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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29553
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Hi, My ring fingers nail turned red. I thought maybe it

Resolved Question:

Hi,

My ring finger's nail turned red. I thought maybe it was because I banged it against something at work or because, on that nail, I cut it a little short. But then my pinky and middle fingernails started turning red also. This started a few days ago. Aside from being red, my ring and pinky fingernails hurt when I apply pressure.

Now I'm getting splinter hemorrhages on 8 of my fingers, including the ones that are red. I've been doing research online, and a lot of websites are saying it's possibly heart disease. Should I go to the doctor asap? I've been trying to wait and see if it'll get better, but it's definitely not. Please help.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.

Greetings Leah.

 

I am Dr. Phophalia and will assist you today.

Are you on any medications / herbs / supplements?
Any significant past medical illness?

Do you have chest pain, palpitations, breathless on exertion, tiredness?

Dr. Arun

Customer: replied 1 year ago.

Hi, I was taking vitamin c and a multivitamin daily, but I stopped taking them a few weeks ago. I recently took Aleve for a couple headaches. I don't have any breathing issues or chest pain. I have been feeling a little light headed/weak and losing my balance when I'm standing up.

Expert:  Dr. Arun Phophalia replied 1 year ago.
Thanks Leah for the further information.

Loosing balance on standing up can be due to orthostatic hypotension. This is also called as postural hypotension. It is a condition in which one experiences a upper (systolic) blood pressure drop of 20 mm Hg or more, or a lower (diastolic) blood pressure drop of 10 mm Hg or more, with or without an increase in heart or pulse rate, with or without symptoms, and within 3 minutes after standing.

 

In normal people the upper blood pressure falls by less than 10 and the lower one rises as a matter of fact by 2-3 reading. Following would be advised;

 

1) Lifestyle modifications, such as avoiding sudden postural changes

2) Sitting on the edge of the bed for 5 minutes before standing,

3) Calf muscle exercises,

4) Drinking 2 liters of fluids per day,

5) Avoiding hot environments,

6) Raising the head of the bed to 15-20 degrees,

7) Elastic compression stockings

8) Medical treatment; fludrocortisone, midodrine, erythropoietin, and pyridostigmine.

 

You would also be advised following investigations;

 

a) blood urea

b) serum creatinine

c) glucose tolerance test

d) HbA1c,

e) complete blood count (CBC),

f) electrocardiography,

g) echocardiography,

 

A collective symptoms of loosing balance on standing up, color changes in nails and splinter hemorrhages in fingers warrant an evaluation by a doctor as soon as possible. While your symptoms and signs are not confirmatory of heart disease but a possibility of heart disease like valve defect may be responsible occasionally for these symptoms.

 

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using JustAnswer.

 

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Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29553
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
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