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Question

My boyfriend has been building a retaining wall for a creek, and has recently developed a condition on his first fingernail that makes causes it to be very sore and it appears to be flattening(?). He says it feels like the edges (sides and top, not the cuticle area) are pulling up from his nail bed. It only appears to be affecting that nail. What could this be from and what would you recommend he do? He is self-employed with no health insurance.

Submitted: 55 days and 3 hours ago.
Category: Health
Value: $14
Status: CLOSED
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Optional Information

Gender: Male
Age: 41

Already Tried:
Nothing. Not sure what to try. Thought about soaking in epsom salt.

Posted by Valarie 55 days and 3 hours ago.

Answer

Hi XXXXXXX,

 

The condition you are describing sounds like "koilonychia", which causes the nail to flatten out and appear "spoon-like" in some cases. This can be caused by iron deficiency anemia, or by working conditions where the hands are subjected to chemicals, oils or soaps that soften the nail plate and cause it to turn upwards.

 

If it is caused by exposure to such chemicals, the only way to correct it is to stop the exposure and allow the nail to return to normal. So, he doesn't need to soak it in anything. He might consider using protective gloves when he is working.

 

The other thought is, he might want to see his doctor for some blood work to make sure his blood count is OK. Most likely it is whatever working materials he is subjecting his hands to. So, either protecting his hands or when the wall is completed, the nail will gradually return to its normal shape.

 

If the condition worsens, pain increases, or he develops other symptoms he should see his doctor about a possible nail infection.

 

 

55 days and 3 hours ago.

Reply

Hi Valerie,

Thank you for your prompt response. He has since been using some heavy duty gloves and his hands do look much better. Is it normal for this to only happen to one finger? Also, in your experience will the nail grow back pushing the old out? Or will it fall of first and then grow back?

Posted by Valarie 55 days and 3 hours ago.

Answer

Hi XXXXXXX,

 

Because it is only one nail, it is probably a combination of exposure to some chemical plus injury to the nail bed. Building a rock wall, I would imagine repetitive trauma to one's fingers happens frequently. He may lose the nail if it is severely damaged, in which case a new nail will regrow. He could probably protect it further by wrapping the nail up with some tape to support it, and this may keep it from causing pain (not too tight). Keeping it trimmed as it grows out will help also. It's hard to say if will just fall off, or have to grow out.

55 days and 2 hours ago.

Reply

One last question (sorry)...Once I accept payment, will this information go away? I want him to read this.

You've been very helpful. Thanks again, Valerie!!

Larissa

Accepted Answer

Hi Larissa,

 

You are very welcome. Glad I could help.

 

You will still have access to this question and everything in the thread once you accept payment. You can also contact me through this question if you have any follow-up concerns, even after accepting.

 

Just a P.S. If he develops other problems with this he may need to see a doctor for medication to treat it. For now, he needs to keep the nail bed dry and nail trimmed short to prevent infection under the nail as it lifts up. It is normal for the nail that is lifting to look white to slightly yellowish. If the nail bed underneath starts turning a different color or gets very painful, he should see a doctor.

 

 

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Expert: Valarie
Pos. Feedback: 100.0 %
Accepts: 
Answered: 9/29/2009

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