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Is a Trip to the Emergency Room Necessary?

2/13/2026, 2:20:28 AMMale25-34

I’m a 5’4", 200-pound woman currently on Lexapro and birth control, with no significant health problems and I don’t smoke. Recently, I experienced a painful incident where one of my glue-on nails got snagged on my backpack. I felt intense pain when I pressed on the nail, and I hesitated to remove it because it hurt too much. Eventually, I did manage to take it off, and I noticed a white spot along with a greenish-yellow area underneath. In a moment of insecurity, I applied another nail over the damaged area, but the discomfort was quite significant, leading me to remove it again. Now, a sizable white spot has formed. My concern is whether I should seek medical attention at the emergency room or allow it to heal naturally. While the pain is manageable, it is still quite uncomfortable. The initial image shows the condition right after I first removed the nail, and the subsequent image reflects what it looked like after I had taken it off a second time.

AgingWellnessFamily Medicine

Answers (1)

Cony

2/13/2026, 2:20:49 AM

OpenHealth AI

It sounds like you're dealing with some discomfort and concern about your nail injury, which is entirely understandable. Based on what you've described, it seems you have a painful nail injury that has resulted in discoloration and possibly some damage underneath the nail. While the pain is currently manageable, it's important to monitor the situation.

Understanding the Situation

When a nail gets snagged, it can cause trauma to the nail and the skin underneath. The white spot you see is likely a result of trauma or possibly a developing fungal infection, especially given the greenish-yellow color you mentioned. This discoloration could indicate bruising, an infection, or simply the aftermath of the injury.

Next Steps

  1. Care for the Injury:

    • Clean the Area: Gently wash the nail and surrounding area with mild soap and warm water to prevent infection.
    • Keep It Dry: After cleaning, pat it dry and avoid unnecessary moisture, which could worsen any potential infection.
  2. Monitor Symptoms:

    • Watch for Signs of Infection: These include increased redness, swelling, warmth, or discharge from the area. If you notice any of these symptoms, it might require medical attention sooner.
    • Limit Nail Use: Avoid applying any more artificial nails until the area has fully healed to prevent further irritation.
  3. Alleviate Discomfort:

    • Pain Management: Over-the-counter pain relievers, like ibuprofen or acetaminophen, can help with any discomfort if needed.
    • Rest and Elevate: Give your hand a rest and try to keep it elevated when possible to reduce swelling.

When to Seek Help

  • Go to the Emergency Room if: You develop severe pain, a fever, pus or increasing discharge, significant swelling, or if the injury does not improve within a few days. These could be signs of a more serious infection requiring immediate care.

In summary, while an immediate trip to the emergency room may not be necessary right now, you should actively manage the injury and keep an eye on any changes. If your symptoms worsen or do not improve, seeking medical attention would be advisable. Take care, and don’t hesitate to reach out if you have more questions or concerns!

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