I have weird feeling in face and I cannot smile or close my mouth on right side. Is it Bell's palsy?

Question

Hello doctor,

Yesterday, in the evening I woke up and I had a feeling that something is not right in my face. And when I gurgle I cannot fully close my mouth and water keeps spitting. And yes, when I look at the mirror my right eyes, nose, mouth, and cheeks are different. I checked online and it has something to do with bell's palsy. I cannot even smile on the right part.

Answer 1

Hi,

Welcome to icliniq.com.

With the symptoms you have mentioned, it definitely looks like you have developed a facial palsy on the right side, what we usually call as a Bells palsy.

This usually happens due to the involvement of facial nerve supplying the muscles of your face and in a situation when there is some weakness you will have difficulty in puffing your cheeks, drooling of saliva, not able to close your eyes completely, etc.

You can follow the advice given below:

Tablet Wysolone 60 mg one tablet in the morning after breakfast for the next five days followed by 30 mg one tablet in the morning for next five days followed by 20 mg for the next five days followed by 10 mg for the next five days and then 5 mg for next five days, tablet Acyclovir 800 mg five times a day for next five days. Methyceullose eye drops four times a day.

Facial physiotherapy exercises. A good multivitamin containing Lycopene, Vitamin B12, Vitamin E, Vitamin D, and antioxidants one tablet once a day for the next month. Avoid alcohol, and smoking. Avoid any form of stress. Tablet Pan D (Pantoprazole) once in the morning 30 minutes before food.

This should be sufficient for now. Typically this takes around two months to completely resolve. There is nothing that you need to be worried about as things will slowly improve with time. I hope this helps.