Thank you for following up with additional questions as your condition does not appear to be responding and you are developing new symptoms not present at the time of your initial assessment. This is an example of a time when a follow-up visit and repeat assessment would seem to be necessary in order to determine how to treat you going forward. There are several possibilities to consider. First, it may be that it will just take a bit more time for you to improve. Second, you may have a complication that was not present at the time of your initial assessment. Third, the initial assessment could have been inaccurate and with these additional symptoms and findings it may lead to a more accurate diagnosis. So, yes, either make an appointment to see your primary care physician soon or return to the original location where you received care. Again, thank you for your question.