Urgent Foot Health: Toenail Issues and Lip Peeling Explained

Q: Urgent Foot Health: Toenail Issues and Lip Peeling Explained

Hello： It is recommended that if the skin symptoms do not improve or worsen, you should consult a dermatologist for diagnosis and treatment. <br>Generally, they can assess multiple areas of the skin at the same time. <br>Thank you!

The big toes (on both feet) have been swollen and painful for about half a month to a month. The nail matrix (the junction between the nail and the skin) has become flaky (and even missing in some areas). The nails have not been intentionally trimmed, but the area around the nail needs to be cleaned. Should I seek medical attention as soon as possible?

1.
Recently, my big toes (on both feet) have been swollen and painful for about half a month to a month (this has not happened before).
The nail matrix (the junction between the nail and the skin) has turned into debris (and even disappeared).
I haven't intentionally cut my nails short, but occasionally when I trim my nails, I clean the front of the nail groove.
After cleaning the front, I noticed that I can dig into my nail groove about 0.7 cm deep from the tip of my finger, which seems to indicate some nail bed separation (this is my own speculation).
Should I avoid cleaning the front of the nail groove? Is this condition a bacterial infection? Is it necessary to seek medical attention promptly?
2.
The upper part of my lips often experiences peeling, which frequently recurs.
It is not a complete peeling but occurs in a fixed location.
Does this indicate cheilitis? Is it sufficient to apply a cheilitis ointment?
3.
If both conditions require medical attention, can I see a doctor for both different areas at the same time?

Ms. Chen, 20~29 year old female. Ask Date: 2021/03/17

Dr. Li Yufen reply Dermatology

Hello: It is recommended that if the skin symptoms do not improve or worsen, you should consult a dermatologist for diagnosis and treatment.
Generally, they can assess multiple areas of the skin at the same time.
Thank you!

Reply Date: 2021/03/17

More Info

When it comes to foot health, particularly issues related to toenails and lip peeling, it's essential to understand the underlying causes and appropriate treatments. Let's break down your concerns into three main areas: toenail issues, lip peeling, and the logistics of seeking medical care.

1. Toenail Issues
From your description, it sounds like you may be experiencing a condition known as onycholysis, which is the separation of the nail from the nail bed. This can occur due to various reasons, including trauma, fungal infections, or even psoriasis. The fact that your toenails are swollen and painful, and that the area around the nail is becoming flaky or disintegrating, suggests that there may be an underlying infection or significant irritation.

Cleaning the nail groove (the area where the nail meets the skin) can be beneficial, but it should be done carefully. If you are digging too deep or causing trauma to the area, it could exacerbate the problem. It's generally advisable to avoid aggressive cleaning, especially if you notice any signs of infection, such as redness, warmth, or pus.
Given your symptoms, it is crucial to seek medical attention promptly. A healthcare provider can assess whether you have an infection (bacterial or fungal) and recommend appropriate treatment, which may include antifungal medications, antibiotics, or even minor surgical intervention if the nail is severely affected.

2. Lip Peeling
The recurring peeling of your lips could be indicative of several conditions, including cheilitis (inflammation of the lips), allergic reactions, or even a form of dermatitis. If the peeling is localized and recurrent, it might be worth considering whether there are specific triggers, such as certain foods, environmental factors, or even products you use on your lips.

Using a lip balm or ointment designed for lip care can help alleviate dryness and protect the skin. If you suspect it might be cheilitis, over-the-counter treatments or topical corticosteroids may provide relief. However, if the condition persists or worsens, it would be wise to consult a dermatologist for a thorough evaluation and tailored treatment plan.

3. Seeking Medical Care
Regarding your question about seeing a doctor for both toenail and lip issues, it is generally acceptable to address multiple concerns in one visit, especially if they are related to dermatological health. Many healthcare providers, particularly dermatologists, are equipped to handle various skin and nail conditions. When making your appointment, simply inform the office staff that you have multiple concerns, and they can allocate sufficient time for your consultation.

Conclusion
In summary, your toenail issues warrant immediate medical attention, as they may indicate an infection or other serious condition. Avoid aggressive cleaning of the nail groove and seek professional evaluation. For your lip peeling, consider using protective lip products and consult a dermatologist if the issue persists. Lastly, don't hesitate to address both concerns in a single medical visit, as this can streamline your care and provide you with comprehensive treatment options. Taking these steps will help ensure that you maintain optimal foot and lip health.

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