Nail Polyps: Causes, Treatments, and Remedies Explained - Surgery

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Nail polyp


Hello, I have a small piece of flesh growing near my nail.
It hurts when I cut it, and after a while, it keeps growing back.
Is the medical term for this a polyp, and what causes it? Is there a definitive cure? The pharmacist at the drugstore mentioned that this is keratinization and suggested taking vitamin A and B complex.
Is this effective? Thank you, doctor, for taking the time to respond.

A-Liang, 20~29 year old female. Ask Date: 2005/08/09

Dr. Li Guoding reply Surgery


Dear Dr.
Li Guo-Ding of the Department of Surgery, Tainan Hospital, Ministry of Health and Welfare:
Regarding the polyp near the nail, it is important to determine whether it is caused by the nail penetrating the nail bed, which would require evaluation by a surgeon.
If it is merely keratinization, you may consider the opinion of a dermatologist.

Wishing you good health and all the best from Tainan Hospital!

Reply Date: 2005/08/09

More Info


Nail polyps, often referred to as "nail fold polyps" or "periungual fibromas," are benign growths that can occur around the nail area. These growths can be bothersome, especially if they cause pain or discomfort when trimmed. Understanding the causes, treatments, and remedies for nail polyps is essential for effective management.


Causes of Nail Polyps
Nail polyps can arise from various factors, including:
1. Genetic Predisposition: Some individuals may have a genetic tendency to develop these growths, particularly those with conditions like tuberous sclerosis, which is characterized by the growth of non-cancerous tumors in multiple organs.

2. Chronic Irritation: Repeated trauma or irritation to the nail bed or surrounding skin can lead to the development of polyps. This can occur from activities that put pressure on the fingers or from nail-biting.

3. Infections: Fungal or bacterial infections can also contribute to the formation of growths around the nails.

4. Skin Conditions: Conditions such as psoriasis or eczema can lead to changes in the skin around the nails, potentially resulting in polyps.


Symptoms
The primary symptom of nail polyps is the presence of a small, fleshy growth near the nail. These growths can be painful, especially when pressure is applied, such as during nail trimming. They may also bleed if injured.


Treatment Options
1. Observation: If the polyps are not causing significant discomfort or complications, a "watch and wait" approach may be recommended. Many benign growths do not require immediate intervention.

2. Surgical Removal: If the polyps are painful or recurrent, surgical excision may be necessary. This procedure involves removing the growth and may provide a more permanent solution. However, there is a possibility of recurrence, especially if the underlying cause is not addressed.

3. Topical Treatments: Some topical treatments may help reduce the size of the polyps or manage symptoms. These can include corticosteroids or other anti-inflammatory medications.

4. Vitamin Supplements: Your pharmacist's suggestion of taking vitamin A and B complex may be beneficial, particularly if there is a deficiency. Vitamin A is essential for skin health, while B vitamins play a role in cell metabolism and repair. However, while these vitamins can support overall skin health, they may not directly eliminate nail polyps.


Home Remedies
In addition to medical treatments, some home remedies may help manage symptoms:
- Moisturizing: Keeping the area well-moisturized can help reduce irritation.

- Avoiding Trauma: Being cautious during activities that may cause trauma to the nails can prevent further irritation and growth.

- Proper Nail Care: Regular and gentle nail trimming can help manage the condition.


Conclusion
In summary, nail polyps are benign growths that can be caused by various factors, including genetic predisposition, chronic irritation, infections, and skin conditions. While they can be painful and bothersome, treatment options range from observation to surgical removal. The suggestion to take vitamin A and B complex may support skin health, but it is essential to consult with a healthcare professional for a tailored treatment plan. If you experience persistent discomfort or if the polyps continue to recur, seeking advice from a dermatologist or a healthcare provider specializing in skin conditions is advisable.

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