Doctor insights on:
Will Subungual Hematoma Kill Me
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
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
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
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
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
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
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
It depends: How much of the nail has the blood under it and if it is painful. ...Read more
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
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
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
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?
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?
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
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
It can: If left untreated. Small subdural can be left alone, particularly if they do not cause pressure on the brain or cause symptoms such as a headache. Larger subdurals need to be drained because of pressure on the brain. They should also be monitored to make sure they are not groing. Prevention of the primary cause should be undertaken too. ...Read more
Horizontal dark spot across second toenail, appeared rather suddenly and no pain. Could it just be a hematoma or a subungual melanoma?
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
Can a mild concussion kill you? I've got blurry vision and I feel yesterday. I didn't hit my head though. I just feel outta the bed on my butt. Got a small bruise on my back on the right headache and sharp pains in head and neck
Varies: This will vary some with the location and the size of the blood vessel (s) broken that give rise to the hematoma. Multiple tiny vessels under a nail may take minutes. A big vessel under the scalp may accumulate a hematoma over several hours. ...Read more
Depends: Whether or not a hematoma requires medical evaluation may depend upon what caused the hematoma, any other symptoms and/or injuries, as well as where the hematoma is. If unsure, a medical evaluation certainly would be in order. ...Read more
Blood extravasation: A hematoma is a collection of blood. A really bad bruise. It occurs usually after trauma when blood vessels rupture and blood escapes or extravasates in to the surrounding tissue. It could also occur spontaneously from clotting problems or platelet problems or as a result of blood thinner medication. ...Read more
Of course, but: It depends on the location and size of the hematoma. Hematoma refers to an actual collection of blood rather than a bruise, which is more like a soaked sponge, with tissues being the sponge. Both will eventually reabsorb on their own, but hematomas may do better and resolve faster if aspirated with a needle by an expert in surgical anatomy. ...Read more
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