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hi, please excuse the photo but Ive had this on

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Posted on Fri, 22 Mar 2019
Question: hi, please excuse the photo but Ive had this on my toenail since January this year. its been there about 3 months. it still hasn't healed or gone away. should I consult with my gp about it and what could it be please? thank you, Laila
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Answered by Dr. Antoneta Zotaj (2 hours later)
Brief Answer:
Kindly asked some more information related to the problem

Detailed Answer:
Hi,

Thank you for asking at "Ask a Doctor" service.
I went through your query and reviewed the uploaded picture.
- Are you referring to the dark brown area at the edge of the nail?
- Has it been mo ing during this time from the bottom of the nail to the top or did it start where it is now and did not move up with the growth of the nail?
- Any other complaints there, pian or itchiness?
- Have you had any trauma locally?

Please let me know of the above, it will help better determine the cause and further steps.

Waiting to hear from you.

Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Follow up: Dr. Antoneta Zotaj (10 hours later)
hi, so sorry for the delay. yes, definatly referring to the dark brown area at the edge of the nail. i think it could have moved to the top and it may have started at the bottom but now it is not moving. no pain, no trauma to the toe. there is some itchiness. hope that helps, thank you
doctor
Answered by Dr. Antoneta Zotaj (1 hour later)
Brief Answer:
Two possible causes explained and further steps

Detailed Answer:
Hi,

No problems for the delay. Thank you for the information provided.

There are two main things to consider in this case.

One is hemorrhage or bleeding under the nail bed which may be due to trauma and there is nothing to worry about it. Generally, in this case when you cut the nails, the nail is red in the inner surface (has red deposits) due to the bleeding drying out and sticking to the nail and there is also the same thing on the exposed area of the nail-bed after you cut the nail (red deposits that can easily be cleaned).

The other cause, even though it is very rare, is melanoma, a skin tumor. It generally remains in one place (does not migrate towards the edge of the nail as bleeding does) but may grow with time.

In your case, I would say that because the spot has been there for more than 1-2 months it might be safer to have a visit with your doctor to determine which of the two is the cause here.

Hope I answered your query, let me know if I can assist you further.

Regards,

Antoneta Zotaj
General & Family Physician

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Dr. Antoneta Zotaj

General & Family Physician

Practicing since :2004

Answered : 4407 Questions

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hi, please excuse the photo but Ive had this on

Brief Answer: Kindly asked some more information related to the problem Detailed Answer: Hi, Thank you for asking at "Ask a Doctor" service. I went through your query and reviewed the uploaded picture. - Are you referring to the dark brown area at the edge of the nail? - Has it been mo ing during this time from the bottom of the nail to the top or did it start where it is now and did not move up with the growth of the nail? - Any other complaints there, pian or itchiness? - Have you had any trauma locally? Please let me know of the above, it will help better determine the cause and further steps. Waiting to hear from you. Regards, Dr. Antoneta Zotaj, General and Family Physician