Fungal Nail Infection in Children: Care Instructions

Overview

A nail that is infected by a fungus usually turns white or yellow. As the fungus spreads, the nail turns a darker color and gets thicker. And its edges start to turn ragged and crumble. A bad infection can cause pain, and the nail may pull away from the toe or finger.

Nails that are exposed to moisture and warmth a lot are more likely to get infected by a fungus. This can happen from wearing sweaty shoes often and from walking barefoot on shower floors. Or it can happen if your child shares personal things, such as towels and nail clippers.

It is hard to treat nail fungus. And the infection can return after it has cleared up. But medicines can sometimes get rid of nail fungus for good. If the infection is very bad, or if it causes a lot of pain, your child may need to have the nail removed.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

  • If your doctor gave you a cream or liquid to put on your child's nail, use it exactly as directed.
  • Have your child take medicines exactly as prescribed. Call your child's doctor if your child has any problems with a medicine.
  • Wash your child's hands and feet often, and wash their hands after they touch their feet.
  • Keep your child's nails trimmed, clean and dry. Dry their feet completely after they bathe and before they put on shoes and socks.
  • Change your child's socks often. Have them wear dry socks that absorb moisture.
  • Don't let your child go barefoot in public places.
  • Use a spray or powder that fights fungus on your child's feet and in their shoes.
  • Don't let your child share shoes, socks, nail clippers, or nail files with others.
  • Help your child avoid nail injury. For example, don't cut the nails too short.
  • Don't use nail polish or fake nails on your child's nails.

When should you call for help?

Call your doctor now or seek immediate medical care if:

  • Your child has signs of infection, such as:
    • Increased pain, swelling, warmth, or redness.
    • Red streaks leading from the site.
    • Pus draining from the site.
    • A fever.
  • Your child has new or increased toe pain.

Watch closely for changes in your child's health, and be sure to contact your doctor if:

  • Your child does not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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