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Ingrown toenail surgery - phenol burn!

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  #1  
Old 10th February 2009, 01:12 AM
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Default Ingrown toenail surgery - phenol burn!

I had the surgery 5+ weeks ago and have been in almost constant pain. It was lessening until today. After the second week, a red line has been growing/running up my foot, and now it's near my leg. It is painfull to the touch. I do not have fever. My Dr. said i had a phenol burn, and it will take time, and these things happen. My toe is still oozing, on both sides, it is sore and painfull and looks horrible. There is still a huge open wound!. I was told to stop the gentromiacin and start using silverdine. Saturday, dr. said to just let the air dry it out. Now more stuff is coming out of it! So, what the heck is going on here? when will this get better?
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  #2  
Old 10th February 2009, 01:36 AM
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Default Re: Ingrown toenail surgery - phenol burn!

This is me again. Also, I had asked if there was and infection when i wenr back after 10 days and dr. said no. the toe looks so terrible, i don't know how he could have evn known! I'm pretty nervousright now. help!
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  #3  
Old 10th February 2009, 12:53 PM
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Default Re: Ingrown toenail surgery - phenol burn!

DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
************************************************** *********
My initial thought is . . . why the gentamycin if there were no infection suspected. Gentamycin is an antibiotic that is use predominately for gram negative bacteria and would, in my view, be a curious choice of a prophylactic antibiotic if one indeed were appropriate, possibly because of one being a risky and physically compromised patient. Red steaks extending up the leg is not a good sign, and I think a reconsideration as to whether or not there is an infection going on might be revisited. All that being said, severe pain after a phenol nail procedure, other than for infection, is generally due to blockage of the portals of drainage by thick and dried exudate which may then require physical intervention. But I have no ability to examine you, and thus I can make no recommendations on which you can or should rely. If you are not confident with your doctor, seek a second opinion from someone with whom you are.
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  #4  
Old 11th February 2009, 01:01 AM
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Default Re: Ingrown toenail surgery - phenol burn!

Dr. gives the gentromiacin routinely after this surgery. i've been back to dr. every two weeks. he doesn't seem concerned, but i think he should be, as i am still in pain almost six weeeks post op. His associate performed the surgery, but when i went back after 10 days because of the pain, i began seeing him. he insists i continue with him. so much of my toe is involved. why would this happen? could he have spilled the phenol all over by accident? will a new dr. treat me? i figure i will be turned away if this is serious. won't a new dr be reluctant to treat someone elses mistakes? if that's what this is.

the extending red lines are very scary. at what point do i seek an er? Thank you so much for your input!
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  #5  
Old 11th February 2009, 02:11 AM
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Default Re: Ingrown toenail surgery - phenol burn!

DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
************************************************** *********
It seems apparent to me that you have diminished confidence in your present doctor(s), and so you have three choices.

1. You can stuff your feelings and take a chance that everything will turn out all right.

2. You can find another doctor and leave yours. Doctors treat other doctors' problems and failures all the time. Not uncommonly at their request, but not necessarily so.

3. You can seek another opinion, and then decide under whose care you wish to continue. I see no reason why any respectable and competent doctor would be adverse to a patient seeking another opinion.

But what you should NOT do is rely on the opinion of someone who has no personal knowledge of your situation or status.
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  #6  
Old 5th March 2009, 05:38 PM
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Default Re: Ingrown toenail surgery - phenol burn!

Your situation sounds very similar to my daughter's. She had ingrown toenail surgery 11 weeks ago. The dr. removed her ingrown toenails on her big toes/both sides. He used phenol to discourage any regrowth. She treated them as he advised, washing her toes carefully and applying betadine. Her toes remained red and sore and she had 4 follow-up visits over 3 weeks. The dr. prescribed an oral antibiotic for the infection but said the redness was mainly due to phenol burns. After 4 weeks of little improvement, we decided to seek another dr's opinion. The 2nd dr. opened the area a little to allow drainage. He said the phenol burns would take time to heal. My daughter has been applying neosporin and after (11 weeks) her toes have improved slightly but are still red and sore, but no oozing. She has not been seen by the 2nd dr. for 5 weeks because she is back at college, out of state. She communicates with him and has emailed pictures of her toes. My main questions are: If the redness/soreness are the result of a phenol burn, what is a normal length of time for a phenol burn to heal? How can she tell the difference between infection and/or a phenol burn? Would oozing or pus be present? If it is a phenol burn what can she apply to assist the healing process, 8 weeks of using neosporin has not improved the situation. Should she discontinue using the neosporin and just keep the area dry? Do you recommend foot baths with epsom salt? I would appreciate any advise to help my daughter's situation. Thank you.
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  #7  
Old 5th March 2009, 08:16 PM
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Default Re: Ingrown toenail surgery - phenol burn!

DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
************************************************** *********
Instead of answering questions to which I cannot possible offer accurate answers which will apply to your daughter's situation rather than be general information which is almost never intended to be acted upon for ongoing situations in lieu of the attending's instructions. Your daughter has now engaged two doctors, neither of whom, according to you have supplied her with enough information or enough care or both such that she and you are comfortable with what is going on. Unless you have embellished the story or are not reporting it accurately, I think that your daughter, unless she is a minor, or you, in her stead, if she is, needs to stop acting like a subservient door mat and either get on the phone right now or stop into the doctor's office and demand a full explanation, status report, all of your questions answered and definitive recommendations regarding his patient's condition. What you are relating is not an uncommon occurrence and any doctor who performs this surgery should, in my opinion, be able to deal with it. The questions you are asking here can only accurately be answered by a treating doctor according to what he knows was done, his treatment plan and his judgment as to the appropriate amount of supervision required for this case. If he deems it impossible to appropriately treat her where she presently resides, then have him refer her to a doctor in her area for followup care. He has not simply done you a favor by taking the case, he has done it for a fee and he has a legal responsibility to the patient. Either you or your daughter need to see that he lives up to it. I get really annoyed by patients or their advocates who refuse to open up their mouths to their paid doctors and more-so as they are frequently the same folks who don't mind opening up their mouths to me anonymously (though I bet they wouldn't in person) when I give them the advice they may not want but surely need.
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Last edited by FootDoc; 5th March 2009 at 08:23 PM.
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  #8  
Old 23rd December 2009, 06:40 AM
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Default Re: Ingrown toenail surgery - phenol burn!

I got the acid surgery about 5 days ago. I did not feel any pain at all until about 2 days ago but it is very mild but my doc told me to soak in epsom twice daily and keep covered with neos**** but my toe is getting more and more white around the incision so I was just wondering if that happened to anyone else? Maybe it is too moist? Should I leave it uncovered for a while? BTW I have gotten numbed up and gotten ingrown toenails surgically cut out about 12 times before a doctor finally did the acid so I hope it works!
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  #9  
Old 23rd December 2009, 12:47 PM
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Default Re: Ingrown toenail surgery - phenol burn!

Five days after surgery is no time to be not getting your instructions from someone who does not know you, precisely what was done, your medical history or your post-surgical status. You are paying a doctor to be responsible for caring for you. PLEASE express all of your concerns to and obtain all of your information regarding your care from that doctor unless you've lost confidence in him/her. If you have selected a good doctor, I'm certain that he/she would want it that way.
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  #10  
Old 6th August 2010, 04:11 PM
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Default Re: Ingrown toenail surgery - phenol burn!

hiiiii
how r u?
my name is sheetal.
is your body was fully in contact with phenol??
actually today unfortunatelly my hand get contact with phenol & chloroform.
there was whitening on my skin of hand.
now it is a liitle whiteness on skin.
just for 5 min. and i was scared. so i want to know from u that k is it very harmful?
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  #11  
Old 16th March 2011, 11:42 AM
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Talking Re: Ingrown toenail surgery - phenol burn!

Phenol (Carbonic Acid) is used to eat away at the remaining part of the nail during the removal of the infected nail. It is possible some of it spilled on you.
I had the same thing happen to me (Phenol spilled), however when I got home and it started burning I went back to the doctors who apologised and cleaned it up for me.
I also had 6 procedures done on my toe, and none of them worked (They were all done at the GP's) but I got rid of them for good when I decided to get the procedure done at a Podiatrist (a specialist) who did an (almost) pain free procedure and my toe has been in good health for a year!
Yes, well about the phenol- Get a doctor to check it, make some suggestions and it should eventually heal.
It is only a weak acid (pH 6-5) so it shouldn't do too much harmful damage however it may leave a scar like it did leave on mine.
Hope this helps

Source: Personal experience
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  #12  
Old 31st July 2013, 03:44 AM
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Default Re: Ingrown toenail surgery - phenol burn!

I have the same problem. It's been 3 weeks since I got the procedure on both big toes. They are oozing a ton, the sides have turned black, and my toes are both swollen so much I can't wear anything but sandals. My doctor just put me on an antibiotic. She said I have a sensitivity to the acid and it got infected. Waiting to see if it clears up but kind of freaking out at the thought of scarring from the procedure.

Good luck!
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  #13  
Old 30th December 2013, 05:09 AM
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