<s>[INST] Hi Doc, since about a month now I have two black spot at the bottom of my foot, first I thought something was in like a piece of wood or something, but I know for sure that there is nothing in, it feels like a little lump and sometimes hurts when I put it directly on something. What do you think it is and how can I get rid of it. I just moved to Egypt and could not find any skin doctors, so is there anything I can do at home.Thanks in advance [/INST] HI, Dear,Thanks for the query to Chat Doctor.1-I have studied your query in depth.2-DEar,IN my opinion, these 2 black spots on the foot for a month duration, which hurts when handled or hit, are due to the -recovering hits causing black-blue spots, which are not resolving-this could mean a recurring hit on low leg-varicose vein, causing these 2 black spots not going over a months time.3-The pain points at the traumatic origin and the non-resolving spots-points to the Varicose-perforators being repeatedly hit, leading to the non-resolution over a month.4-Other causes, could be a melanoma, which needs Surgeons consultation 5-Surgeon would fix the diagnosis of the black spot and would treat accordingly. I would advise you to consult ER surgeon URGTLY-as the pain could be damaging to your foot.6-Hope this would solve your query to your satisfaction.7-Wellcome for more queries to me On Chat Doctor.8-Thnks once again for your inquisitive query. Have a Good Day.!! </s>