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

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Nail problems


Hello, doctor.
Yesterday while I was 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.
I usually only trim the white part at the front of the nail, and I'm not sure why it has embedded into the skin at the back.
I initially intended to dig it out and cut it myself, but I wasn't successful and ended up bleeding a bit and producing some pus.
I have applied some iodine solution.
Should I go to a clinic to have it checked?

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

Dr. Li Zhonghuai reply Surgery


Hello! For paronychia infection, it is recommended to see a general surgeon for debridement treatment.
Avoid contact with tap water.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/05/09

More Info


When dealing with nail issues, particularly those involving pain, bleeding, or infection, it’s crucial to assess the situation carefully to determine whether medical attention is necessary. Based on your description, it sounds like you have a hangnail or an ingrown nail that has become painful and possibly infected. Here’s a detailed breakdown of what you should consider and when to seek medical attention.


Signs That Indicate You Should See a Doctor
1. Persistent Pain: If the pain in your little finger continues or worsens, it’s a sign that you should seek medical attention. Pain that escalates can indicate an infection or other complications.

2. Bleeding: You mentioned that you experienced some bleeding when attempting to trim the nail. If the bleeding does not stop or if it increases, you should see a healthcare provider. Continuous bleeding can lead to further complications.

3. Signs of Infection: The presence of pus or discharge, along with redness and swelling around the nail area, are strong indicators of infection. If you notice these symptoms, it’s essential to consult a doctor. Infections can spread and lead to more severe health issues if not treated promptly.

4. Fever: If you develop a fever, this could indicate that the infection has spread. A fever is a systemic response to infection and should be taken seriously.

5. Difficulty Moving the Finger: If you find it painful or difficult to move your little finger, this could indicate a more serious issue, such as a deeper infection or damage to the surrounding tissues.


Home Care and Initial Steps
While waiting to see a doctor, there are some initial steps you can take to care for your finger:
- Keep It Clean: Continue to clean the area gently with soap and water. Avoid using harsh chemicals that could irritate the skin further.

- Apply Antiseptic: You mentioned using iodine. This is a good step to prevent infection. Ensure that you apply it gently and allow it to dry.

- Avoid Squeezing or Picking: It’s tempting to try to remove the nail or squeeze out pus, but this can worsen the situation. It’s best to leave it alone until a professional can assess it.

- Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and reduce inflammation.


When to Seek Immediate Care
If you experience any of the following, seek immediate medical attention:
- Severe pain that is not relieved by over-the-counter medications.

- Rapidly spreading redness or swelling.

- A significant amount of pus or discharge.

- Fever or chills.

- If you have underlying health conditions (like diabetes) that could complicate healing.


Conclusion
In summary, while minor nail issues can often be managed at home, your symptoms suggest that it would be wise to consult a healthcare provider. Given the bleeding, potential infection, and your attempts to manage the situation at home, a medical professional can provide the appropriate treatment, which may include draining any pus, prescribing antibiotics, or advising on proper nail care techniques to prevent future issues. Don’t hesitate to seek help; it’s better to be safe and ensure that your finger heals properly.

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