instruction: hello doctor I am very itchy one time my finger itched in the same spot for like two or three days intermittently then it was my foot I have also developed skin rashes that come and go doctors say it is either eczema or some kind of skin condition or bug bite these rashes come and go one doctor even thought I had an sad and so I got tested for every sad out there everything came back negative I even got tested for cancers diabetes lupus hepatitis and a whole bunch of other stuff again everything was normal I am also experiencing dizziness where it feels like the room is spinning off and on and tightness of the skull first it was on the right and left side then it migrated to the back and now it is back and the front sometimes my scalp feels like burning I have got chills on my hands and feet I have abdominal cramps diarrhea and nausea what is going on with me I am on the paragard i'd but no one wants to say I am having an allergic reaction and they are telling me everything is fine I am so scared because I think I am being poisoned do you think this is a reaction or do you think I am a hypochondriac I am currently on psychiatric pills and mood stabilizers
output: hi I have gone through your query and reviewed the attached photograph it seems to be an eczematous rash also the rest of the symptoms could be a side effect of the i'd intrauterine device you can consider removing it for the rash I would recommend you to apply topical steroid like clobetasol propionate cream on the affected areas twice daily along with antihistaminic like tablet cetrizine 10 my once or twice daily depending on the intensity of itching for two weeks this should help in resolving your problem asteroidal preparations are prescription drugs and you need to see the doctor in person to get them