Conversation: The conversation between human and AI assistant.
[|Human|] Hello, Im a 43 yr old woman that has been having lymph noid, ear and throat pain, and I do have canker sores with it. Its like a flare up from month to month for some time now and can last weeks at a time. When I sleep or try to sleep i get excustiating pains that shoot thru to the top of my head, some lasting as long as 30 seconds, some as fast as a flash of lightening. The pain is terrible the worse ive ever felt and on occassion happens during the day. But i have noticed if i sleep with my face pointing downward its more apt to happen. not to mention that I get pain with my teeth that cover all way around my face, even where i dont have teeth. I feel as tho it could be a nerve isssue but not a clue what to telll a dr to get help
[|AI|]  Hello, Thanks for writing to us. The severe pain which is aggravating as well as excruciating in nature, will be due to deep dental caries in which pulp is inflamed. Grossly decayed or impacted wisdom tooth can also cause such pain. Take ciprofloxacin as well as diclofenac tablets to relieve the pain as well as underlying infection. Meanwhile, visit a dentist and get decayed teeth restored or extracted depending on severity of lesion. Always maintain oral hygiene well. Apply lidocaine gel to relieve the pain due to canker sores. Avoid spicy foods. Take care.