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As a physician, my assessment would be: A 32-year-old female with discoloured and thickened toenails affecting both feet since childhood (around 5 years of age) most commonly suggests a chronic nail disorder. Since it has been present for nearly 27 years, we need to consider a few possibilities: Possible causes: 1. Chronic fungal nail infection (Onychomycosis) * Thick, yellow/brown, brittle, distorted nails are typical. * It can persist for many years if untreated. 2. Nail dystrophy due to childhood nail damage * Injury to the nail matrix (the nail-producing area) during childhood can permanently alter nail growth. * If the nail matrix was damaged, complete normal nail regrowth may not be possible. 3. Skin conditions affecting nails * Conditions like Psoriasis or eczema can cause thickened, discoloured nails. 4. Inherited nail disorders * Some genetic nail conditions present from childhood and affect multiple nails. What I would recommend before treatment: A proper examination by a dermatologist is important. I would suggest: * Nail clipping/fungal microscopy (KOH test) and/or fungal culture → This confirms whether fungus is present before starting long-term antifungal medicines. * Examination of the nail shape, nail bed, and surrounding skin. Treatment options (depending on the cause): If fungal infection is confirmed: * Long-term antifungal treatment may be required (often several months). * Oral antifungals such as Terbinafine may be considered by a doctor after checking suitability and liver function tests. * Topical antifungal nail solutions may help in selected cases, but very thick nails often respond poorly to topical treatment alone. Nail care: * Keep nails trimmed and filed regularly. * Avoid tight footwear and repeated trauma. * Keep feet dry; change socks regularly. * Do not use cosmetic nail coverings for prolonged periods without treating the cause. Important point: Because your nails have been abnormal since age 5, there is a possibility that some changes are permanent if the nail growth center was damaged. However, if a fungal infection is contributing, significant improvement and healthier nail appearance may still be achievable. To guide you better, please tell me: 1. Are the nails yellow, brown, black, or white in colour? 2. Are they crumbly/brittle or just thick? 3. Are all toenails affected or only some? 4. Do you have itching, scaling, or peeling skin between toes? 5. Was there any history of injury to toes or severe infection around the age of 5?

Need more history and comorbidity related diseases.better if you consult me on practo for further management and evaluation.

Hi, Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance. Feel free to consult me for further assistance.

Need pics. Why were they damaged at 5 yrs of age. Any medical history? Kindly consult with me on 94 two six eight six 78 nine six.

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management