Bell's palsy is a diagnosis of exclusion. During the first visit to a doctor, questions will be asked, and tests may be ordered. These procedures will help the doctor determine the cause of the facial weakness, or rule out conditions which are known to be linked to facial paralysis. When no underlying cause is found, Bells palsy is the diagnosis. For example, blisters in the ear or mouth, dizziness or reduced hearing on the affected side may suggest a diagnosis of Ramsey Hunt syndrome.
Slowly progressing paralysis, weakness in areas other than the face, an enlarged parotid gland or paralysis that spares the eye and brow are also among the symptoms may indicate the presence of an underlying condition requiring additional medical attention.
After taking a history and carefully observing the symptoms, tests that may be ordered include various blood tests, MRI, or CAT scan. These tests shouldn't be a cause for concern. They will either add conviction to a diagnosis of Bell's palsy, or provide the physician with the information needed to proceed in another direction.
Facial paralysis is a result of nerve damage, and many people look no further for help than to a neurologist. Patients may be unaware that the condition also falls into the realm of otolaryngology, and that (ENTs) are generally quite knowledgeable in diagnostics and treatment.
IN GENERAL ...
The first priority in treating Bell's palsy or any type of facial paralysis is to eliminate the source of damage to the nerve as quickly as possible. Minor compression for a short time period can result in mild and temporary damage. As time goes on with constant or increasing compression, damage to the nerve can also increase. If you decide to use medications that may help relieve the compression (Prednisone and antivirals), they should be started as quickly as possible. The "window of opportunity" for starting these medications is thought to be 7 days from the onset of Bell's palsy. Prednisone may be prescribed later if it appears the inflammation has not subsided.
Rest is important. The body has had an injury, and will heal most efficiently with enough rest to maintain strength and immunity at peak levels. It's normal to feel more tired than is usual during recovery. If you choose to work or exercise immediately after onset, be smart about it - when your body tells you it needs a break, indulge it if you have that option.
Food particles can lodge between the gum and cheek, so take extra steps to maintain oral hygiene.
Bell's palsy is a diagnosis of exclusion. During the first visit to a doctor, questions will be asked, and tests may be ordered. These procedures will help the doctor determine the cause of the facial weakness, or rule out conditions which are known to be linked to facial paralysis. When no underlying cause is found, Bells palsy is the diagnosis. For example, blisters in the ear or mouth, dizziness or reduced hearing on the affected side may suggest a diagnosis of Ramsey Hunt syndrome.Slowly progressing paralysis, weakness in areas other than the face, an enlarged parotid gland or paralysis that spares the eye and brow are also among the symptoms may indicate the presence of an underlying condition requiring additional medical attention.After taking a history and carefully observing the symptoms, tests that may be ordered include various blood tests, MRI, or CAT scan. These tests shouldn't be a cause for concern. They will either add conviction to a diagnosis of Bell's palsy, or provide the physician with the information needed to proceed in another direction.Facial paralysis is a result of nerve damage, and many people look no further for help than to a neurologist. Patients may be unaware that the condition also falls into the realm of otolaryngology, and that (ENTs) are generally quite knowledgeable in diagnostics and treatment.IN GENERAL ...The first priority in treating Bell's palsy or any type of facial paralysis is to eliminate the source of damage to the nerve as quickly as possible. Minor compression for a short time period can result in mild and temporary damage. As time goes on with constant or increasing compression, damage to the nerve can also increase. If you decide to use medications that may help relieve the compression (Prednisone and antivirals), they should be started as quickly as possible. The "window of opportunity" for starting these medications is thought to be 7 days from the onset of Bell's palsy. Prednisone may be prescribed later if it appears the inflammation has not subsided.Rest is important. The body has had an injury, and will heal most efficiently with enough rest to maintain strength and immunity at peak levels. It's normal to feel more tired than is usual during recovery. If you choose to work or exercise immediately after onset, be smart about it - when your body tells you it needs a break, indulge it if you have that option.Food particles can lodge between the gum and cheek, so take extra steps to maintain oral hygiene.
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