It takes about 6 months for fingernails and up to 18 months for toenails to grow back attached to the nail bed. Infection and allergic reactions. These are common problems caused by artificial nails.
Fungal nail infections , which can vary in appearance depending on the type of fungus infecting the nail or the location of the infection. It is not unusual for fungal nail infections to follow athlete's foot infections. For more information, see the topic Fungal Nail Infections. Nail problems can also be caused by: An injury to a nail. Hangnails , which may lead to a minor infection next to your nails paronychia , causing the skin around the nails to become swollen and tender.
Nail-biting , which can lead to fingertips that are red and sore and cuticles that bleed. Nail-biting also increases the chance of bacterial infections around your nail beds and in your mouth. Side effects of medicines, such as chemotherapy and antimalarial medicines.
Diseases of the skin, such as psoriasis or eczema. Skin growths, such as warts , cysts , or moles. Other diseases such as Addison's disease , peripheral arterial disease , or HIV infection. Check Your Symptoms Do you have a problem with your nails?
This means a problem that affects the nails only and not any other part of the limb no other parts of the finger or hand or of the toe or foot. How old are you? Less than 12 years. Are you male or female? Why do we ask this question? The medical assessment of symptoms is based on the body parts you have. If you are transgender or non-binary, choose the sex that matches the body parts such as ovaries, testes, prostate, breasts, penis, or vagina you now have in the area where you are having symptoms.
If you have some organs of both sexes, you may need to go through this triage tool twice once as "male" and once as "female". This will make sure that the tool asks the right questions for you. Did you injure a nail? This could include tearing a nail, separating a nail from the nail bed, or hitting the nail hard enough that blood collects under it. Do you have pain under or around the nail? How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?
Do you have diabetes, a weakened immune system , or peripheral arterial disease? Is there an object under the nail that you cannot remove? Are there any symptoms of infection? Do you think you may have a fever? Are there red streaks leading away from the area or pus draining from it? Do you have an ingrown nail? Ingrown means that the nail has grown into the skin instead of over it.
Have you had nail problems for more than 2 weeks? These include: Your age. Babies and older adults tend to get sicker quicker. Your overall health.
If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner. Medicines you take. Certain medicines, such as blood thinners anticoagulants , medicines that suppress the immune system like steroids or chemotherapy, or natural health products can cause symptoms or make them worse.
Recent health events , such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious. Your health habits and lifestyle , such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
Try Home Treatment You have answered all the questions. Try home treatment to relieve the symptoms. Call your doctor if symptoms get worse or you have any concerns for example, if symptoms are not getting better as you would expect. You may need care sooner. Pain in adults and older children Severe pain 8 to 10 : The pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain.
Moderate pain 5 to 7 : The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it's severe when it's there. Mild pain 1 to 4 : You notice the pain, but it is not bad enough to disrupt your sleep or activities. Symptoms of infection may include: Increased pain, swelling, warmth, or redness in or around the area. Red streaks leading from the area.
Pus draining from the area. A fever. Long-term alcohol and drug problems. Steroid medicines, which may be used to treat a variety of conditions. Chemotherapy and radiation therapy for cancer. Other medicines used to treat autoimmune disease. Medicines taken after organ transplant.
Not having a spleen. Seek Care Today Based on your answers, you may need care soon. Call your doctor today to discuss the symptoms and arrange for care. Accidental overdose — Sometimes individuals will take painkillers to dull the pain that is caused by self-injury or to harm their bodies still further. This can cause extreme sickness, seizures and even death. If a cut is deep enough to cause damage, there is a chance that even medical care may not even help to reverse it, leading to paralysis in the limbs, or the loss of a limb.
Broken bones — In rare instances, individuals will develop such a high tolerance for pain or will have such an overwhelming desire to hurt themselves so seriously that they will break their own bones. Some people do this because this form of self-mutilation causes the longest span of pain, as it takes the most time to recover from.
Physiological Health Risks In addition to physical health risks, psychological ones exist for self-injurers as well. Strong emotions usually lead people to self-harm, which can also cause strong emotional responses, generating a vicious cycle. As a result, the following issues can develop or worsen:. Another sobering risk of self-mutilation is suicide.
Many people who self-injure do not intend to complete suicide. Sometimes they hurt themselves more seriously than they intend, causing severe medical complications that lead to death. Others become so devastatingly tormented by their behavior that they see no way out other than to end their lives. One of the most effective types of treatment for compulsive self-mutilation disorders is cognitive behavioral therapy CBT. By doing so, they can learn to replace the self-harm behavior with healthy ways to cope with anxiety, emotional pain, and other triggers.
Researchers have found that CBT is far more effective than a medication-only approach. In one study, CBT had a more dramatic impact on reducing trichotillomania symptoms than antidepressants [ 5 ]. In severe cases, a therapist or psychiatrist may recommend medication in addition to therapy. The antidepressant fluoxetine, for example, may reduce compulsive skin picking [ 6 ] [ 7 ].
However, because of the risk of serious side effects, antidepressants are often used only in severe cases in which the behavior results in infection, ulceration, or disfigurement. Since people who struggle with compulsive self-mutilation often suffer from other psychiatric disorders, such as PTSD or major depression, a successful treatment plan will also integrate therapies to address those conditions as well.
One of the challenges with compulsive self-mutilation is that the damage may also generate physical injury that requires medical treatment. Cutting, hair pulling, and skin picking can lead to infection and scarring that requires treatment by a dermatologist or other type of physician.
Self-help strategies are essential tools for managing and eliminating self-mutilating behaviors. These include:. Self-mutilation behaviors, from nail biting to skin picking, are more than inconvenient habits. If your behavior is causing embarrassment, shame, or physical problems, seek help. A skilled mental health professional will give you the resources to reverse these conditions so you can live the healthier life you deserve.
Skip to content. Understanding Compulsive Self-Mutilation. Types of Self-Mutilation There are many different ways in which people mutilate themselves. Causes Researchers have yet to identify one clear source for self-mutilation behaviors. If the nail cannot be reattached, your provider may replace it with a special type of material. This will remain on the nail bed as it heals. Your provider may prescribe antibiotics to prevent infection.
Pain Management. You should: Apply ice for 20 minutes every 2 hours on the first day, then 3 to 4 times a day after that. To reduce the throbbing, keep your hand or foot above the level of your heart. Talk with your provider before using these medicines if you have heart disease, high blood pressure, kidney disease, or have had stomach ulcers or internal bleeding in the past.
DO NOT take more than the amount recommended on the bottle or by your provider. Wound Management. You should: Follow your provider's recommendations to care for your wound. If you have an artificial nail, it should stay in place until your nail bed heals. If your provider recommends it, change the dressing every day. If your provider says it is OK, you can apply a small amount of antibiotic ointment to keep the dressing from sticking.
You may be given a splint or special shoe to help protect your nail and finger or toe as they heal. Often, a new nail will grow in and replace the old nail, pushing it off as it grows. Getting Active Again. When to Call the Doctor. Call your provider if: Redness, pain, or swelling increases Pus yellow or white fluid drains from the wound You have a fever You have bleeding that does not stop.
Alternative Names. Nail laceration; Nail avulsion; Nail bed injury; Subungual hematoma.
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