<s>[INST] my son has some lump below his toe he feel some stretching doctor told it is a kind of isap his blood report shows llittle less hemoglobin i.e 12 and increase in eosinophil kindly advice me his age is 16 years and this is occured 5 months back but till today he is not fully cured [/INST] HI,Luke,Dear,Thanks for the query to HCM.1-I have studied your query in depth.2-DEar,IN my opinion, the lump below toe with reaised eosinophil increase in 16 yr son with 12 hb,unhealed since 5 mths,may be Eosinophil granuloma of the foot pad,with stretching feel.3-Treatment could be planned by ortho-paedic surgeon for the foot pad lump-or by the general physician who would correlate and treat the anaemia associated with eosinophilia.3-a-Empirical treatment-to control mycoplasma infection -with doxy-200 mg ,to take care of chronic infection,3-b-Diclofenac-treats to reduce local lumpy growth,3-c-Anti-eosinophilic drug treats-by physician doctor,would take care of the worries you had for your sons lump below the toe.3-d-Treatments-would be decided by a ortho-Surgeon-for the lumps below the toe,after foot X-ray studies in various planes.4-Hope this would solve your query to your satisfaction.5-Wellcome for more queries to me On HCM.6-Thnks once again for your inquisitive query.Have a Good Day..!! </s>