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Neurology

Bell's Palsy: symptoms, causes & treatment in Nigeria

Also known as facial paralysis, one-sided face weakness.

This page is general health information, not a diagnosis. Always consult a licensed clinician about your own health.

Overview

Bell's palsy is sudden weakness of the muscles on one side of the face, caused by inflammation of the facial nerve — the eye may not close and the mouth droops. It frightens people because it mimics stroke, but it affects only the face and most people recover fully within weeks to months. Early treatment improves recovery.

Symptoms

  • Sudden drooping of one side of the face
  • Inability to close the eye on that side
  • Mouth pulling to one side; drooling
  • Loss of forehead wrinkles on the affected side
  • Altered taste
  • Ear pain on the affected side
  • Sensitivity to sound in one ear

Causes & risk factors

  • Inflammation of the facial nerve, often after a viral infection
  • Diabetes and pregnancy increase risk
  • Exact trigger frequently unknown

Treatment & self-care

See a doctor within 72 hours — a short course of prescribed steroid tablets started early speeds recovery. Protect the open eye with lubricating drops and a patch at night, and facial exercises or physiotherapy support the muscles as the nerve heals. Most people recover substantially within three months.

See a doctor urgently if

  • Any sudden facial weakness — to confirm it is not a stroke
  • Weakness of an arm or leg, slurred speech or imbalance alongside
  • The eye becoming red or painful
  • No improvement after three to four weeks

Frequently asked questions

What are the first signs of Bell's Palsy?
Early signs often include sudden drooping of one side of the face, inability to close the eye on that side, mouth pulling to one side; drooling. Symptoms vary from person to person, so a proper assessment by a doctor is the only way to be sure.
Can Bell's Palsy be treated?
See a doctor within 72 hours — a short course of prescribed steroid tablets started early speeds recovery. Protect the open eye with lubricating drops and a patch at night, and facial exercises or physiotherapy support the muscles as the nerve heals. Most people recover substantially within three months.
When should I see a doctor about Bell's Palsy?
See a doctor promptly if you notice: any sudden facial weakness — to confirm it is not a stroke; weakness of an arm or leg, slurred speech or imbalance alongside; the eye becoming red or painful; no improvement after three to four weeks.

Talk to the right specialist

Bell's Palsy is usually handled by neurology. See an online neurology doctor in minutes on GoDoctor.

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Lab tests that may help