Dr.Sasi Attili : Hi. I will do my best to advise. However, please note that this does not substitute an in-person consultation with a doctor.
Dr.Sasi Attili : Are you able to upload pictures?
Dr.Sasi Attili : Are the holes just part of the calluses?
Dr.Sasi Attili : How old are you?
Dr.Sasi Attili : Do you sweat a lot?
I think so , 30
the calluses on the ball of the foot are pretty minor but I they are very prominent there
Dr.Sasi Attili : Ok. Your description matches a bacterial infection common in people who swear a lot
Dr.Sasi Attili : It is called pitted keratolysis
Dr.Sasi Attili : But I cannot be certain without seeing pics
sorry that I have none to show you but I think that sounds pretty accurate
Dr.Sasi Attili : http://dermnetnz.mobify.me/bacterial/pitted-keratolysis.html
Dr.Sasi Attili : This usually responds to applying clindamycin lotion twice a day
Dr.Sasi Attili : It is only available on prescription
Dr.Sasi Attili : Also using antiperspirants on the feed will help a great deal
so I will need to see my doctor then to get the medication
Dr.Sasi Attili : I am afraid so
I also have problems with large cracks at the base of my toes between the toe and the ball of the foot is this related?
Dr.Sasi Attili : This sounds like athletes foot to me
Dr.Sasi Attili : Again commonly associated with sweating
ok that explains a lot
Dr.Sasi Attili : Using terbenafine cream twice daily for 3-4 weeks clears this up
Dr.Sasi Attili : This is available over the counter
how do I prevent these issues from coming back?
Dr.Sasi Attili : By leaving your feet out of socks and shoes to let them air as much as possible
Dr.Sasi Attili : Applying aluminium hydroxide 5% lotion as antiperspirant will also help
I have a tendancy to be barefooted a lot and wear sandals
Dr.Sasi Attili : You can get this OTC
Dr.Sasi Attili : Ok that's good. Maybe you just sweat a lot
Dr.Sasi Attili : So using ye antiperspirant will help
I live in a very humid state
Dr.Sasi Attili : Ok
is there a specific antiperstirant that I should use
Dr.Sasi Attili : Any brand should do
thank you very much
I will take your advise
Dr.Sasi Attili : You are wrlcome
Dr.Sasi Attili : Please remember to rate my answer once satisfied