from the last few days i have noticed a blood patch under my toe nail. It is getting bigger and darker everyday. can a doctor please guide me about it.
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Asma Qaiser Qureshi
It is called SUBUNGUAL HEMATOMA if you havr bleeding under a fingernail or toenail. It usually happens if the nail gets crushed in an injury. It can cause symptoms such as intense pain and throbbing as blood collects under the nail.
Unless you also have broken bones or damage to the nail bed and/or surrounding tissues, this injury usually isn’t worrisome.
These injuries can happen easily. You might:
-Slam your finger in a car door or house door
-Hit your finger with a heavy object such as a hammer
-Drop a heavy object such as a dumbbell on your toe
-Stub your toe on a hard surface
If you have a darkened area under a nail and haven’t had an injury, see your doctor to rule out other possible causes.
The most common symptom is severe, throbbing pain. It happens because of the pressure of blood collecting between the nail and the nail bed.
You may also have:
A dark-colored discoloration (red, maroon, or purple-black) under all or part of the affected nail
Tenderness and swelling of the tip of the affected finger or toe
2 years ago
A painless and small subungual hematoma usually doesn’t need treatment. But the pressure generated by pooled blood under the nail can be extremely painful.
To relieve the pain, your doctor may perform decompression, also called trephination, which allows the underlying blood to drain, relieving pressure and pain to the area.
Unless the area of bleeding is very small, an affected nail will usually fall off on its own after several weeks because the pooled blood has separated it from its bed.
A new fingernail can regrow in as little as 8 weeks. A new toenail may not fully regrow for about 6 months. If there has been injury to the nail bed and/or surrounding tissues, the new nail may take longer to grow.
Even with the best repair, there is still a possibility that the new nail may grow back and not look normal. See your doctor if you notice any problems with the nail as it heals and regrows.
MBBS (KEMU), FRCS (Vascular Surgery), MRCS (UK), MCEM (UK), FCPS (Pak), F Vasc Surg (UK) | Lahore
Spontaneous bleed without any injury is uncommon. have u got any history of bleed from anywhere else like gums or in urine etc. U need further assessment and may be some blood tests to rule out a bleeding disorder,
if all normal, small bleeds like this settle on its own however if its too painful then trephination with needle is recommended to save nail bed, if left untreated nail bed may get destroyed with deformity of nail later on.
lots to discuss, needs assessment.
bleeding from gums is often and once without any reason 2 to 3 months back i saw blood in my urine as well.
MBBS (KEMU), FRCS (Vascular Surgery), MRCS (UK), MCEM (UK), FCPS (Pak), F Vasc Surg (UK) | Lahore | Book Appointment
U need to be properly assessed, book an appointment to be seen.
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