<s>[INST] I slipped walking down a small ramp coming from the shed when I fell I slipped with my right folk causing me to bend my left foot forward I herd a crack and fell to the ground. I got back up and could walk on it with some pain. But as time passed the pain went up. I got off my foot and soaked it in cold water. The big toe is black and blue the foot is swollen. I can t put any weight on the foot . I tried warm water but the pain went up , I tried elevation and the pain went up I took 292s for the pain what else can I do. I am 45 miles from the nearest medical help. And am by myself. [/INST] Brief Answer:Most likely Ankle sprain of left foot requiring cast to immobilize ankle and x-ray to rule out fracture. Detailed Answer:Warm Welcome. I appreciate your trust in Chat Doctor and assure you are on best portal on the globe for expert online medical services. I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems. Based on what you said, it is most likely that you have an ankle sprain. It has caused your ankle to swell up. There is a slight chance of ankle ligament tear and does not come up on x-ray. It requires an MRI scan but I wouldn't that far yet. You need an x-ray ankle to rule out any fracture. To be on safe side, you may require a cast on ankle for 2 weeks to prevent it from mobilization. You use tab. Naproxen 20 mg once daily for pain and swelling. Hope I ad Chat Doctor.  Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow-up to see how you're doing. Regards! </s>