I woke up the other morning Thursday, and on my right hand, the middle knuckle was so swollen I could not use my hand, there does not look like there is any kind of a bite mark, I went to the DR. and had an x-ray done, showed nothing, the doctor thought it might be gout, took blood test, no gout showed up. It itches very much, and is swollen, the swelling is reducing some, but still can t make a fist. thought this was free, sorry to bother you.