<s>[INST] My 4 year old has Paronychia on her left thumb and I noticed today that underneath her nail is white, and appears to be pushing up. I ve done repeated soaks, and neosporin with band-aids on and it looked like it was getting better, and then today she showed me it again and it s twice as bad as before. I think she might have been sucking on it. Is it time to take her into see her physician and get her on antibiotics? [/INST] Hi thanks for asking question in Chat Doctor. Here your child suffering for parochial. In early stage it is treated without surgical intervention. Apply local antibiotic cream over it and soak that nail in warm water 3 to 4 times a day. Usually it resolves with these measures within few days. If still no benefit then oral antibiotic needed. If abscess develop secondary to infection incision and Chat Doctor. If still parochial not improving then consult surgeon for surgical repair of it. I hope you understand my concern well and will help you in approach to your case. </s>