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

### input:
I experienced some mild discomfort om my cheek last wednesday evening and woke up with an extremely swollen and painful cheek in the early hours of the morning so thinking it may be an abscess took 2 x 500mg amoxycillin and a panedine forte (500mf paracetamol. 30mg codiene).. Took a further 500mg amoxylcillin at 6 hourly intervals but when swelling increased went to ER and was given 2 lots of IV antibiotics plus prescriptions for metronidazole and amoxyicillin and had to report back the next day for follow-up.. all is fine swelling is slowly going down not too much pain now.. Had xray which showed no signs pf abscess or cysts or bone lesion or cavitys.. all was normal.. so wjere could the infectiom have come from,?? also my blood pressure is normally 130 over 85 and is usually good but I do take 5mg of civersyl (perindopril arginine) but since this cheek problem my blood pressure is 182 oner 90 pulse 80.. Is this high should I have more follow up???

### output:

Hello, After going through your medical query I understand your concern and I would like to tell you that cheek swelling with high blood pressure indicates fluid overload in the body which requires proper evaluation and treatment.  Kindly get a CBC, FT, Chest X-Ray, ECG and Echocardiography done and consult a physician with reports for proper management. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 