I have Asperger syndrome, OCD, anxiety, and depression. Kindly help.

Hello doctor,

I am a 30-year-old male. I am not under any medications. I tried Lymecycline a couple of years ago and multiple creams for acne in the past. I have a history of mental health problems. I have a diagnosis of Asperger syndrome, OCD, anxiety, and depression. My anxiety levels have been chronic for many years due to the severity of my obsessive thoughts and compulsions etc. I think that my poor mental state has impacted on my health. I have had severe skin problems since I was about 17 or so. I get huge cysts that often recur in the same place with large boils. I have some large permanent cysts. I seem to break out at certain times. I also have a condition known as a functional neurological disorder. I will be seeing a neurologist here at a movement disorders clinic to deal with this in the near future. I also developed eyelash ptosis, where the eyelash in my right eye keeps growing long. My ophthalmologist told me that it needs to be trimmed regularly with scissors or that I have to use curlers, as it can impair my visual field. The neurological or psychological aspects may be affecting my other conditions. I have had athlete's foot for the past year. Due to my mental or neurological problems and depression, I have been housebound for most of the last year. I tend not to shower much or brush my teeth due to this.

I walk around in my bare feet in the house most of the time, and when I do go out, I tend to wear footwear. The athlete's foot has become more itchy or burning recently. Also, for the past year or two, I have had two fungal nails. My big toes on both feet are very yellow looking at the front of the pins. I am concerned about my fingernails. About two weeks ago, I noticed that the middle finger on my right hand was very painful when I touched it. I cannot remember if I pulled the nail, and this has caused some infection, or if it is related in some way to the fungal nail infections on my toes or my athlete's foot.

I will show you some pictures, and I would like your advice on what to do next. Due to my mental state, I have not taken good care of my body, but I am trying to address this. My athlete's foot is entirely wrong. If I start treating this with cream, I am likely to see an improvement. Also, what can I do about the fungal nails? I also have a pilonidal cyst on my tailbone. It was initially painful to sit down. This cyst is intermittent, but there are times when it can be very itchy. As you can see, I am not in the best shape, but I am trying to address both my mental health and my physical health by starting to take better care of myself, eating better, exercising, etc. The main concern is the fingernail. Do I have an infection? Can it be serious to blood flow/losing limbs, or is this my anxiety and the things I search on the internet? I am quite concerned. I cannot see a doctor for another week or two. I have had this fingernail problem for about two weeks, and it is very sore and red.

Thanks.

Hi doctor,

Thank you for the reply.

I imagine that I will be able to see a GP in the next week or so. In the meantime, while I am at home, are there any home remedies I can take? Will tea tree oil cream work? What about Daktacort? Is it possible that the infection will heal on its own in time? Will soaking it in warm water help draw it out also is it safe to get a hot needle to pop it or will this make things worse? Is this like a hangnail infection maybe I bit my fingernail? I should be able to see a doctor within the next five or six days. In the meantime, before I can access antibiotics, is there anything I can do at home to help myself? Are there any warning signs that I should look out for that might indicate any problems? What should I do about my athlete's foot and yellow toenails will Daktarin cream help the athlete's foot? How long will it take for an athlete's foot to improve if I apply the cream?

Thanks.

Hi doctor,

Thank you for the reply.

Could this be paronychia? If so, is this infection likely to cease, or can it last for a long time without treatment? Is it possible that my doctor or hospital might perform an incision and drainage or is this usually not necessary? Is the worst-case scenario that one could lose their nail? Do I not need to be worried about blood flow issues or missing limbs, or is this my health anxiety or OCD worries? This is my final question. Thank you very much for all of your great help.

Thanks.