<s>[INST] My doctor thinks I have Rocky Mountain Spotted Fever for the 2nd time in 4 year so they started the Docacylin ( not sure of the spelling ) the same day as the blood test they looked at a large lump ( bigger than a silver dollar) which was very swollen , red , feverish.  It has finally begun draining after  7 days of swelling. My concern is the head aches , I have be woken from a deep sleep with extreme eye pay, with pain between my brain and skull and regular headeaches between 3 am and 6 am.  I am so tired yet I have been on medication for 4 days. Last time I started to feel better after a couple days on medication. I think I have something elese other than RMSP . [/INST] Hi, I was suspected to have R.M.S.P., and treated, accordingly, there is a large lump, swollen, red feverish, started draining after 7 days. now the problem is head ache, which is unbearable.                           it appears to be due to sinusitis, due to the R.M.S.P, or some other infection. I prefer to give my patients with such symptoms other antibiotic, decongestant, and pain killers. Xray P.N.S. may explain the underlying cause.                         Thank you. </s>