It sounds like you’re dealing with a paronychia, which is an infection around the nail that can lead to the symptoms you’re describing. Pus under the fingernails, combined with spreading infection and a black spot, suggests that it could be either bacterial or fungal in nature, and in some cases, it can progress to more serious complications if not promptly addressed. Given that it’s been 7 days and you’ve noticed the infection spreading, it’s very important to seek medical attention as soon as possible to prevent further complications. The presence of a black spot could indicate a hematoma or possibly something more serious like melanoma, although that’s less common. Essentially, the doctor might perform a culture to determine what’s causing the infection and prescribe antibiotics if a bacterial infection is confirmed. They might need to drain any collection of pus under sterile conditions to relieve pressure and aid in healing. Self-treatment, such as popping or draining it by yourself, isn’t advised since it can introduce more bacteria, potentially worsening the infection. In the meantime, keep the affected area clean and dry, and you can soak the finger in warm water with antiseptic or saltwater to help alleviate some discomfort, though this is just a temporary measure. Refrain from any tight bandaging, as moisture buildup can promote infection. Remember, timely intervention with professional guidance is key to resolving these symptoms effectively.
Hello, thank you for sharing your concern. From your description, this is most likely a nail infection or possibly a subungual abscess. Since it is spreading and painful, this needs medical attention.
Do NOT squeeze it again. This can: Spread infection further, Push bacteria deeper, Increase risk of serious complications.
You should see a doctor as soon as possible (within 24–48 hours).
Also start- -Tab. Amoxy-clav 625mg thrice a day × 7 days. - Cap. Pantop + DSR before breakfast daily × 7 days.
Soak Warm water (10–15 minutes, 2–3 times daily). Keep finger clean and dry. Avoid pressure or trauma. Do not apply random creams.
Go urgently if: Increasing swelling, Fever, Red streaks moving up the hand, Severe throbbing pain, Finger becoming numb, Black area increasing.
Untreated nail infections can spread to: Nail bed, Finger pulp, Bone. Since it has already been 7 days and is worsening, medical drainage may be required.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine
Hello I need to understand this better to give you proper guidance.
Quick clarifications: 1. Which finger(s) are affected? - Just one, or multiple fingers? 2. The pus under the nail: - Is it under the entire nail, or just a section? - How much of the nail is affected—small area or most of it? 3. The black spot at the tip: - Is it dark/blackened nail tissue, or a dark discoloration? - Is it painful to touch? 4. The swelling: - Is it around the nail bed (the skin under/around the nail)? - How much swelling—mild or significant? 5. Since you popped it: - Is pus still draining, or has it stopped? - Is the area getting redder or more swollen? 6. Any fever or warmth in the finger?
Important note: Pus under the nail that’s spreading and causing increasing pain suggests a nail bed infection (paronychia or subungual abscess). This typically needs professional drainage—popping it yourself can spread the infection deeper, which is what seems to be happening.
You likely need to see a doctor soon for proper drainage and possibly antibiotics. Delaying could lead to permanent nail damage or deeper infection.
Rx- personal visit to doctor and physical drainage is must . Tab Amoxicillin 625 mg - twice a day for 5 days Tab Paracetamol 500 mg - twice a day for 5 days Oint bnc- apply on affected area
Thank you
Hello
This sounds like a nail infection (paronychia or abscess) that is spreading.
Because there is pain, swelling, pus under the nail, and a black spot → you should see a doctor urgently.
🛑 It may need drainage and antibiotics.
What to do now: Do NOT squeeze or pop it again 🛑🛑Soak finger in warm salt water 10–15 min, 3–4 times daily
Keep it clean and dry Seek medical care as soon as possible
Go urgently if pain worsens, fever appears, or swelling spreads to the finger/hand.
Here i can only prescribe antibiotics
But you need abscess drainage also
Thus please consult your nearest doctor in person
Thank you Take care
Hello dear See it seems deep infection Iam suggesting some medication for improvement Please follow them for atleast a week Avoid moisture contamination Apply lulliconazole or fusidic acid topical application twice a day for 5 days Tablet Amoxicillin 500 mg twice a day for 5 days Betadine dressing to Be done by general surgeon Do not traumatizing the tooth In case of no improvement consult podiatrist or general surgeon for better clarity Regards
