Concerns Regarding My Nails
Hello, medical professionals on Reddit. I'm seeking your insights on a couple of issues related to my fingernails. Lately, I've noticed that they're appearing quite purple, which is unusual for me. Additionally, I'm seeing ridges forming on them. I have a complicated relationship with food and struggle with poor circulation—could these factors be the underlying reason for these changes? I'm feeling anxious about the situation since this morning, my nails looked more purple than they typically do. Moreover, my nails seem to grow unevenly; whenever I trim them to the same length, they end up growing at different rates, which is perplexing. I've also experienced a faint sensation of my heartbeat beneath the nail beds—should I consider this a normal occurrence? I apologize for bombarding you with queries, but my doctor hasn’t been very dependable lately. To give you some background about me: I’m a 20-year-old assigned female at birth, currently with a BMI over 40. I face challenges regarding my food intake and body image, and I'm actively working on my weight, so I appreciate your understanding. My current medication includes Ondansetron at 8 mg, Wellbutrin XL at 150 mg (extended release), Ventolin, Loratadine at 10 mg, Omeprazole at 20 mg (delayed release), Methylphenidate ER at 36 mg (extended release 24-hour), Ziprasidone at 20 mg, and Hydroxyzine HCL at 25 mg. There's a history of heart problems in my family, and I have been diagnosed with hyper-mobile Ehlers-Danlos syndrome along with another heart condition that's slipping my mind. My family’s history of premature mortality is concerning, and I want to do everything I can to prevent becoming another statistic.
Answers (1)

6/20/2025, 12:01:37 PM
OpenHealth AI
Thank you for sharing your concerns about your nails, and I understand why this situation has been causing you anxiety. The changes in your nails—such as their purple appearance, ridges, uneven growth, and the sensation of your heartbeat—could be related to several factors, including circulation issues, nutritional deficits, and your existing health conditions, like hyper-mobile Ehlers-Danlos syndrome.
Main Points:
- Nail Color (Purple): This could indicate poor circulation or oxygenation issues.
- Nail Ridges: Often linked to stress, nutritional deficiencies, or underlying health conditions.
- Uneven Growth and Sensation: May relate to your connective tissue disorder and circulation.
Explanation:
- Purple Nails: When nails appear purplish, it may suggest that they are not receiving adequate blood flow or oxygen, potentially linked to your circulation challenges or heart condition.
- Ridges on Nails: These can develop due to physical stress, nutritional issues, or systemic health conditions. For someone with Ehlers-Danlos syndrome, the structural quality of nails may also be affected.
- Uneven Growth & Heartbeat Sensation: Difference in growth rate can result from the nutrition your nails receive. Feeling your heartbeat can sometimes be normal, but it could also relate to circulation.
Next Steps:
- Monitor Symptoms: Keep an eye on the purple color and any other changes in your nails over the next week. If the color deepens or you experience new symptoms (like pain), take note of those.
- Improve Circulation: Consider gentle exercises like walking or stretching, and try to keep your hands warm and well-circulated by avoiding cold environments.
- Nutritional Focus: Look at the nutrients that promote nail health, like biotin, protein, zinc, and vitamins A and C. Consider incorporating more leafy greens, nuts, seeds, lean proteins, and legumes into your diet.
- Hydration: Ensure you’re drinking enough water, as hydration affects overall health, including circulation and skin/nail health.
- Regular Nail Care: Keep your nails trimmed and avoid any harsh chemicals that could further damage them. If you haven’t already, consider using a moisturizing lotion on your hands and nails.
Given your medical history, it would be wise to advocate for your health and seek proper evaluation for your concerns, especially regarding circulation and heart-related symptoms. Being proactive can help you manage your health more effectively. If the symptoms continue or worsen, please consider reaching out to a healthcare professional who can provide more immediate support and perhaps reassess your medications or overall treatment plan. Take care!
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