### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I WENT TO MY DR. TODAY ABOUT A PUFFY ION THE ELBOW , HE THINKS I GOT AN INFECTION BY BEING INN SALT WATER MUD BUT WHEN I CAME HOME 3 OF FRIENDS SAY IT S A BROWN RECLUSE SPIDER IT IS SWELLING & MY DR. GAVE ME DOXYCYLINE HYCLATE 100MG 2 A DAY & HEAT MY ELBOW FOR A WEEK THEN SEND ME TO A SURGEON.. 3 OF MY FRIENDS HAVE BEEN BITTEN DO I NEED GO TO THE ER NOW LOOKS AT POISON BITES ARE OK TO GO IN IN THE AM. NURES SAID I WOULD NEED A DRIVE. BUT I VE SEEN PICTURES THAT LITTLE GUY CAN DO. SORRY DOC S. I M TOTALLY DISABLED & I M NOT GOING TO PAY YOU $30.00 TO TELL ME TO CALL MY DR IN THE AM I LL TRY CCD OR WHAT EVER IN ATLANTA

### output:

HI, thanks for using Chat Doctor Swelling is part of the bodies inflammatory response and can occur due to bite, trauma, infection or allergic response. The fact that it is swelling does not necessarily mean that you were bitten by a spider or any other creature. It would be best, as you stated, to speak to your doctor if there is no improvement in your symptoms. It may mean that the antibiotic needs to be changed or there is a pus collection, or you may need anti-inflammatory medication hope this helps