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

### input:
my son is 18 he has had a lump in his chest in the middle between his rib cage for about a year he has over the last four months lost a lot of weight about half a stone hes now strated to get alot of pain in his lower back and is constantly cracking it he says it gets very tight he has adhd and is scared of doctors and hospitals so iam having trouble getting him checked out hes also a smoker any advice please

### output:

Hi, Good Evening. This is Chat Doctor. -I studied your query in depth and Understood your health concerns.-Accordingly on the facts given by you-Treatment I would suggest is as follows-a-Your general health is run down due to the lump in the chest and the associated back problems worsened by smoking and ADHD.b-I think you are a Case of -Thomism with ADHD. And need definitive treatment from doctors. So you have to consult a Physician from an ER-center nearby.Hence, I would Suggest you to consult a Surgeon and Physician whose team work would be needed for proper treat planning and to remove permanently Thomism. Did he have any history of TB meningitis in childhood? The inherited TB residual stress and energy disturbances of TB survivors-with stress on their nervous system-which is proved now -has a genetic predisposition and needs to be removed by consulting specialist doctors in Er by help of -WAVE-MAKER which cancels the disturbed energy of the Thomism in the body of the patient and reduces the ADHD of your child.b-For the chest-lump -which appear to be-Chronic infected lymphadenitis ? Or Cold abscess with TB spine?-I would advise you to have FNAC-Biopsy to fix its cause. If its TB-anti-tb treatment for 18 myths would take care of it-as you are 18 only. C-I would advise you to get full treatment for your son-with your doctors for next 2-3 myths at-least, here on-wards, as yours is a complex health issue, and you need to be serious about it on the lines suggested herewith. Wishing you healthy living and early recovery of this query. Wellcome for more queries till you get the satisfied. Thanks for your query to Chat Doctor Clinic. Have a Good Day...!!