How to Treat Nail Splitting in Seniors: Tips for Healthy Nails

Q: How to Treat Nail Splitting in Seniors: Tips for Healthy Nails

Hello： In elderly patients or those with diabetes, it is important to rule out the possibility of fungal infections, specifically onychomycosis (fungal nail infection). <br>A black line in the middle of the fingernail may indicate benign conditions such as melanonychia, but in ra

Nail fracture

Hello Dr.
Lee,
I would like to inquire on behalf of my grandmother.
She is in her sixties and enjoys getting her nails done.
Her nails were previously very healthy, but recently they have started to break, and her toenails are even splitting in the middle, which is quite distressing to see.
Additionally, there is a black line running through the middle of her fingernails.
I would like to ask how to treat her current condition.
Is it advisable to buy cuticle oil or nail strengthening polish for her to apply? Since my grandmother lives in a remote area and is not fond of visiting doctors, I hope to find medications available at a pharmacy.
Thank you very much for your assistance!

Pao Pao, 60~69 year old female. Ask Date: 2012/08/04

Dr. Li Yufen reply Dermatology

Hello: In elderly patients or those with diabetes, it is important to rule out the possibility of fungal infections, specifically onychomycosis (fungal nail infection).
A black line in the middle of the fingernail may indicate benign conditions such as melanonychia, but in rare cases, it could be a sign of malignant melanoma.
It is advisable to visit a nearby dermatology clinic or hospital for examination.
Wishing you peace and happiness.

Reply Date: 2012/08/04

More Info

Nail splitting and other nail-related issues in seniors can be quite distressing, especially when they affect the quality of life and self-esteem. In your grandmother's case, the symptoms you describe—splitting nails, particularly toenails, and the presence of a black line in her fingernails—could be indicative of several underlying conditions. It’s essential to approach this situation with care and understanding.

Understanding Nail Splitting
Nail splitting can occur due to various reasons, including:
1. Nutritional Deficiencies: Lack of essential vitamins and minerals, such as biotin, zinc, and iron, can lead to brittle nails.

2. Dehydration: Insufficient moisture can cause nails to become dry and split.

3. Trauma: Frequent manicures or pedicures, especially if done improperly, can damage the nails.

4. Fungal Infections: Conditions like onychomycosis can lead to nail splitting and discoloration.

5. Underlying Health Conditions: Conditions such as psoriasis or thyroid disorders can also manifest as nail abnormalities.

Recommended Treatments
1. Moisturizing: Encourage your grandmother to regularly apply a good quality cuticle oil or nail oil. Products containing ingredients like jojoba oil, vitamin E, or almond oil can help hydrate the nails and surrounding skin, preventing further splitting.

2. Nail Strengtheners: There are various over-the-counter nail hardeners and strengthening treatments available. Look for those that contain keratin or calcium, as they can help reinforce the nail structure.

3. Dietary Adjustments: Ensure that her diet is rich in vitamins and minerals that promote nail health. Foods high in biotin (like eggs, nuts, and whole grains), zinc (like meat and legumes), and iron (like leafy greens and red meat) can be beneficial.

4. Gentle Nail Care: Advise her to avoid harsh chemicals and to use gentle nail polish removers. When getting manicures, she should opt for less aggressive techniques and avoid excessive filing or buffing.

5. Protective Measures: If she engages in activities that expose her hands to water or chemicals, wearing gloves can protect her nails from damage.

6. Consultation with a Healthcare Provider: Given the presence of a black line in her nails, it would be wise to seek professional medical advice. This could be a sign of a more serious condition, such as a subungual hematoma (blood under the nail) or even a fungal infection. A healthcare provider can perform a thorough examination and may recommend treatments such as antifungal medications if an infection is present.

When to Seek Professional Help
If your grandmother's nail condition does not improve with home care or if she experiences pain, swelling, or changes in color, it is crucial to consult a healthcare professional. They may perform tests to rule out any underlying health issues and provide targeted treatments.

Conclusion
While there are several home remedies and over-the-counter products that can help improve nail health, it is essential to monitor her condition closely. Encouraging her to maintain a balanced diet, practice good nail hygiene, and use moisturizing products can significantly enhance her nail health. However, the presence of a black line in her nails warrants a professional evaluation to ensure there are no serious underlying issues.

Similar Q&A

How to Treat Peeling Skin on Fingers and Nail Splitting Issues

If the edges of your fingers are frequently peeling, it may be due to several factors, including dryness, irritation, or a deficiency in vitamins. To address this issue, you can try the following: 1. Moisturize: Regularly apply a good quality hand cream or moisturizer to kee...

Dr. Mao Mingya reply Dermatology
Hello: The peeling at the edges of the fingers is usually associated with dyshidrotic eczema, which is a type of dermatitis. Therefore, it is advisable to minimize contact with irritants such as water or cleaning agents. Peeling due to vitamin deficiency tends to be more widespre...

Why Are My Nails Splitting? Causes and Solutions for Healthy Nails

Hello, I would like to ask why my nails have been splitting from the edges recently, and often three to four of my ten fingers are affected. (I am generally healthy, and my baby is almost one year old.) This hasn't happened frequently in the past. How can I improve this cond...

Dr. Jin Lianchun reply Dermatology
Hello, Miss: Generally, these issues are caused by 1. frequent exposure of the nails to water, and 2. excessive use of the nails for tasks such as picking vegetables, peeling fruits, or performing other activities. Therefore, for the first point, please wear gloves for all househ...

How to Address Nail Separation Issues and Promote Healthy Growth

Hello, doctor. When I was a child, I heard that not trimming the edges of my nails could cause them to dig into the skin and get injured, so I started cutting off the edges of my nails. However, as I grew older, the sides of my nails began to split downwards more and more. I'...

Dr. Wu Yuxin reply Dermatology
Medical regulations stipulate that "physicians must personally examine patients before providing treatment or prescribing medications," and therefore, online diagnosis is also not permitted.

Why Do My Nails Split Like a Layered Pastry? Dermatologist Insights

Doctor, I have a long-standing habit of applying nail polish, but I use quality products and also apply a nail strengthener. However, no matter what I do, the nails on my right hand won't grow long because the tips keep splitting, sometimes into two or even three layers. Whe...

Dr. Guo Fengsheng reply Dermatology
Please stop using nail polish and pay attention to maintaining a balanced diet. Avoid being picky with food, as proper nutrient supplementation will lead to improvement.