Seeking a Second Opinion After Doctor's Visit
41 years old, experiencing PCOS, anxiety, depression, ADHD, and dealing with obesity. Current Medications: - Buspar 30 mg (twice daily) - Metformin ER 1000 mg (morning) - Concerta 18 mg - Vitamin D3 2000 IU - B complex - Guanfacine 1 mg (at bedtime) - Klonopin 0.5 mg as needed Recently, after a brief trip during which I wore artificial nails, I discovered a greenish-brown discoloration situated approximately a quarter inch from the free edge of my natural nail. Initially, I believed it might be caused by the artificial nails, but I mostly disregarded it until it began to cause discomfort. Today, I visited my doctor due to the tenderness, and I was informed that it seemed like a bruise, likely resulting from the removal of the fake nails. However, it's worth noting that the area was green immediately after I took the nails off, rather than evolving from a bruise into that color. I’ve observed that there are no signs of redness, swelling, pus, or any discharge around the affected area. Should this be pseudomonas, I’m concerned it may not resolve without intervention, especially since safely shortening my natural nail by a third is not an option I can consider at home without discomfort. Could you advise whether this is something I can let go, or if I need to return for potential nail removal or a different treatment?
Answers (1)
9/5/2025, 7:10:38 PM
OpenHealth AI
It's understandable that you're concerned about the discoloration and tenderness near your nail, especially given your recent experience with artificial nails. Based on what you've described, there are a few key points to consider regarding your situation:
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Possible Causes of Discoloration: The greenish-brown discoloration could indeed be due to several factors, including trauma from the artificial nails, a bruise, or a fungal infection such as a pseudomonas infection. Since there's tenderness, it's worth monitoring closely.
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Lack of Severe Symptoms: The absence of redness, swelling, pus, or discharge is a positive sign. These factors often indicate that the condition isn't infected or severe at this moment.
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Seeking Second Opinion: If you're feeling uncertain about your doctor's assessment, it's completely reasonable to seek a second opinion, especially since you're experiencing discomfort.
Next Steps:
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Monitor the Area: Keep an eye on the affected nail. Note any changes in color, tenderness, or the development of new symptoms (like increased pain, swelling, or discharge).
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Self-Care Measures:
- Avoid further irritation: Try to keep the area clean and dry. Avoid using artificial nails or excessive polish until the area heals.
- Consider protective wraps: If discomfort continues, you can use a bandage or foam tip to prevent further injury while allowing it to heal.
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Evaluate Symptoms: If symptoms worsen or you notice any signs of infection (e.g., increasing tenderness, swelling, or discharge), it's important to seek further evaluation promptly.
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Second Opinion: If you're still uncertain after monitoring, consider making an appointment with another healthcare provider or a dermatologist who specializes in nail health. Bring along all your observations, including the timeline and any changes you've noticed.
By following these steps, you can help ensure that your nail health issues are managed effectively, while also addressing your concerns. It's important to trust your instincts and seek the care you feel will best meet your needs.
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