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Having hardening of fingertips with soreness. Drinking water, feeling dehydrated and thirsty. Any solution?

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I'm having a hardening of my fingertips with soreness. There are areas under several nails that are callused and extends to the cuticles. If I press my fingertips, the indentation remains for quite some time. I do drink 40 - 60 oz of water a day, but find I still feel dehydrated and thirsty at times. I don't sweat, but then I never did sweat much. I do have a doctor appointment but not until the middle of next month.
Posted Sun, 14 Apr 2013 in Skin Hair and Nails
Answered by Dr. Tanusree Biswas 50 minutes later

Thanks for your query.

The resultant changes in your fingertips and nails may be due to paronychia.

Paronychia is an infection of the skin around a fingernail or toenail. The infected area can become swollen, red, and painful, and a pus-filled blister. Paronychia is caused by bacteria or fungus infection.
The changes in your fingertips and nail bed may also be a result of the following dermatological conditions:
1) Onychomycosis: Fungal infection of nails. One of the most common causes.
This is confirmed by obtaining nail material for microscopic examination and culture
2) Nail psoriasis: The changes seen here are pitting, ridging, discoloration of nails, thickening of the tissues under your nail.

I will be able to assist you further if you can upload your pictures here. You may send them to


with subject as “Attention: Dr Tanushree Biswas”

You should visit a dermatologist for the treatment of this condition.

Will be happy to assist in your follow up queries.
Best wishes,
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