Dealing with Nail Issues: When to Seek Medical Attention - Surgery

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Nail issues


Hello, doctor.
Yesterday while at work, I felt a slight pain in my little finger, but I didn't pay much attention to it.
This morning, I noticed that the nail had embedded into the flesh, but it was at the edge of the nail.
Normally, I only trim the white part of the nail.
I'm not sure why it embedded into the flesh at the back.
I initially intended to dig it out and trim it myself, but I wasn't successful and ended up bleeding a bit and producing some pus.
I've applied some iodine solution.
Should I go to a clinic to have it checked?

Hsu, 10~19 year old female. Ask Date: 2016/05/09

Dr. Li Zhonghuai reply Surgery


Replied!

Reply Date: 2016/05/09

More Info


When dealing with nail issues, especially those involving pain, bleeding, or infection, it's essential to assess the situation carefully to determine whether medical attention is necessary. Based on your description, it sounds like you have experienced an ingrown nail, which can lead to discomfort and potential complications if not treated properly.


Signs You Should Seek Medical Attention
1. Persistent Pain: If the pain in your little finger continues or worsens, it may indicate that the issue is more severe than a simple ingrown nail. Persistent pain can be a sign of infection or other complications.

2. Bleeding: You mentioned that you experienced some bleeding after attempting to trim the nail yourself. If the bleeding does not stop or if it increases, you should seek medical attention. Continuous bleeding can lead to further complications and may require professional care to manage.

3. Signs of Infection: The presence of pus (which you mentioned as "濃") is a significant indicator of infection. Other signs include increased redness, swelling, warmth around the area, and fever. If you notice any of these symptoms, it is crucial to see a healthcare provider.

4. Difficulty in Self-Care: If you find it challenging to manage the situation on your own, such as being unable to trim the nail properly or control the bleeding, it's best to consult a medical professional. They can provide the appropriate care and guidance.

5. Underlying Health Conditions: If you have any underlying health conditions, such as diabetes or a compromised immune system, you should be more vigilant about nail issues. These conditions can increase the risk of complications from seemingly minor injuries.


Recommended Actions
Given your current situation, here are some steps you should consider:
- Keep the Area Clean: Continue to clean the area gently with antiseptic solutions like iodine, as you have done. Avoid using alcohol-based products that can irritate the skin.

- Avoid Self-Removal: While it may be tempting to try to dig out the nail or trim it yourself, this can often lead to further injury or infection. It's best to leave this to a professional.

- Monitor Symptoms: Keep an eye on the symptoms. If you notice any worsening of pain, increased swelling, or signs of infection, do not hesitate to seek medical help.

- Visit a Healthcare Provider: Given that you have already experienced bleeding and pus, it would be wise to visit a clinic or healthcare provider. They can assess the situation, possibly drain any infection if necessary, and provide appropriate treatment, which may include antibiotics if an infection is present.


Conclusion
In summary, while minor nail issues can sometimes be managed at home, your symptoms indicate that this may not be a simple case. Given the bleeding and pus, it is advisable to seek medical attention promptly. A healthcare professional can provide the necessary treatment to prevent complications and ensure proper healing. Remember, it’s always better to err on the side of caution when it comes to your health.

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