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Athlete’s foot (also known as ringworm of the foot and tinea pedis is a fungal infection of the skin that causes scaling, flaking, and itch of affected areas. It is caused by fungi in the genus Trichophyton and is typically transmitted in moist areas where people walk barefoot, such as showers or bathhouses. Although the condition typically affects the feet, it can spread to other areas of the body, including the groin.

Athlete’s foot may be contagious from person to person, but it is not always contagious. Some people may be more susceptible to the fungus that causes athlete’s foot while others are more resistant. There are many households where two people (often husband and wife or siblings) using the same showers and bathroom for years have not transmitted the fungus between them. The exact cause of this predisposition or susceptibility to fungal infections is unknown. Some people just seem more prone to fungal skin infections than others.

The treatment of athlete’s foot can be divided into two parts. The first, and most important part, is to make the infected area less suitable for the athlete’s foot fungus to grow. This means keeping the area clean and dry.

Buy shoes that are leather or other breathable material. Shoe materials, such as vinyl, that don’t breathe cause your feet to remain moist, providing an excellent area for the fungus to breed. Likewise, absorbent socks like cotton that wick water away from your feet may help. DON’T sleep with socks on, allow your feet to breathe while you are sleeping.

Powders, especially medicated powders (such as with miconazole or tolnaftate), can help keep your feet dry. Finally, your feet can be soaked in a drying solution of aluminum acetate (Burrow’s solution or Domeboro’s solution). A homemade remedy of dilute white vinegar soaks using one part vinegar and roughly four parts water, once or twice a day as 10-minute foot soaks may aid in treatment. Original Listerine is also a good at home remedy. Mix one cap full in a soaking tub and soak for 10 minutes.

The second part of treatment is the use of antifungal creams and washes. Many medications are available, including miconazole, clotrimazole, terbinafine (Lamisil) sprays and creams, and ketoconazole shampoo and cream, etc. Ask your health-care professional or pharmacist for a recommendation. Treatment for athlete’s foot should generally be continued for four weeks, or at least one week after all of the skin symptoms have cleared.

If you notice any redness, increased swelling, bleeding, or if your infection is not clearing up, see your health-care practitioner. If a bacterial infection is also occurring, an antibiotic pill may be necessary. If you have fungal nail involvement, are diabetic, or have a compromised immune system, you should also see your physician for treatment.

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