It sounds like you’re experiencing significant discomfort from what could indeed be an ingrown toenail, especially given the redness, swelling, and throbbing pain you’re describing. While it’s understandable to feel apprehensive about seeing a doctor, addressing the issue early can prevent further complications, such as infection or worsening pain.

Here are some home remedies and strategies that may help alleviate your symptoms:

1. Warm Soaks with Epsom Salt: While you’ve tried soaking in warm salt water, consider using Epsom salt specifically. Dissolve 1-2 teaspoons of Epsom salt in warm water and soak your foot for 15-20 minutes, 2-3 times a day. Epsom salt can help reduce swelling and draw out any infection.

2. Cotton or Dental Floss: After soaking, gently lift the edge of the ingrown nail and place a small piece of clean cotton or dental floss underneath it. This can help relieve pressure and encourage the nail to grow above the skin rather than into it. Change the cotton or floss daily.

3. Antibiotic Ointment: If you notice any signs of infection (increased redness, warmth, or pus), applying an over-the-counter antibiotic ointment (like bacitracin or Neosporin) can help prevent infection. Cover the area with a sterile bandage after applying the ointment.

4. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. Be sure to follow the recommended dosages.

5. Footwear: Avoid tight shoes or high heels that put pressure on your toes. Opt for open-toed shoes or sandals that allow your toes to breathe and reduce pressure on the affected area.

6. Elevation: When resting, try to keep your foot elevated to help reduce swelling.

7. Avoid Cutting the Nail: Resist the urge to cut the ingrown part of the nail yourself, as this can worsen the condition or lead to infection.

While these home remedies may provide relief, it’s crucial to monitor your symptoms closely. If you notice any worsening of the redness, increased swelling, or if the pain becomes unbearable, it would be wise to consult a healthcare professional. They can assess the situation and determine the best course of action.

Regarding your concern about the toenail being pulled out, it’s important to know that doctors typically aim to treat ingrown toenails conservatively first. If surgical intervention is necessary, it may involve removing only a portion of the nail or performing a procedure to prevent future ingrowth, rather than complete removal.

Ultimately, addressing the issue sooner rather than later can lead to better outcomes and less invasive treatment options. Your comfort and health are paramount, so don’t hesitate to seek professional advice if needed.