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Published on: 8/20/2026

What are the signs of an infected toenail, and how is it treated?

An infected toenail typically causes redness, swelling, pain, warmth, and sometimes pus or a foul odor. A fungal toenail infection, on the other hand, often changes the nail's color, thickness, and shape. Treatment depends on the type and severity: keep the area clean and dry, apply topical antifungal or antibacterial creams, take oral medications when prescribed, and see a healthcare provider if symptoms worsen or don't improve.

Because toenail infections can range from mild to serious—and bacterial and fungal infections require very different treatments—identifying the cause early matters. Take a free, instant, online symptom check to better understand what may be causing your toenail issue and get clear guidance on your next steps.

Reviewed for medical accuracy: 07/15/2026

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You can tell a toenail is infected if you notice certain signs. For example, a bacterial infection often causes the skin around the toenail to become red, swollen and painful, and it might feel warm or produce pus or a foul smell. If the infection is fungal, your toenail might look yellow or white, feel thickened, and sometimes even lift off the nail bed. Treatment depends on the type and severity of the infection. For bacterial infections, a common approach is to soak the foot in warm, soapy water to clean the area and soften the nail. After soaking, gently drying the nail and applying an over-the-counter antibiotic ointment, followed by covering it with a sterile bandage, can help. In some cases, a doctor might need to prescribe oral antibiotics. For fungal infections, antifungal creams or oral antifungal medications are usually recommended, depending on the severity. Keeping the nail clean and dry reduces the risk of further infection. If you're unsure about your symptoms or they don't improve, you can use a free symptom checker to help understand what might be causing your discomfort and determine whether you should seek medical attention.

(References)

  • Ogur R, Tekbas OF, Hasde M. Practice tips. Managing infected ingrown toenails: longitudinal band method. Can Fam Physician. 2005 Feb;51(2):207-8. PMID: 15751563; PMCID: PMC1472971.

  • Ferrari J. Fungal toenail infections. BMJ Clin Evid. 2011 Aug 16;2011:1715. PMID: 21846413; PMCID: PMC3275109.

  • Bodman MA, Syed HA, Krishnamurthy K. Onychomycosis. [Updated 2024 Jan 9]. In: StatPearls [Internet].

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