question-icon

What Causes Poor Nail Growth?

default
Posted on Mon, 17 Oct 2016
Question: I have lost my finger nails the past 6 yrs a few have grown back but four have not they are. Tender and the cuticles are always red and puffy I have been to Iowa city with no avail and I don't know we're. Else to go to ?! Do I have some type of parasite?
doctor
Answered by Dr. Dr.Albana Sejdini (4 hours later)
Brief Answer:
I need to have a look at your finger nails first....

Detailed Answer:
Hi,

I understand your concern.

Can you send a photo of your finger nails so I can evaluate the changes there?

If finger nails are not well grown, then, there must be problems with local blood circulation and possible infection (fungal/bacterial infection) or inflammatory problems like psoriasis. Apart local treatment, oral therapy is also recommended...

However, I need to have a look at your finger nails first before running into final conclusions.

Thank you!
Dr.Albana
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr.Albana Sejdini (2 days later)
I have uploaded a few photos of my nails hope I did it correctly
XXXXXXX
doctor
Answered by Dr. Dr.Albana Sejdini (7 hours later)
Brief Answer:
Skin/nail scrapping examination required...

Detailed Answer:
Hi back my dear XXXXXXX

Thank you for providing the requested photos.

I was going through them and noted the nails are damaged the and the skin is also involved.

From.what I have seen it seems fungal infection to me. However, immediate examination of 10% skin and nail scrapping under microscope is recommended
The result will be taken within a day.
This test is necessary in order to determine/rule out fungal infection

Stop taking any cream the night before you will go for the skin scrapping test.

Antibiotics cream will aggravate your current problems.

If confirmed, fungal infection should be treated with local gentian violet XXXXXXX and antifungal cream ( terbinafin, clotrimazole). Oral treatment should be also started with terbinafin or fluconazole for at least 3 months.

Skin will get healed faster than the nails. After skin will be corrected and restructured, should start therapy to regenerate the nails with nail liquor containing cyclopyrox. A few months will be needed to get fully recovered.

Please ask for the skin scrapping test to your doctor as soon as possible.

Hope this helps.
Dr.Albana

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr.Albana Sejdini (15 hours later)
Thank you I willl let my physician know what you said.
doctor
Answered by Dr. Dr.Albana Sejdini (4 hours later)
Brief Answer:
Ok, let me know then what happens,

Detailed Answer:
Ok, if no more questions for now, please close this discussion.

Wish fast recovery.
Dr.Albana
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.Albana Sejdini

General & Family Physician

Practicing since :2006

Answered : 7212 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

152 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Poor Nail Growth?

Brief Answer: I need to have a look at your finger nails first.... Detailed Answer: Hi, I understand your concern. Can you send a photo of your finger nails so I can evaluate the changes there? If finger nails are not well grown, then, there must be problems with local blood circulation and possible infection (fungal/bacterial infection) or inflammatory problems like psoriasis. Apart local treatment, oral therapy is also recommended... However, I need to have a look at your finger nails first before running into final conclusions. Thank you! Dr.Albana