### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have Psoriasis in both of my ears really bad, some times my ears feel so weighted down, I know I shouldnt do this , but its the only way I could figure out how to get the flakes out. But I used a tweezer to pull the flakes out. The past two day it has been so thick that I take the tweezer and get under the the the the dead skin and pull out a pile of flakes about the half size of a pea. But when doing this I notice that it feels like a long piece of smooth plastic under the skin it moves around and sometimes it feels like its poking . Is this something to worry about and will it go back to where it should be?

### output:

Hi, As you said, you suffer from psoriasis. It is a chronic and relapsing skin disease. I can understand your anxiety for your disease. But, you have to keep patience. You might get relief slowly. And due to some factors it might relapse... Remember it is a controllable disease. You consult nearby dermatologist for firm diagnosis and perfect treatment. I would like to suggest few things as follows....- accretion 25 mg daily- methotrexate 15 mg weekly in three decided doses of 5 mg 12 hourly.- Blood tests .routine & LFT may be done at regular intervals-Steroid with salicylic acid point may be applied twice a day on the psoriasis lesions...on trunk and extremities- But, please avoid the use of renovate on psoriasis lesions on foreskin and soft tissue areas.as it is a moderately strong steroid. You may apply mild steroid cream like mometasone.- Soap bath should be avoided.- All precautions may be taken to avoid Chat Doctor.  Winter might worsen due to 