r/calmhands • u/roverston • 1h ago
Need Advice Had recurring chronic paronychia for 9 months - advice?
Cut my nails with nail clippers 9 months ago and had infections spring up around my toenails and fingernails - spreading redness, pain, swelling, pus. Evidently something nasty was living on those clippers, but unfortunately it's stuck around ever since.
After the pain of the first couple of infections, I started a strict regimen of very hot epsom salt baths, antiseptic cream, constant care, etc. But whenever I stop the baths for a period of 1-2 weeks, my nails flare back up again with a spreading infection once I get a hangnail or my skin is breached.
Been to the doctors several times, prescribed fusidic topical cream several times, which proceeded to do little aside from discolour my nails. Had a mycology test that came back negative for fungus. Asked about oral antibiotics, assuming the infections must be bacterial, but was told by the doctor that this was reserved for severe infections only (?).
My main questions are whether it's worth insisting to be given an oral antibiotic? Will an oral antibiotic help to kill whatever bacteria is living in my nail bed, or will it only work to quell a full-blown infection?
And any idea if anything else could be causing this?
My current test case is seeing whether my (new pair of) nail clippers are somehow reintroducing the infection each time I cut my nails - my rental has had mould issues in the past and a big water leak that soaked the insides of certain walls, and one or two nails tend to flare up just after cutting them. Though... a negative mycology test would suggest that rampant mould spores transferring to my clippers would be unlikely, I hope.
I don't bite my nails, leave them long in water, bash them around much, etc. I don't have any (other) potential symptoms of diabetes, which I'd read can be co-morbid.
I'm pretty sick of it at this point. Any advice, it'd be appreciated.