Post-Surgery Nail Bed Bleeding and Skin Discoloration: What to Do? - Surgery

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After undergoing a partial nail avulsion due to paronychia (nail bed infection), it's not uncommon to experience some bleeding and discoloration around the surgical site, especially within the first week post-operation. However, persistent bleeding and significant discoloration can be concerning and may require further evaluation.


Understanding Post-Surgical Symptoms
1. Bleeding: It's normal to have some bleeding in the first few days after the procedure, as the area is healing and new tissue is forming. However, if you are still experiencing bleeding on the seventh day, it could indicate that the wound is not healing properly or that there is an underlying issue, such as infection or inadequate hemostasis during the procedure.

2. Skin Discoloration: The darkening of the skin around the surgical site can be attributed to several factors:
- Bruising: This is common after any surgical procedure and can take time to resolve.

- Hyperpigmentation: The skin may darken due to inflammation or irritation from the procedure.

- Infection: If the area is infected, it may also present with discoloration, swelling, and possibly increased pain.


Recommended Actions
1. Monitor the Wound: Keep an eye on the bleeding. If it continues or worsens, or if you notice increased redness, swelling, or discharge (especially pus), you should contact your healthcare provider immediately.

2. Wound Care:
- Keep it Clean: Gently clean the area with saline solution or mild soap and water. Avoid using alcohol or hydrogen peroxide, as these can irritate the wound.

- Dressing: If the bleeding is minor, you can cover the area with a sterile bandage. Change the dressing regularly to keep the area clean and dry.

- Avoid Irritation: Try to avoid activities that may put pressure on the nail bed or cause trauma to the area.

3. Pain Management: If you are experiencing discomfort, over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage pain and reduce inflammation.

4. Follow-Up Appointment: It is crucial to follow up with your healthcare provider. They may want to assess the wound for signs of infection or other complications. If necessary, they might perform a debridement or prescribe antibiotics if an infection is suspected.

5. Skin Discoloration: If the discoloration persists after the wound has healed, treatments such as topical creams containing hydroquinone or retinoids may be recommended to help lighten the area. However, these should only be used under the guidance of a healthcare professional.


Conclusion
In summary, while some bleeding and discoloration can be expected after a partial nail avulsion, ongoing bleeding and significant changes in skin color warrant further investigation. Proper wound care, monitoring for signs of infection, and timely follow-up with your healthcare provider are essential steps to ensure a smooth recovery. If you have any concerns or if symptoms worsen, do not hesitate to seek medical advice.