Way OT but I have a question regarding an injury for my daughter

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Red_34
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Date Joined Apr 2004
Total Posts : 23551
   Posted 3/12/2009 9:06 AM (GMT -6)   
I know this isn't Uc related in anyway or form.  But I feel as a collective mind y'all might be able to help me or even have had experience with this sort of thing.
 
My daughter was playing basketball yesterday and a girl on the opposite team accidently slammed her heel on my daughters big toe.  It literally cracked her toe nail horizontally by the cuticle.  I know she is probably going to lose the toe nail but my question is:  Since it's an open crack into the nail bed, does she have to keep a bandaid on it at all times to prevent infection?  Or can she take the bandaid off once the bleeding stops?  My daughter absolutely hates bandaids and I know that once it starts to feel better she is not going to want to wear one but I don't know how the healing process goes when it comes to this sort of thing.  What would your criteria be regarding the bandaid?
 
LOL I also have a son who I've had my fair share of taking to the ER for doing stupid daredevil stunts but never once have I had to deal with an injured nail!


 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Bentyl, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Year-round allergies-Singulair, Zyrtec~Secondary Reynauds Syndrome-'04-Norvasc~Sacroiliitis-epidural injections~bulging and herniated discs C5/C6 & C6/C7~3 epidural injections-second series starts 2/17, OA in my fingers -Celebrex, Tylonel Arthritis and Voltaren Gel
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madabs
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Date Joined May 2008
Total Posts : 388
   Posted 3/12/2009 9:22 AM (GMT -6)   

That sounds really painful. 

I would say that while home and shoeless it wouldn't really be necessary to cover the nail - just wash it and put on antibiotic ointment.

 However, the area will be very sensitive and vulnerable and you might want to think up something to cushion it from further injury.  What about some cotton held in place with some lightly wrapped gauze and then covered by a sock or two ?  She might have to wear open toed shoes for a while if its very painful. 

I hope she feel better soon
 
UC diagnosed 10/05, first symptoms 1983
6mp * asacol 12/daily * rowasa pm * cortifoam am 
 Culturelle Probiotic - prilosec - metamucil capsules
past rx: colozal, lialda, canasa
i can't complain, but sometimes i still do.  lifes been good to me so far.  -joe walsh


lambkins
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Date Joined May 2008
Total Posts : 574
   Posted 3/12/2009 11:00 AM (GMT -6)   
i would say leave it open at home and covered when out/at school just make sure that it is kept clean
  
  Diagnosed 22.5.08 with Lft sided U/C
  Meds Predfoam 20mg 2x day stopped started pentasa supps 1gm 26/6/08
 Asacol 800mg x2 twice daily
  Domperidone 10mg as needed
  co codamol 30/500 x2 when needed


Red_34
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Date Joined Apr 2004
Total Posts : 23551
   Posted 3/12/2009 11:15 AM (GMT -6)   
She went to school today with a bandaid on it with antibiotic cream as well as wearing her sandal on that foot. She insisted on wearing a regular shoe on the other foot though and she made quite an interesting sight! LOL

Thanks for the ideas. That is what I was thinking too but I wasn't sure if that would of been the right course of action.

She thought that she just stubbed her toe and she continued to play until the end of the quarter. She sat down and then burst into tears. Her coach gently took off her shoe and when she saw the blood on her sock she literally started freaking out! lol My daughter is a bit of a drama queen with some things. But this probably scared her. Yes it hurt her a lot yesterday so I had her rest her foot up with ice on it. She told me that it felt a lot better this morning.
 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Bentyl, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Year-round allergies-Singulair, Zyrtec~Secondary Reynauds Syndrome-'04-Norvasc~Sacroiliitis-epidural injections~bulging and herniated discs C5/C6 & C6/C7~3 epidural injections-second series starts 2/17, OA in my fingers -Celebrex, Tylonel Arthritis and Voltaren Gel
To help Healingwell - click here: DONATE
 
 
 
 

 
 


quincy
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Date Joined May 2003
Total Posts : 31004
   Posted 3/12/2009 11:22 AM (GMT -6)   
Oh, I'd have probably freaked as well....you do have to be careful for her to not end up with a fungal infection under the nail...that can be an even worse thing for her to deal with for the rest of her life.

I would suggest she go to the doctor/hospital or wherever to make sure there's nothing else going on...

Maybe an antifungal cream should also be used once in a while....

I feel her pain.

Keep us posted.
quincy
*Heather* Status..Asacol  (3 x2 daily); flaring /Dec 22, tapered to every 3rd nite
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol (dicyclomine) 20mg as needed; Ranitidine (reflux);  Effexor XR 75mg(depression);  Pulmicort/Airomir (asthma) 
~vitamins/minerals/supplementsProbiotics....(Natural Factors Protec, Primadophilus Reuteri Pearls, Natural Factors Ultimate). @ bedtime
~various digestive enzymes as needed; started Omega 3 
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!
 


fruitgirl
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Date Joined Feb 2009
Total Posts : 7150
   Posted 3/12/2009 11:37 AM (GMT -6)   
I've never done something like that, but I had such a problem with ingrown toenails on my big toes that I eventually had the sliver on the sides of both nails removed and the root killed to prevent them from growing back. Anyway, when one would get infected, it always helped to soak my foot in a pan of warm water and epson salts and used antibiotic ointment.

However, speaking from experience, it can be really hard to keep a bandaid on your toe! I think that if she cleans it thoroughly and uses antibiotic ointment and bandaids for at least part of the day, she should be ok.
Symptoms began in November 2008, ~4 weeks after giving birth to my son.
Eased for ~3 weeks in December, possibly b/c of probiotic use?
Returned in January 2009 (with a vengeance), diagnosed with pancolitis on January 30.
Currently taking Asacol (400mg 4 pills 3x daily), Rowasa nightly, Culturelle probiotic, and Zoloft (25 mg).


Red_34
Elite Member


Date Joined Apr 2004
Total Posts : 23551
   Posted 3/12/2009 12:05 PM (GMT -6)   
What's sort of ironic is that this is the the same toe she had that had a sliver of ingrown toenail removed permantly (like you Fruitgirl). Heck, all I had to do was wait for her to get hurt in basketball! :) J/K I'm still recovering myself from the same thing. I had an ingrown toenail permantly removed a week ago. This is a bit different though because of where the damage is - imagine someone taking a knife right across your nail and into the nailbed.

Q - I am keeping an eye on it for now. I may have to end up taking her to the doctor anyway to remove the nail if it grows out strange or if she doesn't lose the entire nail.
 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Bentyl, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Year-round allergies-Singulair, Zyrtec~Secondary Reynauds Syndrome-'04-Norvasc~Sacroiliitis-epidural injections~bulging and herniated discs C5/C6 & C6/C7~3 epidural injections-second series starts 2/17, OA in my fingers -Celebrex, Tylonel Arthritis and Voltaren Gel
To help Healingwell - click here: DONATE
 
 
 
 

 
 


subdued
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Date Joined Dec 2008
Total Posts : 3231
   Posted 3/12/2009 2:37 PM (GMT -6)   
Yes. Putting on a band-aid would help keep out the dirt. I wouldn't insist on using a band-aid though as long as the wound heals nicely. You can give her band-aids to take to school and tell her to clean her toe, dry it, and then put a band-aid on if the wound gets worse.

My older daughter lost her whole toe nail once. (She closed the closet door on it.) Surprisingly, it grew back nicely. She didn't wear a band aid. I think putting a band-aid on it looked too painful; so I didn't ask her to put any on. She wore open sandals until the wound dried out.
Joy - 47 yrs and counting
Diagnosed w/ UC Dec 06 (also have IBS)
Currently in remission

Lexapro (for stress)
Probiotics and Vitamins (a whole bunch of them)
Anti-inflammatory foods: turmeric, seaweed, garlic...
Avoid: pro-inflammatory foods, HFCS, foods high in fructose, artificial sweeteners
Previous treatments: Fecal transplantation (worked), Prednisone (stopped working), Colazal (stopped working), Asacol (stopped working)

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