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

### input:
I have an infection in my second toe on my right foot.  The toe itself from the knuckle to the tip is red/purple, inflamed, nerve pain is awful.  What can I do and what is it.  I have had this condition before, same toe same foot each time.  They have prescribed me a course of cipro but have finished that and it didnt help at all.  It seems to occur in colder months when I have to start wearing closed toe shoes. I have been soaking it in vinegar and water but that only seems to help while its soaking.  I am od-ing on ibuprophen to keep pain at an almost tolerable level, also is so painful I cant sleep.  I do have an appointment next week but until then---Please help!!!!!

### output:

HI, I understand your concern.  You seem to have problem due to misfitting shoes. The pressure causes your symptoms of sever pain & inflammation & probably an abscess./ causing breakage of local blood vessels (with collection of blood there- that's why its red & blue) You should - - - Consult a surgeon for confirmation of infection/ abscess(which will need Chat Doctor.  A change of antibiotic is needed in certain cases. ) Clinical examination/ x-ray would confirm the diagnosis.& the treatment planned accordingly would help you.  - Cold compress helps in case of blood collection(hematoma) - Check your blood sugar & get it normal with specific medication along with antibiotic s - in case of an abscess.  - Stop using/Change shoes (use ones with broad toe)/ Give rest to the part.  In short, you need investigations according to expert advise & treatment thereafter.  Thanks.