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Nail clubbing.
Hi Doctors, I am a 27M single. About 5 months ago, my family noticed changes in my nails, and a physician confirmed nail clubbing. I underwent investigations including 2D Echo with Doppler, HRCT chest, ESR, hemogram, T3, T4, TSH, and LFT, and all reports were normal. The doctor mentioned it could be genetic as major causes were ruled out.
On reviewing my old photos, my nails appeared normal until around 2016–2017. Mild changes began around 2018, progressed by 2020, and became more prominent by 2023, with further noticeable changes up to now.
I also have external hemorrhoids since around 2020, along with mild constipation and a feeling of incomplete bowel emptying, which improves with a high-fiber diet.
Could there be any underlying condition linking these issues, or can hemorrhoids/constipation contribute to nail clubbing? Do I need any further evaluation, or can this be considered benign? I am also also feeling quite depressed due to the cosmetic changes.
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Need further evaluation
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You may consult gastroenterologist for further evalution.this may could be due to poor malabsorption of nutrients
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Finger clubbing commonly occurs due to heart, lung, liver, bowels diseases, but can be genetic as well, as in your case. If no underlying disease is present , no treatment is needed unless the person wants it for aesthetic reasons. Maintain good nail health with proper cleaning, moisturising.
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Hello there, the above described symptoms and nail clubbing indicate towards some respiratory or cardiac or some habits like tobacco chewing or smoking, for which detailed history is needed after that a better evaluation can be done.
It's better to get consult online to overcome your depression and don't worry you'll be fine soon.
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If your physician has confirmed the sign of clubbing, they are responsible for coordinating your diagnostic journey. Since your initial heart and lung screenings were clear, your doctor should now transition to evaluating non cardiorespiratory causes or refer you to specialists who can.
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Better consult
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Kindly share your nail photo
N nail condition r many which may be linked to disease
Picture of nail required to comment anything
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You will also have to visit a gastroenterologist based on your description of symptoms as few conditions in the Gastrointestinal system can also cause clubbing.
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Kindly consult a visit to rule out those conditions before labelling it as a benign condition.
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You need to consult with dermatologist and general physician opinion physically. Also you need physical examination.
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Hi, thanks for sharing your detailed history. Based on your normal cardiac, pulmonary, and lab workup, serious causes of nail clubbing seem to have been reasonably ruled out. Hemorrhoids and constipation are not known causes of clubbing, so they are likely unrelated.
In some cases, clubbing can be idiopathic or familial, especially when long-standing and slowly progressive as in your case. However, since it has developed over time (not since birth), it’s still worth a focused re-evaluation to be completely sure nothing subtle is missed.
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You can book a video consultation with me, and I’ll go through your reports in detail and guide you properly.
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evalauted
Do consult
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Dr. Anuj Mothsra
General Physician
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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