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

### input:
I have a tooth abscess.  Ive had it for five days now.  Went to the er three days ago.  They gave me penicillin and ibuprofen.  I exclaimed that I took five Aleve and seven Tylenol and it didnt work.  How they thought ibuprofen would work.....your guess is good as mine.  Either way Ive been taking penicillin for three days. Im still in pain and the swelling is about the same.  Slightly smaller.  When I feel it.  It feels like a knot.  Its hard and about the size of two pieces of chewed gum.  What should I do?  I dont think the antibiotics are working.  Do I need to wait a few more days?

### output:

Hi. Welcome to Chat Doctor. As per your complaint tooth abscess occurs when there is pus formation below the root tips of the tooth leading to accumulation of pus in soft tissues causing swelling and pain. As the pus creates pressure over the nerves, therefore there is severe pain. In this case taking only antibiotics and painkillers will not provide permanent relief, and you need to get your tooth treated. I would suggest you to consult an Endodontist and get evaluated and a thorough clinical evaluation and investigations like IOP AR [x-ray] can help in diagnosis and treatment can be done accordingly. You can be advised Root Canal Treatment followed by antibiotics and painkillers. As of now if pain is severe you can take higher painkillers like Tramadol or Motorola. Ibuprofen can help in relieving moderate pain. Do cool compresses over the cheek and do warm saline gargles. Hope this helps. Regards.