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Everything you should know about Treating Ringworm
Have you noticed a red itchy patch on your skin or that of your child? While rashes occur for all types of reasons, ringworm is a common cause especially for young children and athletic adults. The term ringworm is really misleading, as the cause of the infection is not a parasitic worm but a particular group of fungi.
Ringworm is considered a type of parasitic infection as the fungus is actually feeding off the host. Fungi of this type thrive on the keratin found in the skin, nails, and hair which means they can be found on a variety of locations of the body. Even the scalp is not immune to possible ringworm infections. They particularly like warm moist environments, as many fungus do, so the groin area tends to be a particular favorite.
Diagnosis
How do you know if you should seek ringworm treatment? First, you need to diagnose the problem, which for many people simply means looking at the affected area or areas. In most cases the red rashy skin will have a ring like appearance, many times with a clear patch of skin in the center, hence the name ringworm. However, this is not always the case and you may need to seek professional assistance to determine what is causing your rash. It is not uncommon for ringworm, eczema or psoriasis to be confused.
Medical Tests for Ringworm:
Though often unnecessary, your doctor may want to perform tests to definitively diagnose ringworm these may include-
- Culture of the affected area
- Skin scrape potassium test
- Looking at area with a special light- specific fungi will glow
Common Appearance:
- Body- on general areas of the body i.e. chest, arms, legs etc… ringworm will generally be a rash with edges that appear crusty, moist or scaly most often these are in a circular pattern and though the center is often clear it can also have small blisters or red bumps.
- Face- on the face the appearance is much the same except without clearly defined boarders and one or both ears may be affected. Typically, ringworm on the face will worsen after sun exposure.
- Hands- ringworm on the hands is often mistaken for psoriasis or eczema. Skin on the palm may become hard, thickened or scaly while rashes between the fingers may be moist or openly weeping. Red, itching, scaly and blisters are all hallmarks of ringworm infection.
Causes
Ringworm treatment can be more effective when you understand the causes of the infection. Fungus is all around you and even present on the skin. Ringworm infections are most commonly spread by close personal contact with an infected person. This can be actually touching the affected area or coming into contact with towels or other clothing items that have been in contact with the ringworm.
It is important to note that ringworm is also present in dirt and on common household pets such as cats and dogs. If you have a break in the skin and come into contact with the fungi, you are more likely to get ringworm.
Symptoms
We have already discussed the appearance of ringworm infection, which pretty much goes hand in hand with the symptoms. Infections of this type will cause scaling, sores, itching, hardened skin and even hair loss in the case of an infection of the scalp. A rash that will not go away should be treated immediately and if there is any doubt about the source of the rash, make an appointment with your doctor or dermatologist.
Over the Counter Treatment
The first line of defense in ringworm treatment is over the counter medication. Very rarely, however, will you find medication at the pharmacy or in the medicine aisle of your supermarket that is labeled strictly for ringworm. The best over the counter ringworm treatment is anti-fungal creams. Anything that treats jock itch or fungal infections will generally work well for ringworm. Antifungal treatments effectively dry the area, which in turn kills the fungus responsible for the infection.
Prescription Treatment
There are times when over the counter ringworm treatment is simply not enough to deal with the infection. This is especially true when you are talking about an infection of the scalp or a large number of ringworms over the body. When to see your physician:
- When antifungal creams have been applied for 2 weeks with no results
- You notice signs of a secondary infection- heat, pus or swelling
- Fever- over 100 degrees with no other discernible cause
- Red streaks are coming from the affected area
Home Remedies
Ringworm treatment can vary from simple over the counter medication to prescription treatments, but many people prefer to treat the fungus at home. Sometimes ringworm treatment is as close as your backyard! It is very important to note that these remedies are not included as recommendations, you should always check with a medical professional before trying any home treatment! Often times, home treatments are actually more dangerous than the affliction itself. That being said here are a few of the more common home remedies suggested for ringworm.
Walnut- Choose a walnut that is not “ripe” yet, you know the ones covered with the thick green rind? You can use this one of two ways, slice away a portion of the rind and rub walnut hull juice directly on the affected area or take a portion of the rind, crush into a poultice and affix with bandages to the ringworm. This treatment is usually effective within a few days.
Garlic- Garlic is a natural antifungal, though the smell does leave a bit to be desired! Crush a small amount of garlic and place it directly on the ringworm, covering with a clean bandage. This will sting a bit and may not be the best ringworm treatment for children. You should notice the ringworm vanishing within 12 hours.
Stubborn Ringworms- again never attempt this type of treatment without consulting your physician! It has been advised by some that rubbing the affected area with a cotton ball soaked in apple cider vinegar vigorously has better results; however, this can be a painful option. Others have had success using fingernail remover but you should be aware that either of these treatments could lend themselves to secondary infections and worse and are not advisable. They are included only to complete the list of suggested home remedies!
Direct Application:
- Absorbine Jr
- Vick Vapor rub
- Listerine
- Tea tree oil
- Apple cider vinegar
- Lemon Juice
- Gold Bond Triple Action
Treatment Advice
Whether you use prescription, over the counter or home remedies as your chosen ringworm treatment you will want to take a few extra steps to speed the process and impede the spread of the infection. You will want to cover all ringworm locations with a bandage in order to limit the spread, not only to other household members, but also in other locations on your body. Other tips:
- If you cannot cover your ringworm adequately or you have numerous infection sites, wash your sheets, clothing and towels daily.
- Keep the infected area clean and free of moisture as much as possible. (This of course does not apply to creams or tinctures you are using as a ringworm treatment.)
- Stubborn scalp infections nearly always require medical assistance for treatment. These are extremely tough to treat and may require shaving of the hair around the area. (a difficult idea for women and girls)
Prevention
The best ringworm treatment is of course prevention. Locker rooms and swimming pools are prime locations for ringworm transmission. If you go to the local gym or swimming pool, it is important that you protect yourself from possible infection. Always wear some type of foot protection at the gym, pool, beach and especially public showers. Other tips:
- Avoid sharing towels, footwear and clothing
- Wash clothing, sheets and other items that have come in contact with ringworm
- After visiting potential infection sites, shower with anti-fungal or anti-bacterial soaps
Animal Connection
Animal to human transmission of ringworm is debatable; there are those who will tell you it is rare and unlikely. However, according to the Centers for Disease Control contact with an infected animal can result in ringworm infection in humans. Animals that can pass the infection include:
- Cats
- Dogs
- Horses
- Cattle
- Goats
- Pigs
If you notice, your animal is suffering with an itchy skin condition it is a good idea to get them vet checked. Ringworm most commonly forms a small to large circle, but this is not always the case. In addition, animals can carry different types of ringworm and a definitive diagnosis is important for proper treatment.
Conclusion
Ringworm treatment runs the gamut from super simple and quick to medical intervention. The important thing to remember is to remain diligent with the treatment. Apply ointments, tinctures or creams as directed, sometimes as often as three times per day. Finally, any ringworm that resists treatment for two weeks or longer should immediately be seen to by a medical professional. Neglected ringworms will often continue to grow and or spread, particularly those on the scalp.
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