Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr Samuel I have experience a bad pain on my hand for 2 days i couldn t sleep last night from the pain. This morning it was very difficult for me to even get dressed on my own and do my own hair I placed icy hot and the pain is more miled but i can still feel throbbing aches and pains here and there Do you possibly think it can be a bite? or can it be that I had been using an exercising muscle band and just pulled a muscle
[|AI|]  Hello, I have studied your case with diligence. Possibility of bite is less. As per your symptoms I would like to keep differential diagnosis of rheumatoid arthritis, carpal tunnel syn Chat Doctor. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have sucChatDoctorplain? When such patients come to our hospital I advise them blood test like RA factor, CCP, ESR, complete blood count, HLA B27. Carpal tunnel may involve sensation and associated with hand swelling. I will advise consulting doctor and do clinical examination. Till time take analgesic and physiotherapy like ultrasound or tens. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.