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Is it possible that it could be something other than PMB? Should I be concerned if his condition is improving slowly (4 days today)?

Yes, it is possible for the condition to be something other than the typical PMB. If the individual's condition is improving slowly but steadily, there may not be a cause for immediate concern. However, if the symptoms persist or worsen, it would be advisable to seek medical advice promptly. Applying a fragrance-free moisturizing cream, such as Aveeno or Glaxal Base, as needed throughout the day can help alleviate any discomfort.