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

### input:
A few days ago I threw up several times within a few hours for no apparent reason. My mouth was burned, swollen, painful to chew or swallow. It healed almost completely yesterday except for two spots on the roof of my mouth at the back left. This morning I woke up and the swellings were throbbing, my teeth feel like they ve moved. there is a new larger and more painful swelling at the root of my shifting tooth. I m not exactly looking for a diagnosis but; Should I take an antihistamine for the resulting sinus pressure? Should I consult a dentist or a physician? Ruling out abcesses, what else shows up like this and should i be worried about malignancy? Thank you for your time!Amanda

### output:

Amanda your case history tells that you are having periapical abscess due to caries on tooth which infects pulp of your tooth causing chronic irreversible pulpits you are now having two ways either to go for extraction of offending tooth or go for root canal treatment planning should be confirmed after taking an X-ray of offending tooth till than you should take care that you don't do hot water bag fomentation of the area paining secondly if the pain is unbearable you can take tablets of diclofenac potassium 50 mg and amoxicillin 500 mg with clavulanic acid 125 mg twice daily. If you are allergic to this medicine than you can take acetaminophen and definite 200 mg twice daily. But you should consult a dentist as soon as possible if your tooth is not so decayed than it can be saved.