Unfortunately, the fungus between the toes is a common problem, every second you are sick with it, due to the latent course of the disease, 90% of patients do not know about the disease, therefore they do not try to cure it. People do not know the consequences, much less how and how to treat the fungus between the toes.
Types of mycosis
- what is the fungus between the toes;
- what drugs are used for medicinal purposes;
- What are the consequences of a disease left to its own devices?
The disease is classified as a fungal infection, affects the fingers and feet, and the main reason is poor hygiene, it is worth investigating whether these claims are true.
The pathogen that causes the disease, like any fungus, is divided into:
The most likely areas of infection are public places with high humidity:
- swimming pools;
- shower in the gym;
- slippers at a party;
- beauty salon.
There is no exhaustive list of places not to visit that guarantees the exclusion of toe fungus from a person's life.
It is possible to become infected with the parasite even at home, one of the family members may be sick, and through the skin that has fallen on the carpet, the toe fungus can be transmitted to the rest.
Even a mild diaper rash can lead to the development of a fungus, so it is extremely important to monitor hygiene.
The area between the toes is ideal for the life of the parasite: sweat, heat, careless washing, all this makes the fungus on the feet between the toes the most common among all types of fungi.
Both traditional medicine and drugs promise a quick cure, but not everything is so simple.
There are many reasons why toe fungus can develop:
- a general decrease in immunity (viral diseases, inflammatory processes, vitamin deficiency and others);
- impaired blood circulation in the legs (varicose veins, vein damage, impaired heart function)
- microtrauma of the skin;
- uncomfortable tight shoes (ankle boots, narrow shoes, high heels);
- a natural predisposition to sweaty feet.
Stages of fungi
Toe fungus can "hibernate" for months, and sometimes years, without entering the developmental stage.
From the moment of infection to the development of a full-blown colony, the fungus goes through several stages. If home treatment helps at first, in the end you need to see a doctor and spend money on expensive medications.
Each stage has its own symptoms that are worth paying attention to.
The initial stage of the fungus:
- small cracks in the skin;
- itching in the thumb and little finger area;
- peeling of the skin
In the first stage, the symptoms are invisible, which is very dangerous, sometimes a person simply scratches his leg with his hand, not paying attention to it, and then scratches his hand or another part of the body, spreading the pathogen all over the body. .
Second stage of development:
- the appearance of red and white spots;
- bubbles with clear liquid between the fingers;
- peeling skin is noticeable on socks;
- the appearance of corns;
- general thickening of the skin of the leg.
Legs are constantly peeling and itching, if you scratch them, the second relaxation is replaced by a painful burning sensation, sick people scratch their skin between their fingers and meat, greatly aggravating the situation.
The last stage:
- wet fungi appear;
- the places affected by the parasite are covered with purulent abscesses;
- the skin will shed on its own;
- the legs bleed and hurt a lot.
In the last stage:
- purulent bubbles constantly burst;
- the area between the toes is rotting;
- nails exfoliate on their own;
- the areas of the skin near the epicenter of the infection are covered with a white coating.
- If the disease is reaching its climax, then it is too late to buy ointment from the fungus between the toes of advertising, it is necessary to urgently consult a doctor so as not to bring the matter to blood poisoning and gangrene, followed of an amputation. of the limb.
- The manifestation of any of the above symptoms should alert a person, it is necessary to urgently seek the advice of a dermatologist to conduct timely tests and accurately identify the problem.
- If there are doubts, on the topic: "Is there an interdigital fungus on the feet? ", Whose treatment is necessary, there is an ancient popular method to determine it:
- bathing with a very weak manganese solution;
- lower your legs there;
- healthy skin - turns pink;
- affected skin, with a parasite - will remain white.
In 70-80% of cases, even an absolutely healthy person with a healthy skin color on the legs, when conducting tests, discovers a fungus.
Treatment at home
Treatment of the fungus between the toes at home is allowed in the initial stages, when it comes to the later stages of the development of the parasite, then alternative methods are used as a concomitant, but only after consulting a doctor.
It takes a month or two to cure the parasite, so patience will be the most important key to recovery.
- Children are always special patients and toe fungus and its treatment in a child requires special care.
- The fungus on the feet of a child develops very often and there are many reasons for this:
- a rapidly growing leg, from which shoes are always tight;
- outdoor games;
- not well-groomed nails;
- weakened immunity;
- fungus in parents.
- Oral medications are not recommended for children, because the remedy for foot fungus between the fingers for a child can only be external. Most of the time, children are advised to:
- Both drugs are applicable from two years of age, the course of treatment is just as simple: it is necessary to alternate decades of use and a break until the legs are completely healed.
- If the stage of the fungus is neglected and there is nowhere to go, and the drugs, according to the statements of pharmacologists, do not affect the liver, then, as a drug treatment, children are prescribed - terbinafine.
But it is not worth taking it to the later stage of treatment. The course of treatment will be up to 2 weeks 1-2 tablets, it all depends on the stage.
Without the recommendation of a specialist, it is strictly forbidden to resort to self-medicating a child with home methods.
In pregnant women
Oral preparationsThe applications (powders, tablets) should not be used in any case, only ointments and creams remain.
The ointment for the fungus on the feet between the toes should be chosen after reading the contraindications, at the moment only three ointments on the market have no contraindications for pregnancy, these are:
During pregnancy, especially if there is an allergy to the components of antifungal ointments, which are most conducive to the use of traditional medicine, salt baths and soda, as well as peroxide, potassium permanganate and other popular compositions are suitable, the main important thing is not to use anything from this "interior".
Conventional wisdom has led to many healthy recipes, each one, according to the author, deserves a separate consideration, but it's worth focusing on some of the best options that explain how to treat foot fungus.
The simplest and most proventhe method, which is absorbed into the skin during bathing, dries it out, eradicating the moist habitat necessary for the development of the fungus.
Take a bath every day, this will promote recovery, it is better to take sea salt, it softens the nails and skin and helps to remove the affected areas.
Being an excellent antiseptic, it is also suitable against fungi:
- you can simply smear the areas infected with the parasite;
- you can do baths.
Due to the aggressiveness of iodine as a reagent, its use has a number of limitations:
- causes an allergic reaction;
- in the later stages of parasite development, it is also not applicable, because the skin has burst and iodine can damage the subcutaneous tissues;
- the maximum concentration of iodine in the applicable solution against the fungus is 5%;
- The use of iodine leaves traces because when treating a fungus on the big toe, putting on shoes with an open toe will not work.
One of the most effective methods of treating a fungus, invented by traditional healers, the treatment procedure has many variations, requires special attention, and improper treatment leads to even greater problems with the skin.
Despite the downsides, soda:
- adapts well to the fungus between the fingers;
- it can lead to a long-term remission within a month of a well-sustained course of treatment.
In addition to the above methods, people use:
- Classical medicine has developed many remedies to combat the fungus between the toes.
- The most popular medications for external use are creams and ointments, which include:
Of the cheap ointments, clotrimazole is quite effective.
Experts recommend tablets only in advanced versions, since:
- strongly affect the liver;
- they generally have a long list of contraindications.
The most popular pill formulations are:
Every two weeks, the course and drugs must be changed so that the parasite does not develop immunity against them.
All drug treatment has many contraindications, only a specialist who is fully familiar with the patient's analyzes and has thoroughly studied the disease has the right to prescribe a course.
In addition to your own prophylaxis and personal hygiene, be careful with relatives, protect them if there is at least one infected person in the house, none of the relatives can achieve a stable remission.
Disinfect shoes, temper, do wet cleaning at home and, at the first symptoms, consult a doctor.
Following these guidelines will not create a protective barrier around your family, but even poor prevention is better than good treatment.
How to treat fungus between the toes
The fungus between the toes is a very easy disease to contract. But getting rid of it is not easy. The disease can last for years, often linked to a bacterial infection. It is very important to consult a dermatologist when the first symptoms appear, and not to self-medicate.
Why does fungus develop between the toes?
The fungus between the toes is the most common type of fungal infection affecting 70% of the world's population.
This disease is especially common among people who are constantly in a hot or humid environment, often sweating due to great physical exertion. These include bathroom attendants, swimmers, hot shop workers, etc.
Children get sick much less often (no more than 4%), but the incidence increases dramatically in adolescence.
The disease is caused by several types of dermatophilic fungi: red trichophyton, interdigital trichophyton, and some types of epidermophyton. All of these pathogens have a high survival rate in the environment. They can persist for a long time on bathroom and sauna floors, bathroom equipment, bedding, and shoes.
You can get infected in the bathhouse, sauna, swimming pool, and less often on the beach. That is why it is so important to observe the hygiene rules: use only an individual towel, do not walk barefoot in public places, wear individual shoes for this.
Upon reaching the surface of the body, fungi produce enzymes (keratinases) that break down keratin, a protein in the surface layers of the skin. This allows infections to enter the epidermis and multiply there.
The membranes of fungal cells contain substances (manans) that can inhibit local immunity.
The mornings also inhibit the proliferation of the superficial cells of the epidermis, which disrupts their desquamation and cleaning, which as a result leads to a prolonged and chronic course of the disease.
Factors that contribute to the spread and introduction of the fungus.
These factors include:
- footwear that tightens the legs, interrupts blood circulation and does not let air through;
- playing sports and doing strenuous physical work;
- foot injuries with violation of the skin;
- immunity disorders, for example, against the background of diabetes mellitus, long-term use of certain drugs (glucocorticoid hormones), HIV infection, etc. ;
- Circulatory disorders in the foot area against the background of atherosclerosis of the lower extremities, flat feet, etc.
If a person has normal general and local immunity, the fungus will not be able to overcome the protective barrier of the skin and invade the skin. All the factors that inhibit skin immunity allow pathogenic fungi to freely penetrate the epidermis and provoke a pathological process.
Symptoms of infection
When pathogenic fungi are introduced into the skin, the areas with thin and delicate skin are mainly affected: the interdigital spaces. This is where the infection begins, which can then spread to the entire foot. The first thing an infected person experiences is itching and burning between the toes.
Itching can be very intense, insignificant or even completely absent and appear only against the background of sweating of the feet or a decrease in immunity. Significant itching, dryness and painful cracks in the interdigital spaces contribute to the addition of a bacterial infection and the development of purulent processes.
Sometimes flaccid blisters filled with clear fluid appear between the fingers, which break open quickly and form erosion. And this type of disease can be complicated by the addition of a bacterial infection.
The most characteristic is the latent course of the fungus between the toes, which is characterized by recurrent itching. Often these patients are unaware of the presence of an infection and pass it on to others.
How does the disease progress?
The fungus can manifest itself in different ways. The following forms of the disease are distinguished:
- intertriginous - the most common; manifests itself in the form of itching and burning between the toes, dryness, cracks with the release of ichor and the subsequent development of maceration (loosening of the skin under the influence of liquid); inflammation often extends to the plantar surface of the feet and rarely to the back; bacterial infection often joins; View photo. The content can be unpleasant to watch.
- dyshidrotic - with the appearance of flaccid and explosive bubbles between the toes, the formation of erosion, the introduction of bacterial pathogens and the development of a pathological process such as eczema, spreading to the entire foot, leg and even the log; View photo. The content can be unpleasant to watch.
- erased - proceeds imperceptibly; occasionally there is a slight itch; Between the toes (more often between 1 and 2 or between 4 and 5) there is a moderate fine peeling, very small cracks that go unnoticed by the patient.
The fungus in the interdigital spaces can proceed as an independent disease or be a manifestation of a general infection. Often the fungus spreads to the nail plate with the development of onychomycosis. Sometimes there is a combined lesion of the skin of the feet and the skin in the area of the large folds of the body, as well as on the hands. In the latter case, the infection often develops on the "two feet, one hand" principle.
How to identify an infection
The diagnosis is made on the basis of an examination by a dermatologist and confirmed by laboratory tests:
- by microscopy - skin elements (scales) removed from the lesion are examined under a microscope; this is the most common method, it allows you to identify a fungal infection, but cannot determine the type of fungus;
- microbiological research: sowing of biological material extracted from the focus of the lesion in nutritive media; Cultured fungi are easy to identify, but they do not always grow under laboratory conditions, so it often remains only to guide you by the microscopy method.
Basic principles of treatment.
Antifungal drugs are used to treat interdigital space fungus. If the disease is short-lived, does not progress, external agents are used. For severe fungal infections with a tendency to spread or develop microbial eczema, general-acting (systemic) antifungal drugs are used.
The external use of antifungal agents requires prior preparation. Pathologically altered skin elements are removed from the skin surface: peeling, keratinization sites, traces of burst blisters. They try, if possible, to relieve inflammation and tissue edema.
The following procedures are carried out:
- if there is a pronounced inflammation and swelling of the tissues, lotions with 2% solutions of boric acid and tannin, sulfuric and tar ointments are prescribed; if it does not help, corticosteroid ointments are prescribed in short courses, for example, methylprednisolone aceponate;
- in the presence of scales and crusts, the affected areas of the body surface are smeared with salicylic petroleum jelly twice a day, and then foot baths with a 2% solution of soda are performed.
Only after cleaning is the main treatment performed. If there is a suspicion of a mixed fungal and bacterial infection, combined ointments are used, which include antifungal, antibacterial and antiallergic components.
The most modern drugs for the treatment of such diseases are drugs whose active ingredient is terbinafine.
Terbinafine is a formulation for external use produced by several pharmaceutical companies under their own trade names.
These are creams, gels, sprays and 1% solutions for external use.
Terbinafine easily enters the epidermis. Already 4 hours after application to the affected area, its concentration is sufficient to suppress the vital activity of the infection. The concentration of terbinafine builds up in the skin gradually and after therapy is many times higher than the concentration that causes fungal death.
At the same time, terbinafine does not penetrate the middle and deep layers of the skin and does not have a systemic effect on the body. A feature of this antifungal agent is that it also has an antibacterial effect, suppressing the vital activity of most pathogenic bacteria.
Therefore, additional antibiotic therapy is not always required for the treatment of a bacterial fungal infection.
Terbinafine gel and spray are prescribed for the treatment of infections, accompanied by blistering and crying. The cream of the same name is more suitable for treating a disease accompanied by dryness, cracks in the interdigital spaces and severe itching.
Terbinafine-based cream, spray and gel are applied to the pathologically altered areas of the feet daily for 7 days. This is usually enough to completely eliminate all symptoms of the infection. If necessary, the dermatologist can extend the course of treatment.
Folk remedies against interdigital fungi.
Home remedies can also be effective if applied correctly.
Traditional medicine recommends, before starting an antifungal treatment, carry out a preparatory treatment to clean the pathologically altered areas of the surface of the feet.
Cleaning is done in the same way as before drug treatment. After that, basic agents are used to suppress the vital activity of fungi.
- Method 1. Twice a day for 2 - 3 weeks to make large celandine infusion foot baths (one third of a glass of chopped herbs per liter of boiling water), then lubricate the dry surface of the feet with propolis tincture at 10%.
- Method 2. Add 20 ml of ammonia to a glass of water, moisten the bandage, wrap the fingers first and then the entire foot (do not squeeze! ) And let it dry; the duration of treatment is 14 days.
- Method 3. Foot baths with vinegar (for 2 liters of water - 100 ml of table vinegar). They are done daily at bedtime for 14 days. After the procedure, pat your feet dry and lightly spray them with boric acid.
- Method 4. Foot baths with makhorka infusion (20 g of makhorka per 1 liter of boiling water, leave for 3-4 hours in a thermos). Do it every day before bed for four weeks. After the procedure, the feet should dry themselves. Wash your feet with water in the morning.
- Method 5. Wash your feet with laundry soap, rinsing well between the toes. Dry your feet and lubricate the skin with celandine juice. Do this every day for 14 days.
- Method 6. Daily foot bath with 2% soda solution. After bathing, dry your feet thoroughly with a towel and grease with garlic oil. Wash them with soap and water in the morning. Garlic oil: Mix a teaspoon of crushed garlic with 100g of butter until smooth.
- Method 7. Take equal amounts of apple cider vinegar and freshly squeezed carrot juice. Apply the resulting mixture on the affected areas of the skin of the feet several times a day for a month.
How to prevent infection
To prevent the disease you need:
- use rubber slates in the bathhouse, sauna, swimming pool, on the beach;
- never wear someone else's shoes, do not use someone else's towel and bathroom accessories;
- in the warm season, wear shoes or sandals of light natural materials that are breathable and absorbent;
- For pedicures, use only single or disposable instruments.
To prevent reinfection, you must:
- treat the inner surface of the shoes with disinfectant solutions, for example, formalin solutions or vinegar essence; but formalin has an unpleasant smell that can persist for a long time, and the vinegar essence can change the color of the shoes; To avoid this, you can treat the inside of the shoes with a 1% terbinafine solution; two days after such treatment, all infectious pathogens die.
The fungus between the toes lends itself well to therapy with modern antifungal agents and alternative methods. But it's very important to do everything you can to prevent reinfection, including through your own shoes and other personal items.