The oily gauze on the nail bed has not fallen off after 20 days.
Under normal circumstances, if the oiled gauze has not fallen off from the nail bed after 20 days, it may be due to environmental factors, inadequate cleaning, nail bed injury, circulatory disorders, diabetes, or other causes. It is recommended to seek medical attention promptly, identify the underlying cause, and receive appropriate treatment under the guidance of a healthcare professional. Specific analysis is as follows:
1. Environmental Factors
Environmental conditions such as humidity and temperature can also affect how long the oily substance remains on the nail bed. In humid or high-temperature environments, oils may evaporate and metabolize more slowly, thus prolonging their retention time. Keeping the nail bed dry in daily life can help promote the shedding of the oiled gauze.
2. Improper Cleaning
Using inappropriate cleaning methods—such as hand soaps or detergents containing strong degreasing agents—may disrupt the natural oil film on the nail bed, but could also inadvertently fix the oiled gauze more firmly in place. It is advisable to wash hands with lukewarm water only and avoid excessive cleaning that may cause irritation.
3. Nail Bed Injury
The health condition of the nail bed itself may influence the detachment of the oiled gauze. If the nail bed is injured, it may become more difficult for the gauze to fall off. Proper protection of the nail bed should be maintained in daily life to prevent injury and discomfort.
4. Circulatory Disorders
Prolonged immobility in one position may obstruct venous return, leading to poor circulation, which in turn impairs nail bed recovery and delays the shedding of the oiled gauze. Regular physical activity is recommended to improve blood flow and alleviate symptoms.
5. Diabetes
Diabetes, caused by disordered insulin secretion, may slow wound healing and prolong scab formation, resulting in persistent adherence of the oiled gauze to the nail bed. Additional symptoms such as pain and swelling may also occur. Under medical supervision, medications such as insulin degludec injection, orlistat capsules, or acarbose capsules may be used to control blood glucose levels and support nail bed recovery.
Maintaining healthy lifestyle habits is important. Avoid consuming spicy and irritating foods such as Sichuan pepper, chili peppers, and garlic, as these may hinder recovery.