**pic warning** verruca infected?

[FancyFingers]

Ds (6) has had a verruca for a couple of months. Despite treatment from the pharmacy, using various products it's now looking infected.

He cannot put any weight on his foot so is hobbling on his heel. I've tried the corn/verruca circle pads, but nothing is comfortable.

We saw a dr yesterday who prescribed the same gel as the bazuka brand. We've used this before.

What should I do? His foot after school today looked worse and I can see pus under the skin.

I called the surgery befor they closed and they've offered an appt with a nurse. I'm wondering what they'd be able to do (if anything?)

Does anyone have experience/advice?

[steppemum]

that's veyr helpful BoreofWhabylon.

dd had antibiotice because she had an infection on her face. She had a spot she had scratched, and her whole cheek was bright red, but not sore, and no pus, and she was fine, so I was a bit unsure what to do. (I expected the spot to be pussy if it was an infection)

Took her to the pharmacist to ask advice. Our pharmacist can prescribe stuff. He took one look at it and said it is an infection and gave antibiotics. I was still a bit puzzled, as I always think of infections as having pus, or the child having fever. I went really because I was worried because it was her face.

Your definition is helpful, I won't hesitate next time!

[BoreOfWhabylon]

Glad you found it helpful Steppemum. As I said, it applies to any lesion/spot/wound/burn etc.

And can I just say again This is no longer a verrucca problem. It is an infected wound problem. Advice re methods of dealing with verruccas are not appropriate in this situation

[Floweringjasmine]

Surprised at it wasn't drained at the appointment, that's what me and my lance happy nursing chums would have done.

Poor boy, hope he starts to feel better soon.

[BoreOfWhabylon]

I thought that too Jasmine

[FancyFingers]

Sorry for all the pics, but here is the latest. I gave him a dose of antibiotic as soon as he got home and he was sick straight away, so not sure if any stayed down (thinking none) so worried that he hasn't had proper treatment yet.

[BusterGonad]

If he's not keeping the medicine down then you need to tell a health care professional, you do not want that infection to get any worse.

[Orlandointhewilderness]

That needs lancing! It will be agony for him as long as it hasn't been drained. I'd get that re looked at.

[BoreOfWhabylon]

Buster is right. Ring GP if still open or Is there a minor injuries or Walk-in centre you can get to?

If not it's 111 again.

[Bringmesunshite]

Go to a walk in if there is one near.

[Mysty]

I think it's gone way beyond a verruca now and looks to me like it needs lancing to release the gunk and that will relieve the pain then Antibiotics and antibiotic cream with dressings and a cpl days off school to keep him off his foot.

[starfishmummy]

That needs to be seen asap. Tbh if there is no other option I would go to a&e. (Waits to be flamed)
Infections are not to be messed with.

[Badders123]

That needs lancing!!
Get him seen tonight! Tell them he can't keep the abs down and they can either give something else or IV
Poor thing that looks so sore!

[Mermaidinthesea123]

He needs to get that debrided properly by a podiatrist urgently, the pressure of all that hard skin is causing the area underneath to ulcerate and get infected, no wonder he can't walk on it. Only scalpel ulceration will do. A proper podiatrist will do that and refer to GP if they thinks it's necessary for antibiotics.
You can also get an NHS podiatry referral for free if it's infected, GP will normally get the urgent referral sorted in a week or two but if you are desperate go and see a private pod asap. I'm a podiatrist and I see a lot of these.

[Mermaidinthesea123]

That should say scalpel debridement.

[Mermaidinthesea123]

I'd take all of that off painlessly with a scalpel and release the pus underneath - once that is done it's unlikely to need antibiotics. then we'd put a u shaped pad on to relieve the pressure when walking and a dressing. if there is redness tracking up the foot go to minor injuries immediately.

[Fairylea]

I would also go to a and e. It looks very infected and if he can't walk on it then it needs sorting. Infections like that can be actually quite dangerous.

[ASDismynormality]

I agree with A&E/minor injuries. The fact he's been sick is worrying and the pressure must be immense. Does he have a fever? I would be worried that he has cellulitis and could get septicaemia. Also he needs to be off his feet until it's starting to heal.

[FancyFingers]

I've called 111, waiting for a call back.

We'd be able to take to him a podiatrist privately to speed things up if necessary.

[zen1]

Poor boy. When you see a HCP, how them the photos so they can see how quickly it's getting worse. Hope he's better soon.

[zen1]

*show

[CurbsideProphet]

Christ FancyFingers that looks so sore, your poor DS.

[B19M]

Re the antibiotic dose query ; yes it's correct-children's antibiotic dose guidelines have doubled in past12-18 months.

Also, do take it with food, as nurse advised. Much less likely to vomit. Has your DS managed to keep his 2nd dose of fluclox down?

Hopefully 111 will give you an appointment tonight at @ walk in /OOH centre-it does look like incision & drain would be prudent.
Children's A&E usually have nitrous oxide sedation (entonox) to facilitate similarly necessary procedures; when co-operation in a young child may be a factor.

[OnceMoreIntoTheBleach]

Goodness! Hope you can be seen tonight, I'd be worried about the infection spreading. Keep pushing if you haven't got anywhere yet Op

[EduCated]

Ouch ouch ouch! Have you had a callback?

[MiltopMighty]

Goodness, OP - it looks like an infection and a blood blister developing as well. I hope he can get some proper treatment and keep the ABs down.