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neurological

Bell's Palsy

Sudden weakness or paralysis of one side of the face, caused by inflammation of the facial nerve.

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Overview

Bell's palsy is a condition that causes sudden weakness or paralysis of the muscles on one side of the face. It occurs when the facial nerve becomes inflamed or compressed, often due to a viral infection. The weakness can make it difficult to close the eye, smile, or control facial expressions on the affected side. Most people recover fully within 3-6 months, though some have residual weakness. It is important to seek medical attention quickly to rule out stroke and begin treatment.

Symptoms

Common Symptoms

  • Sudden weakness or paralysis on one side of the face (within hours to days)
  • Drooping of the mouth and eyelid
  • Difficulty closing the eye on the affected side
  • Drooling
  • Loss of taste on the front of the tongue
  • Increased sensitivity to sound in one ear
  • Tearing or dry eye
  • Important: This can resemble a stroke — seek emergency care immediately to rule it out

Diagnosis

Diagnosis typically involves clinical evaluation, medical history, blood tests, and appropriate imaging studies. A healthcare provider will assess symptoms, order relevant laboratory work, and may refer to a specialist for confirmation.

Treatments

Treatment depends on the underlying cause and severity. Options may include medication, lifestyle modifications (diet, exercise, stress management), and ongoing monitoring. Always work with a qualified healthcare provider to develop an appropriate treatment plan.

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