Fungal nail infection: causes, symptoms and treatments

Fungal nail infections can be a persistent and sometimes embarrassing problem. Also known as onychomycosis, these infections typically start at the edge of the nail, leading to changes in color, thickness, and quality of the nail. Proper identification and treatment are vital for managing this condition and preventing it from worsening.

What Is a Fungal Nail Infection?

At its core, a fungal nail infection is an invasion of the nail by any one of a variety of fungi, including dermatophytes, yeasts, and molds. These organisms thrive in warm, moist environments and can enter through tiny cracks in the nail or surrounding skin. Over time, they can cause the nail to become discolored, thickened, and brittle.

Fungal infections more commonly affect toenails but can occur in fingernails as well. They may start out as a small, white or yellow spot under the tip of the nail and, as the infection goes deeper, lead to more noticeable changes.

While it is a common issue, many people may not recognize the infection right away or may ignore the early signs, allowing it to progress unchecked.

What Are the Symptoms of a Fungal Nail Infection?

Symptoms of a fungal nail infection vary depending on the extent of the infection and the type of fungus involved. Common signs include:

  • Nail discoloration, with nails turning white, yellow, or brown.
  • Toenail thickening, making the nails difficult to trim.
  • Nails that are brittle, crumbly, or ragged.
  • A distorted nail shape.
  • A dark color building up under the nail due to debris.
  • A slightly foul smell emanating from the infected nail.

In some cases, the nail may also separate from the nail bed, leading to pain and potentially creating an entry point for secondary bacterial infections.

What Causes a Fungal Nail Infection?

Fungal nail infections are caused by the same fungi responsible for athlete’s foot, ringworm, and jock itch. These organisms can be spread in public places like gyms, swimming pools, and showers. Factors that may increase the risk of developing a fungal nail infection include:

  • Older age, due to reduced blood flow, more years of exposure to fungi, and slower growing nails.
  • Perspiring heavily.
  • A history of athlete’s foot.
  • Walking barefoot in damp communal areas.
  • Having a minor skin or nail injury or a skin condition like psoriasis.
  • Diabetes, circulation problems, or a weakened immune system.

How Is a Fungal Nail Infection Diagnosed?

To diagnose a fungal nail infection, a doctor will examine your nails and may take nail clippings or scrapings to be analyzed in a lab. This will help determine the type of fungus causing the infection and the most effective treatment method.

Additionally, identifying the exact cause of the infection is important because treatments may vary depending on the type of fungus and the severity of the infection.

What Treatments Are Available for Fungal Nail Infections?

There are various antifungal medications available for the treatment of fungal nail infections. Over-the-counter antifungal nail creams and ointments can be applied directly to the affected nails. However, more severe infections may require prescription oral antifungal medications or, in some cases, surgical nail removal.

Treatment can be a lengthy process, often requiring several months to eliminate the infection. In addition, there’s a risk of recurrence, which means adherence to treatment and preventive measures is crucial.

How Can I Prevent a Fungal Nail Infection?

Preventing fungal nail infections involves good nail hygiene practices and taking precautions in environments where fungi thrive. Some tips include:

  • Keeping your nails trimmed and clean.
  • Drying your feet thoroughly after bathing, especially between your toes.
  • Wearing breathable socks and shoes to reduce moisture.
  • Using antifungal powders or sprays routinely.
  • Avoiding walking barefoot in public areas.

By maintaining diligent foot care, you can significantly reduce your chances of developing a fungal nail infection.

When Should I See a Doctor for a Fungal Nail Infection?

If you notice any signs of a fungal nail infection, it’s important to consult a podiatrist or another healthcare provider. This is especially true if the condition is painful or if you have diabetes or a weakened immune system. Early intervention can prevent the infection from becoming more severe and limit the risk of complications.

Seeking medical advice is also recommended if you’ve tried treating the infection at home without success, as prescription medications may be necessary.

Here is an informative video that further explores fungal nail infections:

Understanding Fungal Nail Infections and Their Management

How do I get rid of a fungal infection in my nail?

To get rid of a fungal nail infection, it’s important to use antifungal treatments consistently as prescribed by a healthcare provider. Over-the-counter and prescription medications can both be effective, depending on the severity of the infection.

Implementing preventive measures and maintaining proper nail care can also help clear the infection and reduce the risk of recurrence.

What are 3 signs of a fungal nail infection?

Three common signs of a fungal nail infection include discoloration (often white or yellow), thickening of the nail, and brittleness or crumbling of the nail edges.

These symptoms may be accompanied by pain or discomfort, especially if the infection is left untreated and becomes more severe.

What is the fastest way to get rid of nail fungus?

The fastest way to address nail fungus is through oral antifungal medications, which can lead to improvement in a matter of months. However, because the nail grows slowly, it may take a while for the new, uninfected nail to replace the affected area completely.

Combining oral treatment with topical therapy can also expedite the healing process.

What is the main cause of toenail fungus?

The main cause of toenail fungus is a fungal organism infiltrating the nail, often through a small cut or opening between the nail and nail bed. Factors like age, a damp environment, or a weakened immune system can increase susceptibility.

Proper foot care and hygiene are essential practices to reduce the risk of developing toenail fungus.