More clues: Pale or striped nails



hands
4. Pale nails
Under normal circumstances, if you press gently on your fingernails they turn white, and then when you release the pressure they turn pink again. If your nails stay white more than a minute after you press on them or look pale all the time, this can be a sign of anemia.
Why? Anemia, or iron deficiency, causes pale nails when there aren't enough red blood cells circulating in the bloodstream. If uncorrected over time, severe iron deficiency can also cause the nails to have a slightly concave shape. Clue: If anemia is the cause of pale nails, the nail beds (the thin strips at the base of nails) are likely to look particularly bleached out.
What to do: Iron deficiency can lead to fatigue or, in serious cases, heart problems, so you'll want to alert your doctor. You can try treating anemia yourself by increasing your dietary intake of iron-rich foods, like such as red meat, spinach and other dark greens, and nuts, but you'll probably need to take an iron supplement too, says endocrinologist Blanchard. If iron typically causes you digestive issues, he adds, take a nonconstipating formula such as Slow-Fe. And remember to take vitamin C at the same time, as it helps iron absorption.
5. Tiny red stripes under the nails
Called splinter hemorrhages because they look like tiny red or brownish splinters under the nails, these are minute areas of bleeding that can signal infection in the heart or blood. Because they run in the direction of nail growth, they resemble splinters that got stuck under the nail.
Why? Splinter hemorrhages happen when tiny blood clots block blood flow in the capillaries beneath the nails. (Toenails, too.) They most often occur with an infection of the heart valves called subacute bacterial endocarditis. This condition typically occurs in someone with a heart murmur or underlying infection. If you just have a few red spots under the nails and have never been diagnosed with a heart problem, don't panic: It's most likely that these are from some other cause, probably injuries to the hands.
What to do: Take your temperature to see if you have a fever. Bacterial endocarditis is typically accompanied by a low-grade fever. If you've never had your heart checked and are concerned about these symptoms, call your doctor for a checkup. Your doctor will run a series of tests to evaluate blood flow through the heart. However, if your heart's been given a clean bill of health, then heart valve infection is an unlikely cause and you can wait to see if the red spots clear up on their own.

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