Is It Normal to Experience Swelling After Losing a Nail Piece? - Surgery

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A piece of flesh from the nail (little finger) has been cut off?


Is it normal to experience swelling and discomfort after a small piece of flesh has been removed and ointment has been applied? Will it grow back, and can I just buy medication at the pharmacy? Is it possible to use artificial skin, or do I need to go to the hospital?

Hung, 20~29 year old female. Ask Date: 2021/04/18

Dr. Li Zhonghuai reply Surgery


Hello! If you're worried about ingrown toenail inflammation, it's advisable to visit a clinic or hospital.
Take care! Changhua Hospital cares about you!

Reply Date: 2021/04/18

More Info


Experiencing swelling after losing a piece of nail or skin can be a common occurrence, especially if the area has been injured or traumatized. When you lose a part of your nail, it can lead to inflammation as the body responds to the injury. This swelling is part of the healing process, as your body sends more blood and immune cells to the area to help repair the damage. However, the degree of swelling and discomfort can vary based on the severity of the injury and individual healing responses.

If you have applied an ointment and are noticing swelling, it is essential to monitor the situation closely. Mild swelling and discomfort can be normal, but if the swelling increases, or if you notice other symptoms such as redness, warmth, or pus, this could indicate an infection. Infections can occur when the skin barrier is compromised, allowing bacteria to enter the wound.
Regarding your question about whether the area will heal back to normal, it largely depends on the extent of the injury. If the nail matrix (the tissue under the base of the nail) is intact, there is a good chance that the nail will grow back. However, if the matrix is damaged, the nail may grow back irregularly or not at all.

As for treatment options, if the swelling is mild and there are no signs of infection, you may consider continuing to care for the area at home. Over-the-counter pain relievers can help manage discomfort, and keeping the area clean and covered with a sterile bandage can protect it from further injury. Artificial skin or hydrocolloid dressings can be beneficial in providing a protective barrier while allowing the area to breathe, which can promote healing.

However, if you are experiencing significant pain, increasing swelling, or any signs of infection, it is advisable to seek medical attention. A healthcare professional can assess the injury more thoroughly and determine if further treatment is necessary, such as antibiotics for an infection or a more specialized dressing.

In summary, mild swelling after losing a piece of nail or skin can be normal, but it is crucial to monitor for signs of infection. If the injury is minor and there are no complications, home care may suffice. However, do not hesitate to consult a healthcare provider if you have concerns about the healing process or if symptoms worsen. Your health and safety should always be the priority, and professional guidance can provide peace of mind and appropriate care.

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