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What causes sensitive and soft nails? - Online Doctor Chats

Date : 25-Jun-2014
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
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User:Good afternoon doctor, this is for my mother she is 57 years of late from past almost 1 years she is having following problems: 1) nails problem -- nails have become very soft
User:even water hurts her..
User:she is currently on Hameopathic medication I wanted to consult a doctor not sure whom to do so in XXXXXXX
User:second problem she is having is constant pain in her shoulder which increses once she wakes up and come sdon during the day..and this is recursive
Doctor:How long has she been dealing with this nail problem?
User:now more than an year
User:nails were broken and now new have come up but still very soft
Doctor:When you say nail has become very soft, do you mean they are brittle and easily break off?
User:yes very brittle
User:they can break even with water spray
User:initially doctors said that it was fungal infection
Doctor:Has the fungal infection ruled out?
User:no...she took the entire course of medication so new nails came up but they are also very brittle
User:thats why i thought it will be better to meet a thought of chekcing with you if you can recommend some one in XXXXXXX
Doctor:Let me brief you.
Doctor:Soft and brittle nails may be related to focal infection or due to systemic illness.
Doctor:If the antifungal medication did not work, it doesn't rule out fungal infection.
Doctor:It only means the medicine given to her was ineffective.
User:that makes sense
Doctor:Without a physical examination it would be difficult to predict which of it is the cause - focal or systemic.
Doctor:In such confused state, I suggest patients to see an physician (internal medicine doctors)
Doctor:who will examine the nail and identify the concern.
Doctor:If needed she will be referred to other specialist.
User:any physician that you can recommend, that will be benificial to us, as i have must moved into XXXXXXX area
Doctor:As far as the shoulder pain is concerned,
User:was in XXXXXXX before
Doctor:it may be initial stages of arthritis/periarthritis.
Doctor:It has nothing to do with her nail concern
Doctor:and it should be addressed by an orthopedic surgeon.
Doctor:Now, since her concerns can involve more than one specialty, instead of moving around the city for good specialist
Doctor:I suggest you to take her to a multidisciplinary hospital where all the specialist are available under one roof.
Doctor:You can be able to visit all the related doctors in a day or two and start her treatment accordingly.
Doctor:Hope I make sense.
Doctor:Do you have any more queries?
User:thanks for your suggestion doctor, appreciate it
User:no i am good for now..thanks again
Doctor:Thanks for visiting me here. Bye for now.
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