
Fingernails can reveal a lot about a person's health. While nail issues are usually harmless, they can sometimes indicate underlying health conditions. For example, changes in nail colour, texture, and shape can signal health problems. Healthy nails are typically smooth, strong, and free of spots or discolouration. They should also be flexible, but not easily breakable. Long nails, in particular, can indicate good health if they are strong and resilient. However, if long nails are brittle, soft, or prone to cracking, this may be a sign of vitamin deficiency, thyroid issues, or other health concerns. Therefore, observing nail health can be a useful way to catch potential problems early on and seek appropriate medical advice or treatment.
| Characteristics | Values |
|---|---|
| Colour | Healthy nails are generally pink. Pale nails may indicate illnesses, such as anaemia, congestive heart failure or liver disease. Yellow nails are common and may be caused by dark nail polish, smoking, or an infection. |
| Texture | Healthy nails are smooth with no spots or discolouration. Brittle nails may be a symptom of metabolic conditions, such as thyroid disease, iron deficiency, or anaemia. |
| Shape | Healthy nails are flexible but should not be easily breakable. Clubbed nails, or nails with increased curvature, have been linked to pulmonary, cardiovascular, and thyroid diseases. |
| Ridges | Vertical ridges are usually a normal sign of aging and can be caused by a vitamin deficiency. Horizontal ridges, or Beau's lines, indicate a pause in nail growth and could be related to a health issue, such as kidney disease. |
| Spots | White spots are generally harmless and are usually the result of minor trauma. However, they can sometimes be a sign of liver or kidney failure, zinc deficiency, a fungal infection, or an allergic reaction. |
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What You'll Learn
- Horizontal nail ridges can indicate a health issue
- Vertical nail ridges are usually a normal sign of ageing
- Yellow nails are common and can be caused by nail polish or smoking
- White spots on nails are usually harmless and may be due to injury
- Pale nails may indicate illnesses such as anaemia or liver disease

Horizontal nail ridges can indicate a health issue
While long nails are often a sign of strong and healthy nails, it is important to pay attention to any changes in the appearance of your nails, as these could indicate a health issue. One such change is the presence of horizontal nail ridges, also known as Beau's lines. Horizontal nail ridges can be deeper and more significant than vertical ridges and can be a sign of an underlying health condition.
Horizontal nail ridges can be caused by a variety of factors, including:
- Interrupted nail growth: Beau's lines can occur when something disrupts the growth of your nails. This can be caused by chemotherapy, damage from using artificial nails or gel manicures for extended periods, or injury to the nail, such as slamming your finger in a door.
- Severe illness: A severe illness with a high fever, such as COVID-19, measles, or pneumonia, can cause Beau's lines to form on your nails.
- Nutritional deficiencies: Certain nutritional deficiencies, such as zinc deficiency, can lead to the development of horizontal nail ridges. Iron deficiency, on the other hand, is typically associated with vertical nail ridges and koilonychia (spoon nails).
- Medications and surgery: In some cases, horizontal ridges may be a side effect of certain medications or a recent surgery.
If you notice horizontal nail ridges, it is important to consult a healthcare provider to determine the underlying cause. While some causes may be harmless, others may indicate a more serious health issue. By seeking professional advice, you can better understand the reason for the ridges and receive guidance on any necessary treatment or lifestyle changes.
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Vertical nail ridges are usually a normal sign of ageing
While nails can indicate a lot about your overall health, vertical nail ridges are usually a normal sign of ageing. As people age, their skin starts to show age-related changes such as thinning and sagging, and nails also show similar signs of ageing. Vertical nail ridges are commonly seen in older adults due to a slowing of cell turnover. This is when new skin cells produced below the surface of your skin rise up to take the place of dead cells being discarded from the surface.
Vertical nail ridges are typically harmless and are not something to worry about. However, they can sometimes indicate a vitamin or mineral deficiency, such as a lack of iron, protein, calcium, zinc, or vitamin A. In some cases, they may also be a sign of a more serious underlying medical condition, such as diabetes, thyroid issues, skin diseases, or even cancer.
If you notice vertical nail ridges and are concerned, it is recommended to consult a doctor or dermatologist. They can examine your nails, ask about any other symptoms, and order tests to determine if there is an underlying cause for the ridges.
While vertical nail ridges are usually benign, horizontal nail ridges, also known as Beau's lines, can indicate more serious issues, including malnutrition, serious nail injury, or even acute kidney disease. Therefore, it is important to pay attention to any changes in your nails and seek medical advice if you have any concerns.
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Yellow nails are common and can be caused by nail polish or smoking
The condition of your nails can indicate your overall health. While long nails are generally strong and healthy, provided they don't crack, break or split, discoloured nails can be a cause for concern.
Yellow nails are common and can be caused by nail polish, ageing, or smoking. Yellowing can occur naturally with age, but it can also be caused by nail products like nail polish, acrylics, and gel manicures. Cigarette smoking is a major cause of nail discolouration due to the tar and nicotine in cigarettes, which can lead to yellowing or staining. The severity of the discolouration depends on how heavy a person smokes and the type of cigarettes they consume.
If you are concerned about nail discolouration, there are a few remedies you can try. Soaking your nails in a mixture of lemon juice, baking soda, and water can help to naturally bleach yellow stains. For minor stains, you can carefully dab the affected area with isopropyl alcohol, being cautious not to overdo it to avoid drying out your nails. Using a top coat or a high-quality base coat can also provide a stronger barrier against stains. If you are a smoker, consider smokeless alternatives like nicotine pouches or vaporizers, which are less likely to cause nail discolouration.
It is important to note that while yellow nails can be caused by these common factors, they could also be a sign of something more serious. Yellow nails can sometimes indicate respiratory, thyroid, or skin diseases and even cancer. If you are concerned about the appearance of your nails, it is always best to consult a healthcare professional.
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White spots on nails are usually harmless and may be due to injury
While long nails are often a sign of good health, indicating strong and healthy nails, it is important to be vigilant about any changes in colour or texture. White spots on the nails, known as leukonychia, are usually harmless and may be due to minor trauma or injury to the nail plate or nail matrix. This can occur through various everyday activities, such as bumping or hitting your nails, wearing tight shoes, or even biting your nails. Manicures can also be a contributing factor, as the forceful trimming, buffing, and polishing may injure the nail.
In most cases, nail injuries simply need time to heal. As your nails grow, the damage will move up the nail plate, and the white spots will eventually disappear. This process can take a considerable amount of time, up to six to nine months for fingernails and 12 to 18 months for toenails. During this period, you can use nail polish to conceal the spots, as long as the polish itself is not the cause of the discolouration.
While infrequent white spots on your nails are typically harmless, persistent or worsening spots may warrant a visit to a healthcare provider. These spots could be indicative of a fungal infection, irritants or allergens in nail care products, or, in rare cases, a more serious underlying health condition. For instance, white spots on the nails have been associated with liver disease, kidney disease, thyroid disorders, skin diseases, and even cancer. Therefore, it is important to be mindful of any new symptoms and consult a healthcare professional if you have any concerns.
To summarise, white spots on the nails are usually harmless and may result from minor injuries. However, it is crucial to monitor any changes in your nails and seek professional advice if you notice persistent or widespread spots or other accompanying symptoms.
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Pale nails may indicate illnesses such as anaemia or liver disease
While the appearance of your nails can indicate clues about your overall health, it is important to remember that nail changes are rarely the first sign of a serious condition. Pale nails can be a sign of anaemia, but they can also indicate other serious illnesses, such as liver disease or heart failure.
Anaemia occurs when a person does not have enough red blood cells, resulting in insufficient oxygen circulating in the body. This can cause nail irregularities, such as pale nail beds and spoon-shaped nails. Spoon nails, also known as koilonychia, are characterised by a sunken centre, giving the nail a spoon-like appearance. They can also be thin and brittle. Anaemia can be caused by an iron deficiency, and iron is necessary to make new red blood cells.
Pale nails can also be indicative of liver disease. The liver is responsible for filtering toxins from the blood and producing proteins that are essential for blood clotting and other functions. When the liver is damaged, it can no longer perform these functions effectively, leading to potential complications in the body. Liver disease can cause nails to become mostly white with darker rims, a condition known as leukonychia. In addition to nail discolouration, jaundice, or yellowing of the skin and eyes, can also be a sign of liver disease.
Furthermore, pale nails may signal heart failure, indicating a problem with the cardiovascular system. Heart failure occurs when the heart is unable to pump enough blood to meet the body's needs, resulting in a reduced oxygen supply to the body's tissues and organs. This can lead to symptoms such as shortness of breath, fatigue, and swelling in the legs and ankles.
If you notice that your nails are pale or exhibit any other unusual changes, it is important to consult a doctor or dermatologist. They can help determine if the nail changes are indicative of a more serious underlying condition and provide appropriate treatment or referrals.
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Frequently asked questions
Long nails can be a sign of good health, as long as they are strong and healthy. Healthy nails are generally smooth, flexible, and free of discoloration, bumps, ridges, or dents.
Vertical ridges are usually age-related and are often harmless. They can be caused by a lack of iron, protein, calcium, zinc, or vitamin A, or they can indicate a digestive disorder.
Horizontal ridges, also known as Beau's lines, can indicate a pause in nail growth and may be related to an underlying health issue. They could be a sign of kidney disease or another serious condition.
White spots on nails are usually harmless and can be caused by minor trauma or injury. However, they can sometimes be a sign of liver conditions or liver or kidney failure.
Healthy nails are typically soft pale pink in color. Very pale nails may indicate illnesses such as anemia, congestive heart failure, or liver disease, while a bluish tinge may be a sign of heart disease or emphysema.









































