Doctor insights on:
Bleeding Under Nail (Subungual Hematoma)
When a nail is falling off after a subungual hematoma, what will the nail under it look like? It looks like i can see bone underneath.
Subungual Hematoma (Bleeding Under Nail) (Definition)
A condition in which there is bleeding under the fingernail or toenail. Usually caused by a crush injury, a subungual hematoma can cause symptoms such as intense pain and throbbing as blood collects under the nail ...Read more
Subungual hematoma; left index, how long until nail falls off? Lots of blood accumulating under nail. Black in colour. Severely painful and swollen.
Trephination: Ouch! Go see your family doc about this condition, the sooner the better. S/he can make a hole (trephinate) in your nail allowing blood to escape, thus relieving pressure & pain. No anesthesia needed. Instant pain relief w/very dramatic release of blood build up. Check out http://emedicine.medscape.com/article/82926-overview for more info. ...Read more
My big toe seems to be subungual hematoma. The injury lasted for months now. Half the nail fell off 3 weeks ago & now it's blackish red again.
Purple-ish/black dot under nail with calcium deposits around it. Fairly certain recent trauma (jamming finger)... Fitting for subungual hematoma?
How can you tell the difference between subungual hematoma vs melanoma? Had a dark area under toe nail for 3 months (not a vertical line though)
Not safe to guess.: Telling the difference between the two is not always as simple as following as bullet point list. Both of these conditions can vary in appearance from patient to patient. To reduce the chances of missing the diagnosis, several things are needed. A thorough examination, a precise history of the problem and most importantly, experience in recognizing what you are seeing. Have the examined and soon. ...Read moreSee 1 more doctor answer
Get it drained: This is one of the most satisfying treatments in a primary care office. Some doctors have a special drill to go through the nail. I have used a hemostat, a red hot paper clip and a lighter when in the field on a camping trip. The trick it to just go through the nail and not into the soft tissue below. The relief is instant. ...Read moreSee 1 more doctor answer
If injured, yes: Subungual hematoma is a blood clot under a nail, usually from a direct blow (hitting your fingertip with a hammer, stubbing your toe). If you seek medical attention within the first 24 hours, they can be drained with a hot probe thru the nail - generally almost painlessly, and by relieving the pressure it really helps the pain! very small hematomas or older ones are not worth draining. ...Read moreSee 1 more doctor answer
Sometimes: In most cases people will have these develop when they sustained minor trauma to the nail & may not feel it at all.However, moderate trauma like catching a finger in a door jam or other direct trauma can give rise to a pressurized/painful hematoma. I routinely open these in the office with a the heated pointed end of a paper clip.The hole releases the pressure & the pain leaves. ...Read moreSee 1 more doctor answer
With a subungual hematoma.... How come sometimes the blood is black and sometimes it is brown? Is one better than the other?
Wondering if it's best to do needle drainage for subungual hematoma (finger crushed from door)or to let it heal on its own?
Drain: Best to drain the hematoma as it will eliminate pressure and you will be much more comfortable. Also hematoma indicates an injury to the nailed and this will heal better without the pressure of the hematoma. ...Read more
I had my subungual hematoma drained and i'm still experiencing increased pain in my big toe. Is an infection setting in now?
Signs of infection : Are redness, swelling, pus, warmth to the region, if you see any of these cardinal signs then to is a possibility. Although, the blood was drained it is plausible you may have a concomitant ingrown toenail, so i would look for that as well. ...Read moreSee 3 more doctor answers
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