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Does Pus Indicate an Infected Toenail?

Runner holding her foot because of an ingrown toenail.

How can I tell if my toenail is infected? Read this blog to learn more about toenail infections, how to prevent them & how AFC treats them. 

We know in a place as beautiful as east Tennessee some of the best things to do involve strapping on some shoes and heading outside. Whether you find yourself hiking at Bald River Falls or shopping in downtown Knoxville, infected toenails can sneak up on you. What began as some pressure on your toes while walking has turned into pus coming out of your toenail. Pus indicates that something is clearly off, usually it’s a sign of an infection. Toenail and even fingernail infections may be common, but that doesn’t mean they should be left untreated.  

Read this blog to learn more about toenail infections, how to prevent them and how AFC can bring you relief. 

Visit an AFC East Tennessee clinic today! 

What Is Toenail Pus? 

No one likes the sight of pus, but it’s actually a natural part of your body’s defense system. White blood cells are sent to help fight infection, but eventually some of those cells begin to die and mix with tissues and fluids to create pus.  

Toenail pus is no different than regular pus. It’s thick fluid that is usually yellow, green, white or brown – and occasionally it smells. If pus is present, then the infection is most likely bacterial (this is almost always the case for toenail pus). However, other types of infections such as fungal, parasitic or viral can also result in pus. 

Does a Toenail Infection Have Other Symptoms? 

Unfortunately, there are other indicators of an infected toenail. Some of them include, but are not limited to: 

  • Redness 
  • Soreness and pain 
  • Cracked, thickened or yellowed toenails 
  • Fever 

Typically, these symptoms go along with ingrown toenails, but they can also develop from other types of nail infections. 

How Did My Toenail Get Infected? 

The short answer? Your toenail infection is the result of paronychia. What starts as a small cut or irritation turns into bacteria entering your body – paronychia, a nail infection is born. This infection can happen around your fingernails and toenails.  

What causes paronychia? 

  • When nails are cut too short 
  • Picking or accidental cuts around the skin. 
  • Ingrown toenails 

Some people are more at risk of getting paronychia because their bodies have trouble battling infections. Those suffering with diabetes and poor circulation are more prone to paronychia. Additionally, those who have weakened immune systems also have a higher risk of contracting the infection.  

When Medical Treatment is Needed 

If an ingrown toenail is caught in its early stages, infection can be prevented without ever having to see a medical provider. However, if symptoms worsen, prescribed medication is the best and fastest form of treatment. 

  • Mild infections: Feel free to try some home-remedies if your ingrown toenail is red and sore. A simple soak in warm water with salt can ease pain, reduce swelling and soften the nail, making it easier to gently lift it.  
  • Serious infections: If your toenail is emitting pus, foul odors, and increasing in color and swelling, visit an AFC provider. All these symptoms mean the infection has advanced and is most likely beyond over-the-counter help. 

How Does AFC Treat Infected Toenails? 

The type of infection helps us determine our next course of action. 

  • Bacterial infections: Antibiotic creams or oral antibiotics will work in most cases. 
  • Fungal infections: Antifungal creams (prescribed or over the counter) can work, but more tolerant infections may need a prescribed cream or pill. 
  • Infected ingrown toenails: Antibiotics are usually prescribed to clear up and reduce the infection; however, for more severe cases AFC is equipped to perform a non-surgical procedure to remove part of the nail. 
    • Serious infections: In extreme situations, our providers may refer you to a podiatrist who might have to surgically remove the entire nail. 

How Can I Prevent Toenail Infections? 

Preventing toenail infections boils down to good hygiene. 

We recommend:  

  • Trimming your nails evenly. 
    • Cut toenails evenly straight across. If your toenail is cut on a curve this increases the risk of ingrown nails. 
  • Wearing appropriate shoes. 
    • If your toes are always pinched that continual pressure can lead to calluses and ingrown toenails.  
  • Maintaining proper hygiene. 
    • Keep your feet clean and dry. By washing them daily, drying them thoroughly (especially between the toes) and changing socks regularly, you can help prevent infection. 
  • Monitor feet, especially if you are at high-risk. 
    • Athletes, diabetics and those with weakened immune systems should check their feet often for signs of ingrown nails and infections. 

Final Thoughts 

Whether your ingrown toenail is in its beginning stage or pus is coming out of your toenail, AFC is here to help. We can examine your toe, prescribe antibiotic creams and even perform minor procedures at any of our east Tennessee clinics.  

Don’t continue living in pain, walk into one of our urgent cares. We’re open every day with extended hours and no appointments needed. Relief can start at AFC.

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