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Suffering from nail disease,blackening of nail bed,nail biopsy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi, may I answer your health queries right
User :   Hi,
User :   Hi, Good evening
User :   i have a question related to nail diseases
User :   yes, please proceed
User :   thank you
User :   and very good evening
User :   actually , my nail is very week , what i can see , nail bed is black , and slowly its getting affected to nail plate , i can see , its affected to toes nail and few of finger nail ..
User :   ok,
User :   and from last 1.5 yrs i am continuously making treatment , but not satisfied yet , no improve much ..
User :   from last one yr , i am taking medicine for nail fungal as local dr suspected .. but still i dont see any improvement much
User :   does the nail break often ? does it produce any powdery substance ?
User :   nope
User :   only toes nail nail plate is black , and but nail bed is black in both toes/finger nail
User :   pls help me
User :   ok, i get it
User :   can you explain any shape changes in the nail ?
User :   i have taken lot lot medicine , but i am very much tired :(
User :   no , i think its ok , not any changes in shape
User :   I mean is it spoon shaped ?
User :   nope
User :   just like oval shape
User :   nail also growing even its black , but very very very slow
User :   is there reduction in the thickness of the nail ?
User :   no
User :   Have you ever got biopsy of the nail ?
User :   no
User :   not yet
User :   i have asked to everyone , to make any test to know the root cause , but no dr suggested yet
User :   ok the first thing you have to do , i consider probable diagnosis like Subungual Melanoma
User :   hence get it confirmed by the biopsy of the nail
User :   i am staying at pune , where i can do , u have any idea
User :   you will get the exact diagnosis
User :   where i can test
User :   and the exact treatment
User :   you can consult any of the dermatologist for the same , and ask for it
User :   and if possible send the pictures of the nails to my id YYYY@YYYY
User :   could you pls tell me exactly , what i have to tell them
User :   i will have a look and mail you my opinion on them
User :   yes, ask for nail plate BIOPSY
User :   a min pls , recharging since i have limited time to chat
User :   ok,
User :   ok , back
User :   ok
User :   have you sent me the pics
User :   so , could you pls tell me , how much time , test will take
User :   It just takes a minute for test \
User :   And will be reported in three days
User :   mainly i am bothering , why nail bed is so black and not improving to normal color ..
User :   That what will require exmaination
User :   I guess it probably fungal infection
User :   if so , wondring , i am taking lot of fungal medince from last 1.5 yrs , i can say 20-30% improved yet .. :(
User :   Because some people even normally tend to have dark spots in nails\
User :   but nail bed color not improving at all
User :   Ok
User :   The infection will take atleast three weeeks for improvement
User :   It will gradually improve
User :   Do you also have associated itching sensation
User :   also another thing i observed , dark line are appearing in few are of nail plate , then its covering whole part of nail plate area..
User :   ok
User :   no
User :   Then probably an fungal infection
User :   no pain as well
User :   Thats characterstic
User :   I would suggest for a nail plate biopsy
User :   sir , i am fearing , how much time it will take to improve , now sure what will be my future life
User :   Do you have the pics
User :   So that we can come to a conclusion
User :   Nothing to worry
User :   Will definitly improve on appripriate treatment
User :   Get the biopsy done and from results we can rely on prompt treatment
User :   i dont have any pic for now, but tomorrow i can take a picture and send you ..
User :   ok
User :   is it possible for me to visit to you
User :   ahh ok
User :   We only rpovide online service
User :   oh ok
User :   We dont have a clinic facility
User :   ok
User :   so i will make test and send you tomorrow , the report and as well as picture of my nail ..
User :   Ok
User :   could you pls tell me , if its fungle , how many month , it should take to recover
User :   reporting will take aminimum of three days
User :   incase if its fungle
User :   Less than a month after prompt treatment
User :   wondering why still no improvement , let u know what medicine i am taking now
User :   Ok
User :   terbest
User :   and applying cream inafin
User :   Thats an antifungal
User :   halox as well
User :   Inafin and terbest are both terbinafine
User :   let me find where i can make test in pune
User :   Help controlling fungal growth
User :   And Halox will hypopigment the patch
User :   ok
User :   thank you sir for ur time . i will do test and send you on given email address
User :   Ok
User :   Wishing you speddy recovery
User :   Bye for now
User :   Take care
User :   Thanks for consulting me
User :   last question pls
User :   either that test will cover , why nail bed becoming more black ..
User :   proceed
User :   That need the cause
User :   Thats why a biopsy os opted for
User :   ok
User :   Either due to melanoma( hyperpigmentation)
User :   Or fungal infection
User :   Biopsy will sort out the issue
User :   ok
User :   again thanks , nice to talk to you
User :   talk you soon
User :   bye for now , Good night
User :   Bye
User :   Good night

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