Pain at the bottom of left thumbs nail.

[Vinishkumar]

Dear Doctor,
im a 28 years old man,I hv a severe pain at the bottom of the left thumbs nail.In normal case the pain is very normal.
But when i apply some pressure,the pain wil increase gradually and reach its max.with in few seconds.Wts the
reason for this.And tell me how i can solve this problem.Plese give me the right reply for this problem.

Regards,
Vinishkumar.

[Vinishkumar]

Dear Doctor,
Thanks for your valuable replay.In this discussion,i hv one doubt, if it is paronychia,can we see any discolouration&nail damage in that particular area?But in my case,there is no discoloration&nail damage.The nail looks like a healthy one!!!Then wts the problem???
Is the problem is related to glomous tumor?If its glomus tumor, how we can diagonise it?
And tell me wts the treatments.
looking for your valuable suggesions,
With regards,
Vinish kumar.

[Bhupinder Kaur, MD]

Hello,
I cannot confirm anything without examination but apin at the base of nail can be due to paronychia. It results from a breakdown of the protective barrier between the nail and the nail fold. Diagnosed by gram staining and KOH wet mounts from the skin and nail scrapings.

Treatment includes warm water soaks of the affected finger 3-4 times per day,oral antibiotics, topical antifungals and surgical intervention in more severe cases.My sincere advice would be to consult a dermatologist.

I hope that helps. Please do keep me posted on how you are doing or if you have any additional queries. Kind regards.