Conversation: The conversation between human and AI assistant.
[|Human|] I fell down the stairs yesterday morning and banged and twisted my right arm. It swelled up one specific area and was very painful, it also came up in a bruise. I left it thinking it was just twisted/bruised, however the pain has gotten worse and what I thought was swelling now looks like a lump and feels hard. I have good movement in my wrist even though it is painful and I have full movement in my fingers. The bruise is not as dark and I would have thought considering how hard I hit it. It is my lower arm on the side with my little finger about an inch below my wrist joint. I hate wasting NHS time and was just wondering, would it be worth visiting A&E for an xray or should I just leave it ? Many thanks for your time !
[|AI|]  Welcome to Chat Doctor. 1. I am normal to have a feel of swelling and discomfort when the bandied is fixed - and the swelling could be features of cellulitis seen after a muscle strain / twist.2. But if the pain is unbearable more than 5 on the scale. It's better to evaluate any fracture is there or what.3. Do not hesitate to see NHS A&E, an x-ray is always needed to rule out the fracture.4. Possible very tight bandage can also because which needs to be checked and re-arrange the bandage will in some situations.5. So suggest you to get medical help, and meanwhile take painkillers to relieve the symptoms. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you.