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Hello, I'm Dr Gary. I've been practicing veterinary medicine since 2007. I look forward to helping with your questions/ concerns.
Sorry about that wait.
That actually doesn't look too bad in the picture. The nail bed is pretty inflamed, but the tissue looks healthy. It doesn't look like there is anything necrotic that would warrant removing the nail.
I would usually treat with Chlorhex solution dips and oral antibiotics like Cephalexin. I would typically leave it open and just use an e-collar to prevent licking for 1-2 weeks.
I hope this helps, let me know if you have any other questions.
Bummer, some dogs just don't tolerate them.
In that case, I would change the bandage daily until healed. If it gets wet, then that's how they get more infected.
No problem, happy to help.