Concerns About Indentations in Toenails
Hello there, I'm reaching out about my son who is 2 years old and weighs 11 kg. He has a background of eczema and is allergic to several foods like nuts, peanuts, eggs, and legumes, in addition to reacting to foods with high histamine levels. I've noticed that his big toenails have an irregular texture, featuring prominent indents. Their appearance prompted me to do some online research, which hinted that these changes might stem from nutritional deficiencies or possibly eczema affecting the toenails. Interestingly, his skin has improved significantly—so much so that we haven't needed to use steroid creams for several months and rely solely on moisturizing his skin. Should I consider seeking professional advice regarding his toenails? I strive to provide him with a balanced diet that includes whole grains, pine nuts, pumpkin seeds, salmon, beef, and a wide range of fruits and vegetables that are suitable for him. Additionally, he takes a multivitamin gummy every day and is still breastfeeding, even though my milk supply is limited. Thank you for your help!
Answers (1)

7/9/2025, 6:20:37 AM
OpenHealth AI
It's understandable to be concerned about your son's toenails, especially given his background with eczema and food allergies. Indentations in toenails can occur for various reasons, including nutritional deficiencies or possibly reactions related to his skin condition.
Main Points:
- Indentations in toenails can be linked to nutritional factors, eczema, or other conditions.
- Given his history of allergies and eczema, it’s wise to monitor the situation.
Explanation:
Toenail texture changes like indents can sometimes be associated with deficiencies in essential nutrients, such as biotin, zinc, or protein, which can be influenced by dietary restrictions. Eczema can also impact nail health, although the improvement in his skin is positive. It's good to note that he is eating a balanced diet and taking a multivitamin, which helps provide essential nutrients.
Next Steps:
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Observe the Toenails: Keep an eye on the indents for any changes over the next few weeks. Note whether they get better, worse, or if new symptoms arise (such as pain or discoloration).
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Nutritional Assessment: Continue focusing on a varied diet. You might consider consulting a nutritionist, especially given the food allergies, to ensure he’s getting all necessary nutrients. They can help tailor a diet that accommodates his restrictions and ensures he's getting adequate nutrition.
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Skin and Nail Care: Maintain regular moisturizing for his skin; this might also help his toenails. Avoid any irritants that could exacerbate his eczema.
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Seeking Professional Advice: If the toenail changes persist, worsen, or if you see other symptoms (like changes in the skin around the nails), it would be wise to seek advice from a healthcare professional, such as a pediatrician or dermatologist, to rule out any underlying issues.
Monitoring and maintaining an open line of communication with your healthcare providers will be essential. You're doing a great job managing your son's health, and addressing these concerns proactively is a positive approach. Let me know if you have any additional questions!
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