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

### input:
Hello, I have been suffering from a toothache for about 3-4 days, but it has become increasing worse. Pain spreading from the top left quadrant into the ear, and down to the lower jaw, also covering the lower quadrant. This evening I feel pain around and just above the eye. There is also an odd pain and pressure at the base of my nostril, with some numbness in the cheek. Ive been treating with 800mg prescription Motrin, but the length of relief is closing significantly, from 6 hours down to only slightly dulling the absolute extreme pain!!! I have begun a warm water rinse earlier this evening, but the pain is so bad that if there is actual relief it cant be measured. I am in between dentists so Im in a bind...

### output:

Hello dear,First don't worry and be relaxed. I Have gone through your query thoroughly. I will provide you with my best possible advice. As your symptoms suggest and on the basis of your description, you may have a carious tooth(agitated) in upper left qua Chat Doctor.  Pain as you have described is a radiating type of pain. And numbness may be due to inflammation and infection. Simply taking painkillers like MOTRIN will not solve the actual problem. If someone with same symptoms arrives in my clinic I must ask few questions-Do pain increases on biting or chewing?- Is there any specific time (day or night) when he experiences more pain? You have to undergo the complete treatment(procedure and medication) most probably "Root Canal Treatment" of the offending tooth to recover completely. If I were the treating dentist, on the basis of your given information I would advise these-Get an X-ray done of the offending and nearby teeth.-Try not to sleep from left side for few days.- Do not chew from left side for few days.-Do not give any type of pressure with hands or with anything else.- F0r better pain relief take tablet of tramadol-50 mg diclofenac-75 mg combination (marketed as duration by Abbott Healthcare) if not allergic to it twice daily for 3 to 5 days. And do visit the dentist for further treatment. Thank You and Take Disregards