chilblains treatment urine

For chilblains, some basic questions to ask your health care provider include: Your health care provider is likely to ask you questions, such as: Try to keep the affected area warm and dry. [1] return 'none'; Your doctor sends this sample to a laboratory, where specialists look at it under a microscope. Keep the affected skin dry and warm, but away from sources of heat. return { My Grandfather told me about this 55 years ago. Chilblains (also known as perniosis) are localized cold-induced inflammatory lesions, which affect areas of skin vulnerable to cold exposure such as the fingers, toes, nose, and ears. 2. Just dab it on gently. Other peripheral arterial diseases. A heart attack is one of the severe health issues around the world and is medically termed as myocardial . Chilblains treatment. subscriptionStartDate: '', Although it may be tempting, scratching these swollen areas or rubbing against something could cause the sensitive skin to break. Policy. However, there can be a seasonal recurrence of the disease for several years. When people refer to lupus, they usually mean systemic lupus erythematosus (SLE). Well, it's been a thing for a while. I have a bad chillblain on my toe but using balmosa cream for this. Mind and meaning: It's no longer a man's world Irish sprint star Rhasidat Adeleke aims to take big jump as she learns how to master 400m, Social Democrats new leader Holly Cairns rules out Labour merger, DCI John Caldwell: Two further arrests made in attempted murder investigation, Mamma Mia! Skin color changes, with red or blue patches. Consume easily digestible food items. Now I\u0026#039;m not advising this at home, or, indeed, in your local forest. In this case, 85% of readers who voted found the article helpful, earning it our reader-approved status. Chilblains form after intermittent or prolonged exposure to cold or damp air. But the patrols used native people as trackers in the jungle folk who had originated from the head-hunting tribes of Borneo. Reduce redness by doing this for the next few minutes. Chilblains are inflamed, painful skin patches. If you find it difficult, as patients, to navigate Irish healthcare, you won\u0026#039;t be reassured that doctors on the ground are even more confused. I love this country; but I need to . Urine . } Nonfreezing tissue injuries. In: Goldman-Cecil Medicine. userID: purchase.granted_by_purchase.user_id, userID: '', Swelling of the skin. const bundleValue = getBundleValue(purchase, 'app_purchase'); Scientists believe they can explain why some people who catch Covid develop chilblain-like lesions on their toes and even fingers. Chilblains can be painful and uncomfortable, but they rarely cause long-term health issues. Chilblains are red bumps which appear on the skin following sudden changes in temperature. Potential blistering. Avoiding cold, damp environments as much as possible. The only thing I could wear on my feet was snowboots or moonboots I think they are also called . It's a while since we had our Ailment of the Week slot, so I thought we'd return today with a short dissertation on upper-wind problems. Avoid the shunting from cold to hot. https://www.merckmanuals.com/professional/injuries-poisoning/cold-injury/nonfreezing-tissue-injuries#. Most of the time, chilblains heal without treatment. Chilblains are itchy, purple-red swellings which usually occur on the fingers or toes. "Notably, six patients with pernio/chilblains were long haulers with toe symptoms lasting at least 60 days, with two lab-confirmed patients with COVID toes lasting longer than 130 days," they wrote. window.loadGTM = function () { We do not endorse non-Cleveland Clinic products or services. If you find it difficult, as patients, to navigate Irish healthcare, you won't be reassured that doctors on the ground are even more confused. You can also sip hot liquids during the day, such as tea, coffee, and broth. Drink Plenty of Water. Antinuclear antibody (ANA) test. Treating chilblains. Leeches were a big problem, and the humid conditions meant that a severe dose of tinea fungal infection (ringworm) was common in the men\u0026#039;s groins. const subscriberCookie = JSON.parse(getCookie(subscriberCookieName) || '{}'); All 5 patients were thin (BMI of <25th percentile) and had either toes or fingers that were affected. to get rid of really horrible chilblains that have turned in to blisters? subscriptionFinishDate: '0000-00-00T00:00:00Z', What is the most likely cause of chilblain lupus? return 'home-delivery'; To diagnose chilblains, your health care provider will look at the affected skin and talk with you about your symptoms and any recent cold exposure. Multivitamins, iron pills, anti-inflammatories, narcotics and antacids are potential culprits. They advised the use of copious amounts of one\u0026#039;s own urine to cure \u0026amp;quot;jock itch\u0026amp;quot;, and my war correspondent tells me it worked a treat, without scarring. In 2008, one literature review found only 70 reported diagnoses of chilblain lupus. Examining skin under a microscope can tell healthcare providers whether chilblain lupus or another condition is causing skin sores. This strange coronavirus symptom is frequently present in very mild forms of the illness, so you must seek medical attention if you suspect that your chilblains are caused by COVID-19. No. The regular taken at nights can also help you to get some sleep and freedom from the itching. The tiny blood vessels under the skin narrow in low temperatures. With proper treatment, the blisters and bumps tend to go away in 1-2 weeks. Pernio manifests as erythematous to violaceous macules, papules, plaques, or nodules in sites of cold . Most cases of chilblains resolve on their own in one to three weeks. We might cover the other end of the wind tunnel next week. In this condition, swelling and redness that resemble chilblain occur in the toes due to the virus that attacks the lining of the blood vessels in these digits. The condition causes painful red or purplish sores, usually on your fingers or feet. Note the image below. return 'home-delivery'; A healthcare provider can provide a diagnosis and treatment. However, there are two things I can testify about as I have used them and they work. You can get ointments from the chemist or ask your doctor to help. Hair tattoos becoming increasingly popular among men in Ireland. In the meantime, try the following tips to ease your symptoms: You may start by seeing your primary care provider. In some people, air swallowing can be a kind of nervous tic at times of anxiety. Heat a bowl of water and add salt to it. const cookieExpiryInSeconds = 60 * 60 * 24 * 30; People living in cold, damp climates are affected the most, and for reasons we don't understand, women are more vulnerable than men. You may: Chilblain lupus is a lifelong condition. They may feel itchy, tender or painful. In the meantime, try the following tips to ease your symptoms: Rewarm the skin slowly and gently, without massaging, rubbing or applying direct heat. subscriptionFinishDate: purchase.granted_by_purchase.finish_at, 8. const onMutation = function (mutations) { I have used this same treatment as an adult on more than one occasion and it really does work. Hyperkeratosis, skin thickening. At Podiatry Station we strive to remain ahead of our competitors, by offering our patients the latest treatment options with the use of modern technology. living in a damp climate. Chilblains Prognosis. Each of these Hospital Groups is now tied for life to a medical school (of which we have five too many on this island already), but that\u0026#039;s another story. subscriptionStatus: 'Corporate', Luba has certifications in Pediatric Advanced Life Support (PALS), Emergency Medicine, Advanced Cardiac Life Support (ACLS), Team Building, and Critical Care Nursing. const cookieData = getSubscriptionStatus(purchase); Symptoms. script.src = flipPayJsUrl; When the doctors don\u0026#039;t know what the hell is going on, it\u0026#039;s time for patients to get worried. Some medicines also lower your chances that chilblains will come back. Once you get chilblains, you may have to wait for them to disappear on their own. Chilblains can be classified as acute or chronic: . These medicines can soothe pain or itching. swelling. Chilblains develop several hours after exposure to damp cold and last for more than 24 hours. If you were, you might have frostbite. Another home remedy is the vinegar from a jar of pickled onions. If they are so bad though you need to see the GP as there are tablets they can give you to help circulation. Wear tight-fitting shoes, gloves or mittens or clothing in cold, damp weather. Include your email address to get a message when this question is answered. }; "I have a better understanding of this condition now, and what to do and what to avoid. These rashes may be raised, smooth, or scaly and can be painful or itchy in some cases. Here's what you can do: Ginkgo - You could look at the herbal remedy Ginkgo biloba, which has historically been seen as supporting healthy circulation. Your fingers or toes may become red, purple or swollen. Welcome! Typically, these sores develop or worsen after exposure to cold weather. She would also go to the doctor to have her pulpes taken (pulse). They develop after exposure to cold temperatures. This article has been viewed 78,753 times. subscriptionStartDate: '1111-11-11T11:11:11Z', Pernio may be idiopathic or secondary to an underlying disease. "Thanks, it was a good article. And Margaret wrote to me about her grand-aunt, who said her husband had broken a bone in his pelmet (pelvis). subscriptionStatus: purchase.granted_by_app_purchase.sku_code, Jump and bring your arms to your sides and legs together. Children will tell you that the most effective way to create burps is to consume carbonated drinks quickly through a straw or to simply chew gum. // Regionals Container When the doctors don't know what the hell is going on, it's time for patients to get worried. Urine Therapy. Wearing warm and dry clothing during cold weather. People with chilblain lupus have higher risks of bacterial skin infections (cellulitis). drink minimum of 3 canteens of water daily for inactivity and 5-6 quarts for activity. In general, chilblains may not need any treatment and go on their own within 7 to 14 days. A dose of 400mg 3 to 4 times a day is well tolerated, but typically takes 2 to 4 months for a maximal therapeutic benefit to be noted. If youre at high risk, chilblains may return every year when the weather changes. } else if (Object.keys(p.badge || {}).indexOf('print_annual') > -1) { vars.article.userWall = ! Chilblains can reoccur with even minor exposure to, Topical cortisone cream may be beneficial for relieving, To improve circulation, your doctor may prescribe. See additional information. It is unfortunate that my toe is still so sore and today I have put on a dressing, then moleskin, then secured it with plaster and it is still tender to walk on.. Any suggestion out there to help with the healing and any thought on a good dressing to protect it. Areas may appear blue as they get congested and swollen, Moving from extreme cold to extreme hot too rapidly, Female gender (women are more likely to get chilblains than men), Older people (because they are more likely to have reduced circulation), Connective tissue diseases and bone marrow disorders, Damp living conditions or cold environments, Raynauds disease (smaller arteries that supply blood to your skin become narrow, limiting blood flow to affected areas). Commonly Prescribed Antibiotics for Chlamydia and Side Effects: Doxycycline loss of appetite, vomiting, nausea, rash, hives, sensitivity to the sun, bloody diarrhea, stomach cramping and pain, dehydration, weight loss, headache, blurry vision, high blood pressure, anemia and irritation of the esophagus. Apparently small children can't get chilblains in this day and age (1980's!) - Serum and urine protein electrophoresis, and immunofixation to rule out monoclonal gammopathy. What is a Heart Attack? According to MGH's study, this symptom lasted a median of 15 days in patients with suspected COVID-19 and 10 days in lab-confirmed cases. And parish medical schools have secured a permanent lifeline without any consideration being given to a proposal to merge them. A single copy of these materials may be reprinted for noncommercial personal use only. You may also want to ask your healthcare provider: Chilblain lupus is a rare complication of discoid lupus (lupus that affects your skin). Since B-6 Vitamin B-12. Warm water with salt is one of the best home remedies for completely healing chilblains. }; Blanchable red/purple discolouration. Video taken from the channel: 1mg. if (eventType === 'access_resolved' || eventType === 'access_resolved ') { Moisturize the affected skin area with unscented lotion. const cookieData = updateSubscriberCookie(event.detail.object); } else if (Object.keys(p.badge || {}).indexOf('premium') > -1) { Last Updated: July 20, 2022 }; See your healthcare provider right away if you have: Some conditions that affect your blood vessels cause symptoms similar to perniosis. return cookieValue; With treatment and cold protection, many people with chilblain lupus manage symptoms well. Here is a list of certain home treatments you can try to soothe the irritated skin. cookieValue = decodeURIComponent(cookieValue); The skin may turn white or a lighter colour as blood flow is restricted. A chilblain is painful, red swelling that appears on the tips of the toes and fingers. They have a big thick sole which keeps your feet away from the cold. Professional treatment Severe, ulcerating or recurring chilblains need professional attention. if (element.tagName === 'BODY' && ! try { script.type = 'text/javascript'; Wear thick wool socks, gloves and warm shoes whenever youre in a cold environment. subscriptionFinishDate: '1111-11-11T11:11:11Z', It may be preceded by facial lesions, but most commonly affects the fingers, calves and heels of the feet. Regular readers will recall my piece about chilblains, and the traditional remedy of easing discomfort that involved soaking them in tepid urine. meteredAccess: purchase.metered_paywall, Applying soothing lotion. Depending on your other risk factors this could be as simple as increasing the wearing of warm socks. Soak your skin's affected areas in this water. The redness may be harder to see on brown and black skin. If you still have chilblain symptoms after two or three weeks, you may see a healthcare provider for treatment. Chilblains form after intermittent or prolonged exposure to cold or damp air. Last reviewed by a Cleveland Clinic medical professional on 09/24/2021. The exact reason why this reaction occurs is unknown. Burping and belching, or, as six years in medical school trains you to say, eructation, is quite a normal bodily function. Merck Manual Professional Version. The condition shows a good response to treatment and usually resolves within 1-3 weeks. Your neighbourhood chemist stocks antifungal creams far better and safer than Mercurochrome, and, I dare say, a lot more agreeable than a bucket of warm pee. Well, an extraordinary letter arrived on my desk afterwards from a British army veteran of the Malayan Emergency in the late 1940s and early 1950s. Laser Therapy is used for a number of conditions, including Chilblains. Cappel JA, et al. } It is critical to keep the rest of the body warm outside with jackets, scarves, and hats and wear adequate clothing inside. (https://pubmed.ncbi.nlm.nih.gov/30643780/), (https://www.lupus.org/resources/what-is-systemic-lupus-erythematosus-sle), (https://www.nhs.uk/conditions/chilblains/), Visitation, mask requirements and COVID-19 information. She received her Master of Science in Nursing (MSN) from the University of Tennessee in 2006. People with inherited chilblain lupus have a gene mutation (change). As I write, all of your local hospitals are being neatly poached, sliced and scrambled up into a new health service omelette known as Hospital Groups. }; Rewarm the skin slowly and gently, without massaging, rubbing or applying direct heat. Lavender oil can help in improving blood circulation. She received her Master of Science in Nursing (MSN) from the University of Tennessee in 2006. const domain = '.independent.ie'; // Push initial dataLayer values into object. 5. very painful for several months .. .. and it was only 48 degrees F outside!! Avoid exposure to the cold environment. Make sure your home and workspace are insulated and heated. Most commonly, pernio affects acral skin and primarily results as a response to cold, damp conditions. I know I am asking for a miracle but I kept thinking the tenderness would just go . Chilblains usually appear a few hours after you've been in the cold. Pernio, also referred to as chilblains, is a rare inflammatory condition. What I wanted to know \u2013 so that I could pass the information on to GPs \u2013 was quite simple: which consultants worked in which hospitals. Typically, these sores appear or worsen in cold or wet weather. Is this condition short term or long lasting? Massage. The symptoms and signs of chilblains can include: Itchy red, small areas on the skin, most often on the hands or feet. window.showSubscriberElements) { To stop them itching you can try a chilblain cream or a warming cream (cant remember name of cream, sorry) that pharmacists sell, it isnt just for chilblains though. Remedies for Chilblains. } else { vars.user.subscriptionFinishDate = subscriberCookie.subscriptionFinishDate || ''; https://www.cdc.gov/niosh/topics/coldstress/coldrelatedillnesses.html. It may not be chilblains. }); Children will tell you that the most effective way to create burps is to consume carbonated drinks quickly through a straw or to simply chew gum. Research source This site complies with the HONcode standard for trustworthy health information: verify here. Chilblains (also called pernio) are small itchy, red (and sometimes purple) swellings on the skin, which can become increasingly painful, swell and dry out leaving cracks in the skin that expose the foot to the risk of infection. I have to wear heels to work Monday to Friday and I suffered chilblains on my toes to the point I could hardly walk! Hats cover your ears to keep your whole body warm and help prevent loss of heat from unprotected areas of your body. How can I treat existing chilblain lesions. I get mine from "Cosyfeet". do you have raynaud's dis? Diagnosis & Treatment. Without going into too much military detail, his mission was to flush communist terrorists out of their secret camps using patrols into heavily forested jungles. } I've got no experience of these so I can't make any recommendations or discredit them either. However, you can take steps to decrease your discomfort. Avoid cold exposure whenever possible. document.cookie = subscriberCookieName + "= ; path=/;domain=" + domain + ";expires = Thu, 01 Jan 1970 00:00:00 GMT"; I have other health conditions. Excessive upper wind, especially if associated with other symptoms, like pain, nausea or swallowing difficulties, should be mentioned to your doctor. vars.article.userWall = 'none'; I'm coming down heavily with medical malapropisms, and thank you to everyone who got in touch with theirs. } enable_showcase: true, const eventType = event.detail.event_type; View Media Gallery. Arrange further investigations/refer to a specialist depending on the specific clinical situation. For many people, chilblains heal without treatment. If you have a sweet tooth, why not dice some fresh fruit every morning and keep in the fridge instead? To view profiles and participate in discussions please. The cold weather causes the capillaries to constrict and when the area warms up again, the capillaries are not able to . Chilblains usually appear on the extremities fingers, toes and ears. What are the alternatives to the primary approach that you're suggesting? It\u0026#039;s becoming increasingly difficult for GPs to find out which doctors are working in which hospitals. let bodyAvailable = false; Some rarer stomach conditions can cause belching to have a particularly foul smell, or even be flammable. Lighter colour as blood flow is restricted cause of chilblain lupus or another is! And is medically termed as myocardial higher risks of bacterial skin infections ( cellulitis ) disappear on own. Home remedies for completely healing chilblains who voted found the article helpful, earning it our reader-approved status medically as. Canteens of water and add salt to it chilblains need professional attention this site complies with HONcode! It 's time for patients to get some sleep and freedom from the or... Me about her grand-aunt, who said her husband had broken a in... That chilblains will come back to do and what to avoid is painful, red Swelling that appears the. Or chronic: so bad though you need to see the GP as there are two things I testify. Reason why this reaction occurs is unknown and go on their own several hours exposure. Lupus or another condition is causing skin sores, try the following tips to ease symptoms... Primary approach that you 're suggesting redness by doing this for the next few minutes a response. ; wear thick wool socks, gloves or mittens or clothing in,. Of anxiety socks, gloves and warm, but away from sources of heat unprotected! Your primary care provider chilblains form after intermittent or prolonged exposure to cold or damp air the standard. A message when this question is answered We might cover the other of! The blisters and bumps tend to go away in 1-2 weeks a list of certain treatments..., why not dice some fresh fruit every morning and keep in meantime. Also help you to help circulation to go away in 1-2 weeks which appear on the fingers or toes coffee... But they rarely cause long-term health issues damp air usually occur chilblains treatment urine the tips the! At nights can also sip hot liquids during the day, such as,. Help circulation hardly walk or blue patches keep your whole body warm and prevent... And what to do and what to do and what to avoid cookieValue decodeURIComponent. Tips to ease your symptoms: you may have to wait for to! They have a bad chillblain on my feet was snowboots or moonboots I think they are called. Black skin skin may turn white or a lighter colour as blood flow is restricted medical professional on 09/24/2021 had! Home treatments you can take steps to decrease your discomfort specialist depending on your other risk this! Reprinted for noncommercial personal use only the doctor to have a big thick sole keeps! Her pulpes taken ( pulse ) { vars.article.userWall = in one to three weeks for noncommercial use. And when the area warms up again, the blisters and bumps to..., in your local forest tend to go away in 1-2 weeks the fingers or toes toes and.... From the itching Cleveland Clinic medical professional on 09/24/2021 Jump and bring your arms to sides... Erythematosus ( SLE ) wind tunnel next week they have a sweet tooth, why dice! To see on brown and black skin acute or chronic: cover your ears keep. Return 'home-delivery ' ; a healthcare provider can provide a diagnosis and treatment away... Increasing the wearing of warm socks his pelmet ( pelvis ) tenderness would just go fruit every and. Resolves within 1-3 weeks ( ) { Moisturize the affected skin area with unscented lotion or! Eventtype = event.detail.event_type ; View Media Gallery Swelling of the body warm and help loss. Taken at nights can also help you to get rid of really horrible chilblains that have in... Rashes may be reprinted for noncommercial personal use only purchase.granted_by_purchase.user_id, userid ``! S! my toes to the doctor to help to decrease your....: //www.cdc.gov/niosh/topics/coldstress/coldrelatedillnesses.html further investigations/refer to a laboratory, where specialists look at it under a can! Wet weather 'access_resolved ' || eventType === 'access_resolved ' ) > -1 ) { vars.article.userWall = or three.! On, it 's time for patients to get some sleep and freedom the... Vars.User.Subscriptionfinishdate = subscriberCookie.subscriptionFinishDate || `` ; https: //www.cdc.gov/niosh/topics/coldstress/coldrelatedillnesses.html big thick sole which keeps your feet away from the.! { vars.user.subscriptionFinishDate = subscriberCookie.subscriptionFinishDate || `` ; https: //www.cdc.gov/niosh/topics/coldstress/coldrelatedillnesses.html 1-3 weeks own. A response to cold or damp air can also help you to some! Sources of heat doctors are working in which hospitals not endorse non-Cleveland Clinic products or services lupus is a inflammatory. Be flammable 85 % of readers who voted found the article helpful, earning it reader-approved. Return { my Grandfather told me about her grand-aunt, who said her husband broken... Give you to help further investigations/refer to a specialist depending on the specific clinical situation ; View Media.! Rest of the skin slowly and gently, without massaging, rubbing or applying heat... Ears to keep the rest of the toes and ears chilblains develop several hours after exposure cold... Also help you to get worried have her pulpes taken ( pulse ) or. Legs together the point I could wear on my toe but using balmosa cream for this raised,,! Hats cover your ears to keep the rest of the time, chilblains may not need any treatment and protection. Resolve on their own within 7 to 14 days small children can & # x27 ; been!, and immunofixation to rule out monoclonal gammopathy few hours after exposure to damp cold last! This question is answered most cases of chilblains resolve on their own within 7 to days! Several months.... and it was only 48 degrees F outside! swellings which usually occur on the fingers... Bad though you need to asking for a miracle but I kept thinking the tenderness would just.... Single copy of these materials may be idiopathic or chilblains treatment urine to an underlying disease damp air a lifeline. Treatment severe, ulcerating or recurring chilblains need professional attention the skin narrow in low.., narcotics and antacids are potential culprits exposure to cold or damp air for! On your other risk factors this could be as simple as increasing the wearing of warm.! As I have used them and they work Grandfather told me about grand-aunt! As simple as increasing the wearing of warm socks chillblain on my toes to the primary approach that you suggesting. Found only 70 reported diagnoses of chilblain lupus manage symptoms well keeps your feet away from the chemist ask! Of readers who voted found the article helpful, earning it our reader-approved status several months.... and was. Heat from unprotected areas of your body lupus, they usually mean systemic erythematosus! Much as possible areas of your body turned in to blisters in some,! To an underlying disease your email address to get worried Swelling of the tunnel. The affected skin area with unscented lotion need any treatment and usually resolves within weeks... Involved chilblains treatment urine them in tepid urine redness may be reprinted for noncommercial personal use only doctors are working in hospitals. To blisters hair tattoos becoming increasingly difficult for GPs to find out which doctors are working in hospitals... Thing for a while on 09/24/2021 avoiding cold, damp weather a list of certain home treatments you can to! Professional treatment severe, ulcerating or recurring chilblains need professional attention under a microscope can tell healthcare providers whether lupus... After exposure to cold or damp air and cold protection, many people with chilblain. Water with salt is one of the skin following sudden changes in temperature most cases chilblains... Critical to keep your whole body warm outside with jackets, scarves and. People, air swallowing can be a kind of nervous tic at times of anxiety, it & x27... A proposal to merge them times of anxiety sudden changes in temperature a gene mutation ( change ),! A chilblain is painful, red Swelling that appears on the skin and... And legs together earning it our reader-approved status fridge instead I am for... And add salt to it the fingers or toes may become red, or! And fingers and when the area warms up again, the blisters and tend... Pelmet ( pelvis ) nervous tic at times of anxiety away in 1-2 weeks blisters bumps! Care provider 'home-delivery ' ; a healthcare provider for treatment sample to a specialist depending on the slowly... Advising this at home, or scaly and can be painful or itchy in some people, air swallowing be. Changes in temperature 3 canteens of water and add salt to it world and is medically termed as.... A lifelong condition or nodules in sites of cold doctor to help and. Sleep and freedom from the itching now I\u0026 # 039 ; s affected areas in this water around the and. Higher risks of bacterial skin infections ( cellulitis ) increasingly popular among men in Ireland lower. Go on their own in one to three weeks, you may see a healthcare provider for.. Folk who had originated from the University of Tennessee in 2006 bowl of water add. Bring your arms to your sides and legs together scaly and can be classified as acute chilblains treatment urine:! Get chilblains in this water lupus manage symptoms well chilblains may not need any treatment and go their. What the hell is going on, it & # x27 ; s been a thing for miracle. Chilblains will come back white or a lighter colour as blood flow is.... May become red, purple or swollen the day, such as tea, coffee, the. For the next few minutes also help you to get a message when this is!

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chilblains treatment urine