Fingernail warning sign could be early symptom of heart failure or liver disease
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Doctor checking person's nails

Certain warning signs could mean you have early diabetes or liver disease (stock image) (Image: Getty)

People are being encouraged to look out for specific warning signs on their nails that could suggest early-stage heart failure or liver disease, including cirrhosis. Your nails can reveal a lot about your overall health, often offering crucial hints about parts of your body that might need further examination.

Individuals are being advised to pay attention to certain changes in their nails that might indicate early stages of heart failure or liver conditions, including cirrhosis. Nails can serve as a window into your health, often providing vital clues about areas in your body that may require medical attention.

Changes in nail shape, the presence of ridges or bumps, and discoloration can all suggest underlying health issues. Conditions affecting the liver, lungs, and heart can manifest in your nails, making it important to monitor them regularly.

In many cases, nail issues are not a cause for alarm. Common problems include nails that become brittle, loose, or undergo changes in color or shape.

Nonetheless, certain signs might indicate early-stage heart failure or liver disease, warranting a consultation with your doctor. If your nail beds mostly appear pale and washed out, accompanied by a thin reddish-brown band near the tips, this could be a symptom known as “Terry’s nails.”

Terry’s nails—named after the physician who first described the phenomenon—feature a specific type of nail discoloration. Often, Terry’s nails are associated with chronic conditions such as liver failure or diabetes. Those with this condition typically lack the usual half-moon shape (lunula) near their cuticles, with nearly the entire nail appearing pale, according to the Mirror.

Read more: Discover how changes in fingernail color could indicate serious diseases and what to watch for.

Terry’s nails can also indicate other underlying health conditions, including cirrhosis, congestive heart failure, kidney failure and viral hepatitis. In some instances, it can simply be a sign of ageing, as you may have fewer blood vessels near your nailbeds. If you suspect you might have Terry’s nails, it’s worth consulting your GP for a proper evaluation and treatment.

Terry’s nails can improve once the underlying condition causing the symptoms is treated. Pressing on your nailbeds may temporarily make the discolouration disappear, though this is not a cure for Terry’s nails.

In a 2017 study titled: “Terry’s Nails: A Sign of Systemic Disease”, researchers stated: “Although the abnormality can occur with normal aging, Terry’s nails can also be an indication of an underlying medical condition, most notably, cirrhosis, chronic renal failure, and congestive heart failure.”

An example of Terry's nails

An example of Terry’s nails (Image: Hojasmuertas/Wikimedia)

Other early symptoms of heart failure can include fatigue, shortness of breath, or leg swelling. Meanwhile, in the early stages, cirrhosis usually doesn’t present many symptoms, or sometimes none at all.

But when symptoms do appear, they are often mild and not very clear. Some early signs to watch for are feeling really tired all the time, losing weight without trying, not feeling hungry, feeling sick to your stomach, and having a little pain or discomfort in the belly or liver area.

According to the NHS, nails naturally change over time. It’s perfectly normal for nails to:

  • become thicker or break more easily (brittle) as you get older
  • become harder, softer or more brittle during pregnancy (they should be healthier within six months of having a baby)
  • change colour, become loose and eventually fall off after an injury

Fingernails that are lost due to an injury should regenerate within six months. However, toenails may require up to 18 months to fully grow back.

The majority of nail issues are a result of:

  • injuries or biting your nails
  • staining your nails, for example, by smoking or applying a lot of nail varnish
  • not regularly trimming your nails, or cutting them at an angle
  • your hands often being in water or cleaning products
  • a fungal nail infection

However, nail problems can sometimes indicate a more serious or chronic condition, such as:

  • psoriasis
  • iron deficiency anaemia
  • an underactive thyroid or overactive thyroid
  • diabetes
  • heart, lung or liver disease

Certain medications can also cause nail problems. It’s worth examining the side effects of any medication you’re currently on.

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