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

### input:
I have a iud in place! Chest soreness past 6 weeks! No bleeding. Left lower abdominal walnut sized had mass where ovary is and pain on palpation, & sneezing. Loss of appetite and weight loss! Was HPV positive 6 months ago. Had keep for abnormal cervical cells 10 years ago. Any thoughts as to what may be wrong? I don t feel pregnant I have 2 children snd actually got pregnant with the perigaurd iud 3 years ago that how my youngest arrived. Now I have the mirena! Thanks, NurseKristyGirl Yes I m a l&d nurse and know to much so I m worrying!

### output:

Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation of Yours, You seem to suffer from-Sinusitis / URI / IUD-mirena-hormone induced /HPV infection induced stress causing HERD with Chest soreness with pain on palpation. Remedy-Consult Physician and investigate HERD causes and its treatment. Take PPI-Protonix with domeperidone-x 1 x 2 times a day x 2-4 weeks. Remove IUD if its troublesome still with medicines. Bplex it- with Pyridoxine / It B12 and Folic acid would resolve the chest soreness. Bland diet x 4 weeks / nonveg-spicy food avoidanceButter milk and Banana milk shake would suggest Consults with Surgeon and physician/ Gone before starting any definitive treatment accordingly. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question Tod ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS