Conversation: The conversation between human and AI assistant.
[|Human|] I have a sore on my ankle and I suspect it is a diabetic ulcer. It started as one ulcer and then morphed into 5 more which have now become one large very very painful sore. I have been treated by my family doctor with antibiotics. It became less painful while and after I was on the medication. But now 6 weeks later it is becoming painful again and seems to be becoming larger again. It is extremely painful when I go to bed. It seems like the warmth of the blankets makes the pain worse. It is covered with a bandage all the time. But my concern is that there is a black spot forming on the sore. I am taking naproxen for pain at night.There is a lot of yellow/ pinkish drainage.I am 67 years old.And have been diabetic for 31 years, but it is well controlled. My last three month average (can t remember the name of the test,,,AC something I think) was 6,9.
[|AI|]  Hello, Welcome to Chat Doctor, As you are having diabetes for last 30 years, it is the diabetes which is causing all these symptoms. As the diabetic age (31 Years) increases the incidence of microvascular complication also increases, the pain with ulcer is due to diabetes affecting nerve endings. As you are taking the medicines for controlling the pain, it is a short term measure to reduce the pain. I would suggest you to keep the wound Chat Doctor.