Conversation: The conversation between human and AI assistant.
[|Human|] My 8 year old daughter has been told by our family doctor that she has a breast bud, which presented as a lump below her left breast. It has been present now since last summer. She now is presenting with blackheads and pimples on her nose? I m wondering if this might be the start of puberty already..or should I be concerned by these symptoms?
[|AI|]  Hello, Well, there's nothing to worry about because breast buds may appear as early as 8 years to as late as 13 years. Sometimes, these are asymmetric and tender, but they usually resolve by itself in some time. Pimples may be because of hormones and for that, simple topical antibiotic like Clindamycin can be used. Your daughter may start having menses in 2 or 2 and half years from now. There's nothing to worry about her health, that's completely normal for child Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.