Onychomycosis is an infection of the nail bed, plate or matrix caused by different species of fungi. A person suffering from onychomycosis experiences a variety of symptoms such as yellow or white nail discoloration, pain, discomfort, etc.
Onychomycosis, also known as tinea unguium, is an infection in which both the toenails and the fingernails get affected. However, studies show that the toenails get infected more than the fingernails because of their slower growth, reduced blood supply, and frequent confinement in dark and moist environments.
If the infection is mild, no treatment is required. In addition to self-care procedures, medical treatment must be carried out to treat severe infections.
The five most common types of onychomycosis are:
● Proximal subungual onychomycosis
● Distal subungual onychomycosis
● Candidal onychomycosis
● White superficial onychomycosis
● Total dystrophic onychomycosis
The nail becomes dry and brittle as it ages. Fungi enter the nail through the resulting cracks and cause infection. The causative pathogens are candida (yeasts), dermatophytes and non-dermatophyte molds. Out of these three classes of fungi, the dermatophytes class is the most common cause of onychomycosis. Poor blood circulation to the feet or a weak immune system also play a vital role in the formation of this fungal infection.
The factors that increase the risk for developing nail infections are:
● Excessive sweating
● Injured nail
● Skin conditions like psoriasis
● Weak immune system
● Ringworm on the foot (athlete’s foot)
● Poor blood circulation
● Slow growth of nails
● Walking barefoot in gyms or shower areas
The symptoms of onychomycosis vary depending upon the severity of the infection. The most common symptoms include:
● Yellow or white nails
● Cracked nails
● Foul smell
● Nails break easily
● Nails become thick
● Nails become brittle
● Pain underneath and around the nail
● The skin around the nail becomes inflamed
● Dermatophytids (skin lesions that spread to other parts of the body other than nails)
Other psychosocial symptoms include:
● Feeling anxious around people
● Loss of self-confidence
The ten steps taken to prevent onychomycosis are:
1. Wash your hands and feet frequently
2. Dry them properly
3. Do not share your nail clippers with other people
4. Avoid using public showers.
5. Do not walk barefoot
6. Avoid using nail polish
7. Apply moisturizer after washing your hands
8. Change your socks regularly
9. Choose shoes made of materials that allow your feet to breathe (ventilation)
10. Choose a salon with an aseptic environment
The following tests/steps are performed for the diagnosis and the confirmation of the infection:
● patient history
● the severity of symptoms.
● Monitoring the appearance of the infected area
● laboratory tests such as potassium hydroxide smear, culture, histology examination and polymerase chain reaction.
The treatment depends upon the severity of the infection and the type of fungus causing it. Many Self-care strategies, antifungal drugs, surgery and over-the-counter medications can be used to treat onychomycosis. The antifungal medications may include:
● Ciclopirox: It is an antifungal nail polish that is applied to the nails and the surrounding skin.
● Itraconazole (Sporanox): It replaces the infected nail with a new nail.
● Terbinafine Hydrochloride: An antifungal cream that is rubbed into your nails to prevent fungus growth.
You can book your appointment at Shifa4U to acquire these medications online.
Farah Jassawalla is a graduate of the Lahore School of Economics. She is also a writer, and healthcare enthusiast, having closely observed case studies while working with Lahore's thriving general physicians at their clinics.
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Dr Rizwan Uppal, the founder of IDC, believed that proper and timely diagnosis is the key to successful treatment. An all under one roof diagnostic service with the name of Islamabad Diagnostic Center (IDC) Pvt. Ltd was established in the beautiful City of Islamabad more than a decade ago.
This brain child of Dr Rizwan was not possible without the support of his two brothers and Executive directors, Dr Rehan Uppal and Dr Imran Uppal. Since the day of inception, Dr Rehan has been a great assistance and immense help in IDC progress and evolution. IDC’s main strength lies in use of state of the art technology, in the hands of qualified and experienced team of doctors and technologist on 24/7 basis. There is still no such setup of equivalent scale and quality in Pakistan.
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CERTIFIED From ISO and Our organization aspires to achieve commendable standards of performance, giving physicians and patients the personal and professional commitment they expect and deserve.
In 1996, we set out to establish a medical diagnostic center that caters to the needs of patients and diagnosticians alike. Our focus has always been on providing a quality service in a timely manner. We take pride in the fact that years later, today, with a network of collection centers in and out of Lahore, AL-Nasar Lab® & Diagnostic Centre remains the provider of a wide variety of medical services for the most competitive rates in the industry. Our Mission is to provide reliable, timely, high quality, cost-effective and innovative diagnostic services & information to our patients and clients
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We value your time and pride ourselves on offering fast, efficient, & accurate imaging and diagnosis by our internationally trained & recognized specialists.
Our radiologists are the most experienced in MRI/CT scanning in the whole country.
1st of its kind in Pakistan – we utilize advanced medical technologies & equipment only available at Heart, Brain, & Body Scan
Precise, quick , & efficient same day service – we value your time.
Picture Archive & Communication System (PACS)
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Toshiba ELAN 1.5 Tesla MRI
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Toshiba Aquilion 64 Slice CT Scan
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Two Open-bore MRI machines
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Complete Nuclear Medicine – Diagnostic and Therapeutic
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Siemens Open MRI
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To make use of best diagnostic testing services and delivering them at doorsteps of patients, doctors and healthcare service providers. To offer the “BEST ADVANCED CARE” through our core values of excellence, reliability, punctuality, novelty, safety, accuracy and sincerity. We work on the philosophy of “PATIENT HEALTH & WELLNESS FIRST”
Chairman Message (Dr Zahid Asgher)
WE, at Doctors Diagnostic Centre, started our journey with the responsibility of creating centre of brilliance providing the utmost quality of Medical Diagnostics to the patients
VISION & MISSION
National Accreditation Board for Testing and Calibration Laboratories (NABL), Ministry of Science and Technology, Government of Pakistan accreditation has been applied for. We are also external quality assurance participant in Pakistan, Lahore/ Voluntary inter laboratory Analytical Comparison (VILAC). EQAS External Quality Assurance Scheme (Bio-Rad) For Both CHEMISTRY /IMMUNOASSAYS. CMC Vellore External Quality Assessment Scheme.
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