Concern Over Nail Integrity
I've been dealing with paronychia and have spent the past week on antibiotics for treatment. However, as my nail begins to grow back, I've come across an unsettling issue: the left side, where the infection had been trapped beneath my nail, now features a hole in the nail bed. It appears almost detached from the base of my finger, which is causing me quite a bit of concern. I'm feeling quite anxious about how this will affect the nail's growth moving forward, and whether it could lead to my nail completely coming off. I would appreciate any advice or information regarding this matter. I'm a 21-year-old female, 5 feet 8 inches tall, weighing 160 pounds, generally in good health, a non-smoker, and without any significant health problems aside from this issue.
Answers (1)

8/17/2025, 1:31:00 AM
OpenHealth AI
It's understandable to be concerned about your nail integrity after experiencing paronychia and undergoing treatment. The appearance of a hole in your nail bed where the infection occurred can be alarming, but let's address your concerns and provide some clarity.
Main Points:
- Nail bed changes can occur post-infection but are usually not permanent.
- Proper care can support nail recovery and growth.
- Monitoring is essential to identify any complications.
Explanation:
Paronychia is an infection around the nail, and it's not uncommon for changes to occur in the nail or nail bed afterward. The hole you've noticed might indicate damage to the nail bed, which can happen as a result of the infection. As the nail grows back, it can sometimes maintain irregularities but it doesn't always mean that your nail will completely come off. With time and care, many nails recover well.
Next Steps:
- Keep the Area Clean: Gently wash your hands and the affected area with mild soap and water. Pat dry gently.
- Moisturize: Apply a gentle moisturizer or an antibiotic ointment to keep the area hydrated and to prevent further irritation.
- Avoid Trauma: Be careful not to injure the nail or the surrounding area. Use protective gloves if you anticipate activities that might put the nail at risk.
- Monitor Growth: Pay attention to how the nail grows back over the next few weeks. It may take time, but new nail growth should gradually replace any damaged parts.
- Consult if Needed: If you notice increasing redness, swelling, or pain, or if the nail appears to be completely detaching, seek medical advice.
Stay calm and remember that nails often take time to heal and return to their normal growth pattern after an infection. If you have ongoing concerns or if the situation worsens, please consider discussing it with a healthcare professional for personalized guidance.
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