Conversation: The conversation between human and AI assistant.
[|Human|] my left cheek has been swollen for two years now with mild nerve pain and the pain seems to be getting worse. Also a lump in the inside of my mouth and the skin lining feels really rough. I have been tested for all allergies and hade a biopsy done for melkesson Rosenthal and nothing. This swelling is not going away and no test is revelling anything. also went to the dentist , took X-rays and nothing. had a mri and revealed a small sinus infection but nothing major. HOPE YOU CAN HELP..
[|AI|]  Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-left maxillary sinusitis with intramural hard palate swelling with it. The MRI confirms this sinus infection. Seems that you have nasal obstruction for quite some time more than 2 yrs of your cheek swelling. This has lead to the nerve pains due to the periapical areas of the upper jaw teeth, which is increasing lately. Other causes of such a lump could be Maxillary sinus poly / adenocarcinoma/ or periapical abscesses with periapical radiolucencies/nasal obstructions with cellulitis of the maxillary bones. Intra-oral protrusion in the hard palate-gives lump in the mouth in your case. Treatment--Treatment with Antihistamines +Anti-inflammatory +Antibiotics for 5-7 days is supplemented to recover the tissue edema prior to surgery.- Caldwell Luck Surgical Chat Doctor.