OpenHealth Q&A

Changes in a toenail can be concerning, and while it’s understandable to worry, it’s important to recognize that various conditions can affect nails. In your case, the two possibilities you've mentioned—melanoma and a nail hematoma—are very different.

Main Points:

1. A nail hematoma is generally a bruise under the nail, often caused by trauma, while melanoma is a type of skin cancer that can present as a dark streak or spot under the nail.
2. Monitoring the change closely is key, as well as taking specific steps to assess its nature.

Explanation:

• Nail Hematoma: This appears as a dark blue or purple area under the nail, usually after an injury. They can be painful, but if there's no pain, it may indicate a less serious issue. They typically resolve on their own.
• Melanoma: This is more serious and can manifest as a new dark streak or discoloration that doesn’t go away or changes over time. It may not be associated with pain initially, which can make it tricky to identify.

Next Steps:

1. Observe the Change: Take note of the characteristics of your toenail change:

   • Is the color uniform or irregular?
   • Is there any change in size or shape?
   • Have you experienced any growth or spreading of the discoloration?

2. Self-Assessment: Check if other toenails or areas of your skin have similar changes. Take photographs weekly to track any developments.

3. Reassess Symptoms: If the area shows any signs of pain, significant change in appearance, or if it spreads, consider looking for immediate action.

4. Avoid Irritants: Keep the toenail clean and dry, and avoid any nail polish or products that could mask changes.

5. Consult a Professional: If you notice any concerning changes, seek a health professional for a thorough examination, including a possible biopsy if needed.

Your health and peace of mind are important, so keeping a watchful eye on the situation and documenting any changes will be beneficial. If you have further questions or need clarifications, feel free to ask!