

    Your toenail will likely grow back a few months after a partial nail removal surgery. If the entire nail is removed down to the base, the nail matrix under your skin, a toenail can take over a year to fully grow back.

    Complications of ingrown toenails

    If left untreated, an ingrown toenail infection can cause an infection in the bone in your toe. A toenail infection can also lead to foot ulcers, or open sores, and a loss of blood flow to the infected area. 

    A foot infection can be more serious if you have diabetes. 

    Preventing ingrown toenails

    Trim your toenails straight across and make sure that the edges do not curve in.

  • Avoid cutting toenails too short.
  • Wear proper fitting shoes, socks, and tights.
  • Wear steel-toed boots if you work in hazardous conditions.
  • If your toenails are abnormally curved or thick, surgery may be necessary to prevent ingrown nails. 

4 people found this helpful

Nail Bed Infection

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Nail Bed Infection

Paronychia is a soft tissue infection around a fingernail that begins as cellulitis but that may progress to a definite abscess. The 2 types of paronychia are as follows :

  • Acute paronychia - Painful and purulent condition; most frequently caused by staphylococci.

  • Chronic paronychia - Usually caused by a fungal infection

The image below depicts paronychia.

Classic presentation of paronychia, with erythema and pus surrounding the nail bed.

Signs and symptoms

Physical findings in acute paronychia include the following:

  • The affected area often appears erythematous and swollen

  • In more advanced cases, pus may collect under the skin of the lateral fold

  • If untreated, the infection can extend into the eponychium, in which case it is called eponychia

Further extension of the infection can lead to the involvement of both lateral folds as it tracks under the nail sulcus; this progression is called a runaround infection.

Physical findings in chronic paronychia include the following:

  • Swollen, erythematous, and tender nail folds without fluctuance are characteristic of chronic paronychia

  • Eventually, the nail plates become thickened and discolored, with pronounced transverse ridges

  • The cuticles and nail folds may separate from the nail plate, forming a space for the invasion of various microorganisms

Diagnosis

The diagnosis of paronychia is based primarily on patient history and physical examination. Some laboratory studies, however, can be useful. These include the following:

  • Gram staining and/or culture - To help identify a bacterial cause of fluctuant paronychia.

  • Potassium hydroxide (KOH) 5% smears - To help diagnose fluctuant paronychia caused by a candidal infection

Management

Treatment strategies for paronychia include the following:

  • If soft tissue swelling is present without fluctuance, the infection may resolve with warm soaks 3-4 times daily

  • Patients with extensive surrounding cellulitis or with a history of diabetes, peripheral vascular disease, or an immunocompromised state may benefit from a short course of antibiotics

  • If an abscess has developed, incision and drainage must be performed.

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