Tag: Toenail

  • What can your nails tell you about your health?

    What can your nails tell you about your health?

    Your nails are an outgrowth of your skin. They are made of protein–keratin–which protects your toes and fingers. Jazmin Fox-Skelly reports for the BBC on what your nails can tell you about your health and what’s happening in your body. Usually, changes to your nails are of no consequence and likely result from an injury. But, if your nails lose their shape, get thinner or change their texture or color in some way for a long period of time, you should speak with your physician.

    Physicians can identify a range of health conditions simply by studying your fingernails. They can detect skin problems, kidney disease, autoimmune disorders and more.

    At the bottom of your fingernails is a somewhat white small half moon or lunula. It is the root from which your nails grow. It is located right on top of your cuticles, which are dead cells connecting the bottom of your nails to your skin. The lunula generates the cells that become your nail. Your cuticles play a critical role in preventing infection, keeping bacteria and other dangerous materials from getting into your skin.

    Nail shape: Your finger and toenails should have a convex shape, turning a bit outwards. They should be flat, without ripples. If they are not flat or your nail curves in or is not strong, you might have anemia–insufficient iron–or celiac disease.

    If your fingernails change shape, a physician might detect “clubbing,” which indicates low blood oxygen levels. The nails and their anchors are misaligned, so that your nails look like a spoon turned upside down. Your nails are not connected to your finger as they should be, almost floating. Your fingers look as if they are swollen.

    People with clubbing might have lung cancer, or a lung or heart infection, celiac disease, or liver cirrhosis. People with nail clubbing should get an X-ray to make sure that they do not have lung cancer.

    Nail lines: If you have lines across your nails, you might lack protein or zinc. You  might have diabetes or peripheral vascular disease, without enough blood circulation resulting in some cases from extra cholesterol or fat in your arteries.

    Nail flecks: It is not clear why people get white flecks on their nails. Most likely, you have injured your finger or toenails. You could have lead or arsenic poisoning or psoriasis. You could possible lack vitamins; but, the evidence is not certain.

    White nails: If your whole nail is white, you might lack protein in your blood, and you could have diabetes, kidney or liver disease. If your nail is blue, you might not have sufficient oxygen; that could mean you have heart disease or emphysema or a rare skin cancer.

    Nail bleeding: If you have bleeding underneath a nail that does not go away, you might have a splinter haemorrhage. It could look like a splinter of blood. And, your blood vessels could be inflamed as a result of a heart valve infection.

    Discolored toenails: If your toenails turn a different color–darker white or yellow, you might have a fungus. Sometimes, an over-the-counter medicine will kill it. The longer you leave it though, the harder it is to treat it.

    Brittle nails: If your nails are brittle, you could have hypothyroidism. Or, you could lack vitamin B7.

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  • How to clip your toenails

    How to clip your toenails

    Daily foot care is key to keep your feet feeling good. In addition to tending to infections between the toes and on your toenails, exercising and soaking your feet, and wearing shoes that fit well and don’t pinch, it’s important to clip your toenails properly. Here’s what the National Institutes of Health recommend doing:

    To avoid ingrown toenails, redness, swelling, pain and possible infection, you should cut your toenails straight across and not too short. Rounding your toenails at the edges increases the risk that the sides of your nail will grow into your skin. Also, don’t wear tight socks and shoes.

    When cutting your nails, feel free to use scissors, nail clippers or a nail file, whichever is most comfortable for you.

    What to do for an ingrown toenail?

    • To reduce inflammation, soak your toenail in warm (not hot) water with Epsom salts.
    • Wear flip flops or loose-fitting shoes.
    • Contact your doctor.

    If you have a fungal nail infection, it will not hurt you. Most likely your nail will thicken and turn yellow. To keep the fungus from spreading to other toes, you can also apply an over-the-counter colorless nail polish that contains  amorolfine or ciclopirox. These substances can prevent the fungus from spreading and even kill it. But, it can take many months for them to work. Consider filing or putting a moisturizer with urea on your nail to thin it out. You should also contact your doctor.

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  • What can you do about toenail fungus?

    What can you do about toenail fungus?

    Toenail fungus is quite common, particularly among older people. Unfortunately, it is a type of infection that can be hard to treat. What can you do about toenail fungus?

    Toenail fungus usually is harmless if you are otherwise healthy. So, you do not have to treat it. You can let it be. But, it likely won’t go away on its own.

    That said, toenail fungus could spread. And, it could infect the skin around it, especially if you have diabetes or a weakened immune system. Your nail might also become thicker, which could make it painful to walk.

    Before deciding whether or how to treat your toenail, talk to your doctor. Your doctor can confirm whether you do indeed have toenail fungus. You could have psoriasis, which can look like a toenail fungus.

    Treating a toenail infection: If you decide to treat toenail fungus, be patient. According to the National Institutes of Health, it usually takes several months for the treatment to work. Here are three treatment options from the NIH. Talk to your doctor before starting a treatment.

    • Try an over-the-counter colorless medicated nail polish with amorolfine or ciclopirox. First cut and file down your nail as much as possible. Then apply amorolfine once or twice a week over the course of a year. Or, apply ciclopirox every other day for the first month, twice a week in the second month and once a week beginning the third month. Before applying the new layer of polish, clean off the old layer with alcohol.  They can keep the fungus from growing or kill it. But, evidence that these treatments work is limited.
    • There is also a topical treatment that removes the part of the toenail that is infected. You first soak the nail in warm water for ten minutes. You then soften the toenail with a medicated urea-based cream and then scrape off the fungus. Discuss this option with your doctor. There is no good evidence that this treatment works over the long-term.
    • There are oral medications designed to treat toenail fungus. They have been shown to be much more effective than nail polish or urea-based cream. But, they have side effects, including stomach and bowel problems and a small risk of liver damage.

    Preventing nail fungus:

    • Dry your feet carefully after showering.
    • Wear shoes that are comfortable and fit well; if they are too tight, your feet can’t breathe.
    • Whenever possible, don’t wear shoes.
    • Wear flip flops in communal locker rooms.

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