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