Effective Solutions for Nail Issues: Addressing Nail Deformities and Discoloration - Surgery

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Nail problems


I have been troubled by this issue for a long time.
My thumb nails are uneven and have a concave appearance (both on my hands and feet), and they appear grayish...
After filing them down, they quickly return to their previous state, and some areas are yellowish and particularly brittle...
The other fingers do not have these symptoms.
I have previously used antifungal medication (similar to nail polish), but it has not been effective...
They also have an unpleasant odor...
Is there a fast and effective way to resolve this? I hope you can help me escape this suffering soon~~~ Thank you.

Lu Ren Jia, 10~19 year old female. Ask Date: 2004/08/23

Dr. Huang Junxiong reply Surgery


Hello: It seems that your nail issue resembles a condition known as onychomycosis (however, a proper diagnosis requires a visit to a dermatologist).
Onychomycosis is a fungal infection that is quite difficult to treat because the fungus can hide in the small crevices of the nail bed, making it challenging for topical medications to reach all areas.
Currently, the National Health Insurance Administration has approved a new oral medication for the treatment of onychomycosis that you might consider trying.
If all medication options prove ineffective, surgical removal of the nail followed by sealing with topical medication may be a viable option for potential recovery.

Reply Date: 2004/08/23

More Info


Nail deformities and discoloration can be frustrating and distressing, as they often affect not only the appearance of your nails but also your overall self-esteem. Based on your description, it seems you are experiencing issues such as nail pitting, discoloration, and fragility, which can be indicative of several underlying conditions. Let's explore some effective solutions and treatments for these nail issues.


Understanding Nail Issues
1. Nail Pitting: This condition is characterized by small depressions or pits on the surface of the nails. It can be associated with psoriasis, eczema, or other skin conditions. If you have a history of skin issues, it may be worth discussing this with a dermatologist.

2. Discoloration: Yellowing of the nails can be caused by several factors, including fungal infections, smoking, or even certain medical conditions like diabetes or lung disease. Fungal infections, in particular, can lead to both discoloration and a foul odor.

3. Brittleness: Brittle nails can be a result of environmental factors, such as frequent exposure to water or harsh chemicals, or underlying nutritional deficiencies, particularly in biotin, zinc, or iron.


Effective Solutions
1. Consult a Dermatologist: Given the complexity of nail issues, the first step should be to consult a dermatologist who can provide a thorough examination. They may perform tests to rule out fungal infections or other underlying conditions.

2. Topical Treatments: If a fungal infection is diagnosed, antifungal treatments such as topical solutions (e.g., ciclopirox or efinaconazole) or oral medications (like terbinafine) may be prescribed. It's essential to follow the treatment regimen as directed, as nail fungus can be stubborn and may take several months to resolve.

3. Nutritional Support: Ensure you are getting adequate nutrition. Supplements such as biotin have been shown to improve nail strength and health. A balanced diet rich in vitamins and minerals, particularly those that support nail health (like vitamin E, zinc, and omega-3 fatty acids), can also be beneficial.

4. Moisturizing: Regularly moisturizing your nails and cuticles can help prevent brittleness. Look for products that contain ingredients like shea butter or vitamin E oil.

5. Avoid Harsh Chemicals: Limit exposure to harsh chemicals found in cleaning products and nail polish removers. When using these products, consider wearing gloves to protect your nails.

6. Nail Care Routine: Maintain a proper nail care routine. This includes trimming your nails regularly, avoiding biting or picking at them, and using a gentle nail file to smooth out any rough edges.

7. Avoid Artificial Nails: If you are using artificial nails or nail polish frequently, consider taking a break. These can sometimes exacerbate nail issues by trapping moisture and promoting fungal growth.

8. Consider Medical Treatments: In some cases, dermatologists may recommend treatments such as corticosteroid injections for severe nail pitting or other systemic treatments if an underlying condition is identified.


Conclusion
While nail deformities and discoloration can be challenging to address, a combination of proper medical evaluation, topical treatments, nutritional support, and good nail hygiene can lead to significant improvements. It's crucial to be patient, as nail growth is slow, and it may take time to see results. If you have already tried over-the-counter treatments without success, seeking professional help is the best course of action. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out to a healthcare provider for assistance.

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