Had tooth ach same as a few years ago turned out to be sinus above tooth, this time moved up into upper gum cheek is swollen a bit any ideas?

Dental disease: Periapical abscesses in the bicuspids and molar teeth can extend into the maxillary sinus and produce infection there. Conversely maxillary sinusitis can produce pain in the teeth directly beneath the floor of the involved sinus. You need to see a dentist or a doctor or both, and do this quickly since this can become very serious very rapidly.

Get an evaluation: Some sort of infectious process is occurring if swelling and pain are involved. I would consider going to a dentist for a complete examination with radiographs to have this condition properly diagnosed and treated.