Disease
Bell’s Palsy

Overview of Bell’s Palsy

Bell’s palsy is a sudden temporary weakness or paralysis of the facial muscles and usually affecting one side of the face. It occurs due to inflammation or compression of the facial nerve, which controls muscle movements in the face muscles. This condition can cause a drooping face, difficulty in closing one eye, and an uneven smile. Although it may resemble a stroke, Bell’s palsy is not life threatening and often resolves within a few weeks to months.

Types of Bell’s Palsy

  • Mild Bell’s Palsy: Minimal facial paralysis with slight weakness in the muscles of the face
  • Moderate Bell’s Palsy: Noticeable weakness with partial difficulty in facial movements.
  • Severe Bell’s Palsy: Complete facial drooping, inability to move the affected side of the face.
  • Recurrent Bell’s Palsy: Some patients may experience multiple episodes of facial paralysis over their lifetime.

Symptoms of Bell’s Palsy

  • Facial drooping on one side
  • Inability to close one eye properly
  • Loss of facial expressions
  • Facial nerve palsy leading to slurred speech
  • Face paralysis affecting eating and drinking
  • Drooping face making it hard to smile
  • Increased sensitivity to sound in one ear
  • Changes in tear and saliva production
  • Loss of taste on the affected side of the tongue
  • Bell’s palsy and stroke: Unlike a stroke, Bell’s palsy does not affect the arms or legs.

Causes of Bell’s Palsy

Viral infections such as herpes simplex and varicella-zoster Facial nerve inflammation Autoimmune disorders
Cold exposure or sudden temperature changes Diabetes High blood pressure Trauma or injury affecting the facial nerve
Stress and weakened immune system

Complications in Bell’s Palsy

Permanent facial paralysis in severe cases Eye dryness leading to corneal ulcers Difficulty in eating and speaking Abnormal nerve regeneration causing facial muscle spasms Psychological effects such as depression due to facial drooping

Risk Factors of Bell’s Palsy

People aged 15-60 Pregnancy, especially in the third trimester Diabetes Hypertension Respiratory infections Family history of Bell’s palsy disease

Prevention of Bell’s Palsy

  • Protect the facial nerve from extreme cold.
  • Maintain a healthy immune system.
  • Manage stress and anxiety.
  • Control blood sugar levels if diabetic.
  • Get vaccinated against viral infections.
  • Follow a balanced diet and stay hydrated.

Diagnosis of Bell’s Palsy

  • Clinical examination of facial muscles
  • Electromyography (EMG) to test nerve function
  • MRI or CT scan to rule out stroke or tumors
  • Blood tests to check for infections or autoimmune diseases

Treatments of Bell’s Palsy

1. Medications

  • Corticosteroids to reduce nerve inflammation
  • Antiviral drugs (if caused by a virus)
  • Pain relievers like ibuprofen for discomfort

2. Physical Therapy

  • Facial exercises to strengthen face muscles
  • Massage therapy to improve blood circulation

3. Eye Protection

  • Artificial tears to prevent dryness
  • Eye patch for protection while sleeping

4. Alternative Therapies

  • Acupuncture
  • Electrical stimulation of facial muscles

5. Surgery (rarely needed)

  • For severe cases with nerve damage

Prognosis of Bell’s Palsy

  • Most cases recover within 3 to 6 months.
  • Mild cases may improve within a few weeks.
  • Severe facial nerve palsy may take longer and need rehabilitation.

Care at MyhealthMydoctor

  • Expert Consultation: Connect with top neurologists for accurate diagnosis and personalized treatment plans.
  • Advanced Treatment Options: Access the latest therapies, including medications, physiotherapy and rehabilitation exercises for faster recovery.
  • 24/7 Patient Support: Our dedicated team is available round-the-clock to assist with medical queries, travel arrangements and follow up care.
  • Comprehensive Rehabilitation: Guided facial muscle therapy and recovery programs to restore movement and confidence.
  • Hassle-Free Medical Travel: Assistance with visa, accommodation, and hospital bookings for international patients.
  • Seamless Teleconsultation: Get expert advice from anywhere, ensuring the best care without the need for immediate travel.
  • Personalised Care Approach: We focus on your comfort, well being and speedy recovery with compassionate support.

Some Important Questions Patients Should Ask Their Doctor During a Consultation

  • What causes Bell’s palsy?
  •  How long will it take to recover?
  •  Is Bell’s palsy dangerous?
  •  What is the fastest way to cure Bell’s palsy?
  •  Should I undergo therapy for facial rehabilitation?
  •  What precautions should I take to prevent recurrence?
  •  Are there any long-term complications?

What Patients Expect from Doctors During Consultation?

  • Clear explanation of Bell’s palsy symptoms and treatment options.
  • Reassurance that Bell’s palsy vs stroke is different.
  • Guidance on facial muscle recovery.
  • A structured rehabilitation plan.
  • Emotional support and counseling.