What is Onychotillomania?

Onychotillomania is characterized by the compulsive or irresistible urge in patients to pick at, pull off, or harmfully bite or chew their nails, not to be confused with onychophagia which is self-induced damage to nails caused by nail biting.
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What causes onychotillomania?

Onychotillomania is a form of self-induced damage of nails which results from recurrent picking and manicuring (using different tools, e.g. scissors or toothpicks) of fingernails and/or toenails causing visual shortening and/or distraction of nails (1–3).
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How do you fix onychotillomania?

Treatment includes physically covering the nails with bandages or glue to prevent further trauma. In addition, behavioral therapy and SSRIs have been tried, given the obsessive-compulsive nature of the habit. Cessation of the habit leads to complete resolution of the nail changes.
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Is onychotillomania a disorder?

Established Facts. Onychotillomania represents a behavioral pattern characterized by repetitive self-induced trauma of the nail apparatus. It is categorized among obsessive-compulsive psychiatric disorders.
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How can onychotillomania be prevented?

Onychotillomania is the medical term for a nail picking disorder, while nail biting disorder is known among the medical community as onychophagia.
...
Consider trying the following methods:
  1. Keep your nails manicured. ...
  2. Consider professional manicures. ...
  3. Use bitter nail polish. ...
  4. Place adhesive bandages over your fingers.
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Why We Pick Our Skin



Why can't I stop picking at my nails?

So, why do I feel the urge to pick at my skin and nails? According to counselling psychologist Emma Clarris, this behaviour is commonly associated with stress, anxiety, or obsessive-compulsive disorder (OCD). “Often, (patients) come in for those things, and this is something they're doing as well.
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What is the cause of having claw nails or Onychogryphosis?

Foot trauma

Repeatedly hurting your feet — or minor foot trauma — can damage the toes and nail plates, eventually leading to onychogryphosis. For example, wearing shoes that are too small for you every day can cause foot trauma. Onychogryphosis can also develop if you have a condition like hammer toe.
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What is it called when you rip your nails off?

Losing a toenail or fingernail because of an injury is called avulsion. The nail may be completely or partially torn off after a trauma to the area. Your doctor may have removed the nail, put part of it back into place, or repaired the nail bed. Your toe or finger may be sore after treatment. You may have stitches.
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Is Onychophagia a mental disorder?

Nail biting, or onychophagia, is closely related to mental disorders such as anxiety disorder and obsessive compulsive disorder. It is considered a pathological habit characterized by repetitive, seemingly uncontrolled nail biting behavior.
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What is Anonychia?

Collapse Section. Anonychia congenita is a condition that affects the fingernails and toenails. Individuals with this condition are typically missing all of their fingernails and toenails (anonychia). This absence of nails is noticeable from birth (congenital).
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Do fingernails digest in your stomach?

A 1954 edition of the South African Medical Journal included a case report about a “bezoar of the stomach composed of nails.” A bezoar is a “mass found trapped in the gastrointestinal system.” Fingernails aren't digestible.
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Should I cut off detached nail?

File any sharp edges smooth, or trim the nail. This will help prevent catching the nail and tearing it more. Trim off the detached part of a large tear, or leave the nail alone. Cover the nail with tape or an adhesive bandage until the nail has grown out enough to protect the finger or toe.
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What is the white stuff under my toenails?

Nail fungus is a common condition that begins as a white or yellow spot under the tip of your fingernail or toenail. As the fungal infection goes deeper, nail fungus may cause your nail to discolor, thicken and crumble at the edge. It can affect several nails.
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What does onychogryphosis look like?

Onychogryphosis is a disorder of nail plate growth that is characterized by an opaque, yellow-brown thickening of the nail plate with associated gross hyperkeratosis, elongation, and increased curvature. It is often described as a “ram's horn nail” or being “oyster-like” in appearance.
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What are dystrophic nails?

Dystrophic nails are fingernails or toenails that are deformed, thickened or discolored. They can have various causes, ranging from toenail fungus to a skin condition.
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Why do I pick the skin around my nails until they bleed?

The condition is called dermatillomania, an impulse-control disorder categorized as a “body-focused repetitive behavior,” in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders released by the American Psychiatric Association.
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Why do I pick my nails when I'm stressed?

During a time of stress.

You may absently pick at a scab or the skin around your nails and find that the repetitive action helps to relieve stress. It then becomes a habit. Skin picking disorder is considered a type of repetitive "self-grooming" behavior called "Body-Focused Repetitive Behavior" (BFRB).
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Why is my toenail growing back so thick?

Toenails that grow thicker over time likely indicate a fungal infection, also known as onychomycosis. Left untreated, thick toenails can become painful. Prompt treatment can be key to curing the nail fungus. Fungal infections might be difficult to cure and may require months of treatment.
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What is the hard build up under my toenail?

This overgrowth is called subungual hyperkeratosis. People with hyperkeratosis may notice a white, chalky substance under the nail. When this occurs in the toenails, the pressure of shoes pushing down on the nails might cause pain.
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How do you get rid of thick toenails?

Applying a small amount of melted coconut oil can help heal thick yellow toenails. You can purchase over-the-counter (OTC) antifungal nail creams and ointments. Be sure to clip and clean your nails before use to make sure the creams reach deeper layers. Laser therapy can be used to treat a fungal toenail infection.
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How painful is losing a fingernail?

Nail bed avulsion

Some accidents can lift your nail away from your finger partially or completely. This is called nail bed avulsion, and it's extremely painful. This injury is typically accompanied by bleeding and swelling, and it definitely calls for immediate medical attention.
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How do you know if your nail is detached?

A detached nail is when the nail becomes separated from the area underneath it (the nail bed).
...
When to seek medical advice
  1. Pain or swelling increases.
  2. Redness around the nail.
  3. Pus (creamy white or yellow fluid) draining from the nail.
  4. Fever of 100.4ºF (38ºC) or higher, or as directed by your provider.
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Is it OK to swallow fingernails?

1. It's unsanitary: Your nails harbor bacteria and germs, and are almost twice as dirty as fingers. What's more, swallowing dirty nails can lead to stomach problems.
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Is eating toenails good for you?

When you bite your nails, those bacteria end up in your mouth and gut, where they can cause gastro-intestinal infections that lead to diarrhea and abdominal pain. Long-term, habitual nail nibblers can also suffer from a type of infection called paronychia, Scher says.
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