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Doctor insights on: Bleeding Under Nail Subungual Hematoma

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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.

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.

Nail bed injury: Subungual hematoma by definition means that you had a laceration of the nail bed that is the source of the blood. So expect to see an open wound. ...Read more

Dr. Shari Jackson
50 Doctors shared insights

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


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Subungual hematoma; left index, how long until nail falls off? Lots of blood accumulating under nail. Black in colour. Severely painful and swollen.

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

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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.

May be okay: The nail has partially alvulsed. The blackish redness if from degenerating hematoma that stained the new growing nails. It will take a little while to dissolve with daily washing. ...Read more

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Purple-ish/black dot under nail with calcium deposits around it. Fairly certain recent trauma (jamming finger)... Fitting for subungual hematoma?

Purple-ish/black dot under nail with calcium deposits around it. Fairly certain recent trauma (jamming finger)... Fitting for subungual hematoma?

Sounds like it: Sounds like a hematoma from trauma but difficult to say without examining. If it is bothering you or not going away on it's own, see your doctor. ...Read more

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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)

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 more

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Are any special tests needed, or can a regular doctor see me for my subungual hematoma?

Regular MD: Most bleeding under the naill comes from trauma. Usually nothing is needed (cold packs during the acute phase is helpful). If the finger is painful, you might need drainage. This can be done painlessly by your regular doctor. ...Read more

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What should I do about subungual hematoma?

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 more

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Do a lot of people get subungual hematoma?

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 more

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Are the symptoms of subungual hematoma bad?

Are the symptoms of subungual hematoma bad?

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 more

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What is the definition or description of: subungual hematoma?

Subungual Hematoma: This term refers to blood collection beneath a nail. It can involve finger or toenails and typically requires some form of trauma or injurious force. ...Read more

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Any over-the-counter help for someone with subungual hematoma?

Pain meds, but...: A dermatologist (or other trained doc) can drain the hematoma through the nail; safe and relatively easy. Don't try this at home. ...Read more

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With a subungual hematoma.... How come sometimes the blood is black and sometimes it is brown? Is one better than the other?

With a subungual hematoma.... How come sometimes the blood is black and sometimes it is brown? Is one better than the other?

No: Normal course of resolution of hematoma anywhere in the body is change in color from black/ blue to brown to greenish to pale yellow to disappear. That is just how blood cells in the clot (or hematoma) disintegrate. No other clinucal relevance. ...Read more

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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

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I had my subungual hematoma drained and I'm still experiencing increased pain in my big toe. Is an infection setting in now?

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 more

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I got a subungual hematoma on my featured finger that got drained. Should I put a band-aid under the splint or leave it alone?

Keep it covered: A subungal hematoma is an open wound that can get infected therefore its is best kept dressed and covered for a few days ...Read more

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What is the treatment for subungual hematoma?

What is the treatment for subungual hematoma?

Ice, drainage: Usually it can be treated with ice to decrease the swelling
along with nsaids
but if swelling is more painful, a small hole can be placed
in the nailplate to decrease the swelling and therefore help
the pain. ...Read more

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Is a dark TRANSVERSAL band in hallux nail compatible with subungual melanoma? It's brown, near lunula, not painful. Is it only typical of an Hematoma?

Is a dark TRANSVERSAL band in hallux nail compatible with subungual melanoma? It's brown, near lunula, not painful. Is it only typical of an Hematoma?

Be observant..: About the only time I feel certain that the color change in the nail is not due to melanoma is when there is history of trauma to the nail. All others should be watched with various levels of suspicion. Take a photo and compare to subsequent photos. These can be used when having a professional evaluation. ...Read more

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I have a spot under my toe nail, the doctor did a hole in it and it bleed he said its more of hematoma, should I still worry? That it might b melanoma

I have a spot under my toe nail, the doctor did a hole in it and it bleed he said its more of hematoma, should I still worry? That it might b melanoma

If...: You are still worried then I would go see another doctor for a second opinion and make sure to ask all of the questions there so you have no doubts in your mind :]. ...Read more

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Can you feel the bleeding from a chronic subdural hematoma?

Can you feel the bleeding from a chronic subdural hematoma?

Not always: Close to 90% of pts with sdh's experience headaches, but in some cases, these are very nonspecific, and in older pts, may not occur at all. May be tough to diagnose early on, and may even seem like a stroke, but then sudden catastrophic herniation seemingly out of blue. So, if head injury, headache, nausea and vomiting, dizziness, and especially focal weakness, numbness, get examined. ...Read more

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I have subchrionic Hematoma 3cmx3cmx1cm Bleeding for past 4 wks. I'm 17wks preg. W/ healthy fetus, growing on sched. Can I go on a 4 hour plane ride?

Flying: Subchorionic hematoma is the most common sonographic abnormality found in viable pregnancys. The OB community is not solidly behind generic advice on the flying with SH or not. If it is small and resolving and the flight less than 3 hours many OB docs would give the okay. If its large/multiple bleeds most OB docs would discourage it. I'm pretty conservative and would say it is not a good idea. ...Read more

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Could someone have a subdural hematoma even if he is bleeding from the scalp?

Could someone have a subdural hematoma even if he is bleeding from the scalp?

Yes: A subdural hematoma is caused by a tearing of a bridging vein, often from trauma. A scalp laceration would not exclude the possibility of a subdural hematoma. ...Read more

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Can a hematoma from an open myomectomy cause bleeding after sex?

Can a hematoma from an open myomectomy cause bleeding after sex?

Seems unlikely: That depends where the hematoma was and when the surgery took place. Do not have sex prior to being released by your surgeon. ...Read more

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a fall resulted in bleeding in my spleen 1month ago...last week they found my hematoma to be 2, 4. it is 1, 8.now. Can I take 4 hour flight today?

Maybe but be careful: I'm not sure a flight can necessarily affect the splenic hematoma in a good or bad way. Generally I would avoid any high contact activities. Also in relation to traveling- I wouldn't do any heavy lifting that might strain your abdominal muscles. If you have to fly please take these precautions. ...Read more

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I m 11wk pregnant. Ialready had peri g sac hematoma at 6th wk w/o external bleeding. My BP is 130/90.Is it harmful if I get jerking during daily travel?

I m 11wk pregnant. Ialready had peri g sac hematoma at 6th wk w/o external bleeding. My BP is 130/90.Is it harmful if I get jerking during daily travel?

Unclear: I am not sure what you mean by jerking. If you are referring to your mood and behavior then stress management techniques may help. If you are referring to your body being moved around during travel then that is unlikely to cause problems but clarification with your doctor may be helpful. ...Read more

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Is it possible that someone have a subdural hematoma even if they are bleeding on their scalp?

Is it possible that someone have a subdural hematoma even if they are bleeding on their scalp?

Subdural hematoma: Bleeding from the scalp will not cause a subdural hematoma, this type of bleed comes from a more serious type of trauma, not just from a scalp laceration. ...Read more

Dr. Andrew Seibert
555 Doctors shared insights

Hematoma (Definition)

A condition in which there has been bleeding between the scalp and the skull, and the blood is trapped under the scalp, forming a blood-filled bulge. Can usually ...Read more


Dr. Alan Patterson
2,219 Doctors shared insights

Bleeding (Definition)

Bleeding = ...Read more