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Hello from JustAnswer.
Could you attach a picture of the area?
Yes, I received it.
This has an appearance of a small bruise. Did the first episode occur in the same location?
The most likely cause of these symptoms would be from inflammation in the foot. The swelling and the pain in the top of the foot and the joints is from the inflammation, and the bruising is because of a secondary effect on the blood vessels of the toes. The roughness of the skin is more likely related to the swelling of the inflammation, rather than from the bruising.
Recurrent bruising can also be related to recurrent minor trauma, such as from certain shoes, but it usually would be more of a problem when on your feet, rather than waking with the problem. Many people find that inflammatory conditions are worse when they first wake up.
At this point, it can help to use local care along with an oral anti-inflammatory medicine. Local care would include ice and elevation to help ease the swelling. After a few days, moist heat will be helpful to ease the inflammation. An over the counter anti-inflammatory medicine, such as ibuprofen or naproxen, will also usually help ease the inflammation and promote healing.
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A melanoma would not occur for 3 days, resolve, and then recur 2 weeks later, whereas it is common for inflammatory conditions to recur in the same location. Diabetes can cause the skin to be more susceptible to damage or bruising, but the management would be the same as noted above.
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