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

### input:
i woke up this morning with a large purple mark on the side of my big toe n directly under it is a gooshy lump and its tender when i extend my foot it causes pain i did not bang it at all also to the foot in question i had 9 surgeries due to a doctors mistake doing a bunion ectomy i have had several nueromas but this is an area which i normally dont have any abnormal things happening but i do walk alot on that side of the foot due to the exstwnsive surgeries on the oppposite side.also my calf feels very uncomfortable ive had a weird feeling in my knee and also ankle pain. please help im very unsure what to do and very concerned because of the already existing condition of my foot

### output:

Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-Excessive-Friction Melanonychia with Purple Sublingual Hematoma of Big Toe, caused from ill-fitting Shoes causing extra pressure on this side of the foot-This excessive friction on the foot in question is due to the compromised other side foot, for which You underwent 9 surgeries. This has caused extra stress of the knee / calf and ankle muscles, giving fatigue pain. Remedy-Do as follows--X-ray of the Big Toe and plantar arch of the affected foot/ Blood Tests-Second opinion from Podiatrist or ortho-Surgeon for assessment of the cause of this purple gushy Lump of the Big toe.-Under Antibiotic and painkiller Chat Doctor. -Don't worry if you follow above steps urgently. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. suggests Good Day!! 