HomeAnswersNeurologyfacial palsyI have not been able to move the left side of my face properly since yesterday. Kindly help.

I am unable to move the left side of my face properly since yesterday. Please help.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ardit Tela

Medically reviewed by

Dr. Nithila. A

Published At July 16, 2019
Reviewed AtSeptember 25, 2023

Patient's Query

Hello doctor,

I have not been able to move the left side of my face properly since yesterday morning. I went to the doctor yesterday, and he said if it did not improve to come back, but I can not get back into the doctor. I have pain under my jaw and now feeling in my tongue on that side of my face either.

Answered by Dr. Ardit Tela

Hello,

Welcome to icliniq.com. I have read your question carefully, and I understand your concern. 1. Do you have difficulties also in closing your left eye or raising your left eyebrow 2. Did your taste change? 3. Did your doctor prescribe any medication? 4. What was your doctor's opinion yesterday, since he surely did a physical exam? Did he also check your ears? 5. Do you have other symptoms or is just the face involved? In general, if the answer for the first two questions is yes (not smiling properly, difficulty closing the left eye and raising the left eyebrow, if you chew food on the left side, you notice the taste is changed) and the symptoms are confined just to your left side of the face, I suspect a peripheral facial nerve palsy. The management plan that you should discuss face to face with your doctor, 1. Corticosteroid treatment within 72 hours of symptoms onset. After 72 hours, I do not recommend (like Prednisolone 50 mg per day for five days, then reducing the dose gradually over five days in total 10 days of corticosteroid therapy). 2. Artificial tears during the day and eye protection during the night. 3. Nerve conduction studies after 10-14 days. 4. Physical therapy (your doctor might give you a leaflet with appropriate exercises, or you could search on youtube for Bell's palsy exercises. I hope my answer was helpful. Feel free to contact me again if you have further questions or concerns.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ardit Tela
Dr. Ardit Tela

Neurology

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