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This article was co-written by Sarah Gehrke, RN, MS. Sarah Gehrke is a Licensed Nurse and Massage Therapist in Texas. Sarah has over 10 years of experience teaching and practicing intravenous and intravenous (IV) surgical therapy using physical, psychological, and emotional support. She received her Massage Therapy License from the Amarillo Institute of Massage Therapy in 2008 and her MSc. College of Nursing at the University of Phoenix in 2013.
There are 8 references cited in this article that you can see at the bottom of the page.
Periungitis is an infection of the skin around the fingernails or toenails. Symptoms include redness, pain, and swelling around the nail. Periungitis comes in two forms – acute and chronic, most of which are easy to treat. For acute peritonitis, soaking the inflamed nail in warm water several times a day is often effective. If your condition does not improve within 1 week, your doctor may prescribe antibiotics for you. Chronic periungitis is usually fungal and often occurs in other areas. Your doctor will usually prescribe a topical antifungal ointment, which should clear up in a few weeks. [1] X Harvard Medical Schop Trusted Source Go to Source
Steps
Soak nails in warm water
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Pour warm water into the pot. Most cases of acute peritonitis can be cured by soaking in warm water several times a day. You can use a bowl to soak your fingers or use a basin to soak your feet. The water should be very warm but not so hot that it burns the skin or causes discomfort. [2] X Trusted Source PubMed Central Go to Source
- Acute paronychia comes on suddenly and is of short duration. It usually appears on a finger or toe, usually due to a bacterial infection. Symptoms include redness, swelling, festering, and pulsating pain around the nail.
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Dissolve salt or saline solution if skin is broken. If there is only a patch of red, swollen skin, warm water alone will be effective. If the skin is broken, you can add a few tablespoons of table salt, Epsom salt, or saline solution to warm water. [3] X Trusted Source PubMed Central Go to Source
- You can still add salt even if the skin is not torn. Many people like to soak their feet in warm water mixed with Epsom salt.
- Avoid using alcohol or hydrogen peroxide to clean the skin around the nail, as these chemicals can make the disease take longer to heal. [4] X Research Sources
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Soak your fingers or toes for about 20 minutes, 3-4 times a day. If the water has cooled in less than 20 minutes, you can add more warm water or change the basin. Usually, acute peritonitis will go away within a few days if you regularly soak in warm water. [5] X Trusted Source American Academy of Family Physicians Go to Source
- Warm water helps increase blood circulation to the inflamed area to help the body fight infection.
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Pat the skin dry, and if desired, you can apply petroleum jelly (Vaseline cream) and cover. Use a clean towel to dry after soaking in warm water. Mild cases and unbroken skin do not require dressings. If the skin is broken, you can apply a thin layer of petroleum jelly or antibiotic ointment, and then cover it. [6] X Research Source
- While you don’t need to wear a bandage, you should protect the broken skin if you need to use your hands when working or in contact with germs.
- Remove the bandage before soaking in warm water, and change it when it gets wet, such as when you wash your hands or shower.
- Use a cotton swab to apply ointment or wax. Throw away the cotton swab after use, and remember not to dip it in the cream after it has touched your skin.
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Keep your hands clean and avoid biting your nails or sucking your fingers. Wash your hands often with soap and hot water (not so hot that it burns). Although you should always avoid touching your face with your hands, when treating peritonitis it is even more important to avoid biting or sucking your fingers. [7] X Harvard Medical Schop Trusted Source Go to Source
- If you are treating an infection in a young child who knows how to follow the instructions, teach them not to put their hands in their mouth, or the disease will not go away.
- If your child is young and doesn’t understand when you explain, try to find a way to keep him from biting or sucking his thumb. Your pediatrician may give your child antibiotics to prevent complications from bacteria growing in the mouth.
Seek medical treatment for acute paronychia
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Consult your doctor if you have diabetes. If you have diabetes, see your doctor to evaluate periungual dermatitis before self-treating. Diabetes can affect your body’s ability to fight infections, so your doctor may give you an antibiotic or antifungal medication. [8] X Harvard Medical Schop Trusted Source Go to Source
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Call your doctor if symptoms do not improve after 1 week. If you’ve been on warm bath therapy for a week and your symptoms are still not improving or getting worse, your doctor may prescribe an antibiotic or antifungal medication for you. Make an appointment with your doctor to examine the skin for an infection. Your doctor can do tests to determine the best treatment. [9] X Research Source
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Schedule an appointment with your doctor if an abscess occurs. Call your doctor right away if you notice an abscess, a soft, pus-filled mass that is painful. The doctor will numb the area and make a small incision to drain the abscess, then cover with gauze and a bandage. Change the dressing 2-3 times a day and the bandage for 2 days. [10] X Harvard Medical Schop Trusted Source Go to Source
- An abscess looks like a soft mass that is swollen and tender or painful to the touch. Without an abscess, your finger will just swell and hurt with the pulse. If there is an abscess, your finger will swell, become more painful, and feel like something is inside. As it progresses, the abscess will appear pus-like like a boil and ooze pus.
- Absolutely do not self-drain the abscess. You can expose the area to germs or spread the infection. [11] X Research Source
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Start soaking in warm water 2 days after draining the abscess. Once the abscess is drained, you will need to cover it up and change it regularly for 2 days. After 2 days, you will remove the bandage and soak the wound in warm water for 15-20 minutes, 3-4 times a day until the symptoms are relieved. [12] X Trusted Source American Academy of Family Physicians Go to Source
- You should see the wound begin to heal in 2 days and may not need a bandage. If the torn skin hasn’t healed and you want to protect it, cover it up after soaking. If desired, you can apply a bandage until the wound is closed.
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Ask your doctor about prescribing antibiotics. Depending on the severity of your symptoms and test results, your doctor may prescribe antibiotics after draining an abscess or to treat persistent symptoms. Take the medicine as directed by your doctor and continue to take the full course of the medicine prescribed by your doctor, even if you feel better. [13] X Trusted Source MedlinePlus Go to Source
- The infection may return if you stop taking the antibiotic early.
Treatment of chronic peritonitis
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Ask your doctor about antifungal medications. Chronic paronychia is usually caused by a fungal infection and usually affects multiple fingers or toes. Symptoms include redness, swelling, pain, and wetness. Your doctor will usually order a fungal culture and other tests to get an accurate diagnosis. You will then be prescribed an anti-infective medication based on the test results. [14] X Trusted Source Harvard Medical Schop Go to Source
- Usually, your doctor will prescribe a topical antifungal ointment. You will apply the medicine to the infected area 2-3 times per day. Always take your medicine exactly as prescribed by your doctor. Fungal infections can take weeks to clear up.
- Fungal and bacterial infections can happen at the same time, so your doctor may prescribe more than one medicine.
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Keep hands clean and dry. Wash your hands often, including before applying antifungal ointment. Dry hands thoroughly after washing or whenever in contact with water. Try to avoid getting your hands wet during everyday activities. [15] X Harvard Medical Schop Trusted Source Go to Source
- Remember not to touch your face and mouth with your hands.
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Wear gloves if you must work with irritants. It can be difficult to avoid contact with water and irritating cleaning agents when you have to do things like make drinks, wash dishes, and clean the house. Protect your hands if you are constantly exposed to water or chemicals. If possible, wear two layers of gloves: cotton gloves to absorb moisture and vinyl or rubber outer gloves to resist water and chemicals. [16] X Trusted Source American Academy of Family Physicians Go to Source
- You will need to wear gloves when you have symptoms, and it is best to continue wearing gloves whenever you are exposed to moisture or chemicals for long periods of time. This will prevent the disease from recurring.
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Discuss surgical options if necessary. You may need surgery if the infection spreads below the nail bed or the disease doesn’t respond to nonsurgical treatments. The doctor may have to remove part or all of the nail and apply an antifungal ointment to the nail bed. [17] X Trusted Source American Academy of Family Physicians Go to Source
- You will need to rest and avoid using that finger or toe for 2 days after removing the nail. Try to stay above heart level to prevent bleeding and pain. Take prescription or nonprescription pain relievers as directed by your doctor. [18] X Research Sources
- Keep the dressing dry and change it every 1-7 days. Your doctor will tell you how long you need to leave the bandage on and instruct you on how to change it. [19] X Research Source
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This article was co-written by Sarah Gehrke, RN, MS. Sarah Gehrke is a Licensed Nurse and Massage Therapist in Texas. Sarah has over 10 years of experience teaching and practicing intravenous and intravenous (IV) surgical therapy using physical, psychological, and emotional support. She received her Massage Therapy License from the Amarillo Institute of Massage Therapy in 2008 and her MSc. College of Nursing at the University of Phoenix in 2013.
There are 8 references cited in this article that you can see at the bottom of the page.
Periungitis is an infection of the skin around the fingernails or toenails. Symptoms include redness, pain, and swelling around the nail. Periungitis comes in two forms – acute and chronic, most of which are easy to treat. For acute peritonitis, soaking the inflamed nail in warm water several times a day is often effective. If your condition does not improve within 1 week, your doctor may prescribe antibiotics for you. Chronic periungitis is usually fungal and often occurs in other areas. Your doctor will usually prescribe a topical antifungal ointment, which should clear up in a few weeks. [1] X Harvard Medical Schop Trusted Source Go to Source
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