To all dentist

My tooth is stuck on the front of my gums but the back is completely loose I’m trying to push it out and twist and all that, but when ever I push too hard it gets really sore and my stomach turns empty and I feel like I’m going to pass out. I’ve tried brute force, slowly twisting and turning, and a lot of other things but I can’t because I almost pass out most of the time. Will the tooth eventually fall out on its own without me having to push it or will I have to force it out. The adult tooth is already coming in too. Also it’s been in forever that now it just hurts constantly please help.