know the bell 's palsy disease

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Bell 's palsy is a paralysis or weakness on one side of the muscles in the face are temporary . This condition causes one side of the face will be visible sag. Although not yet fully understood reasons , Bell 's palsy is more common in pregnant women , diabetics , and HIV .

A damaged nerve in the face will affect the sense of taste and the way your body produce tears and saliva . Bell 's palsy came suddenly and general conditions will improve within a matter of weeks .

Bell's palsy is not related and not occur because of a stroke. Here are some conditions that can cause paralysis of Bell's palsy in the face.

• Facial paralysis derivatives. This condition occurs in children who are born with a weakness or paralysis of the face.
• Injury due to an accident. Occurs because lacerations on the chin or a crack in the skull.
• Injuries due to surgery. This condition generally occurs when the parotid gland surgery.

In most cases of Bell's palsy, paralysis on one side of the face can be fully restored. If you are experiencing paralysis on one side of the face, see your doctor to understand the conditions that occur.

Symptoms of Bell's Palsy
Bell's palsy had different symptoms in some people. Paralysis that occurs on one side of the face can be described as partial paralysis (mild muscle weakness) or as total paralysis (no movement at all, but it rarely happens). Mouth and eyelids may also be affected as a result of Bell's palsy, the second part of this will be difficult to open and close.

Bell's palsy is a disorder that occurs only in the muscles and nerves of the face. This condition does not affect the performance of the brain or other body parts. If paralysis on one side of your face accompanied by paralysis or weakness on the part of the body, immediately consult a physician.

Why of Bell's Palsy
Up to now, has not been known exactly what causes Bell's palsy. This condition is believed to arise when the nerve that controls the muscles of the face depressed or disturbed. In addition, the paralysis was also allegedly caused by inflammation of viral infection. One of the viruses expected to cause Bell's palsy is a herpes virus.

The diagnosis of Bell's Palsy
To confirm the diagnosis of Bell's palsy, a doctor will ask your symptoms progress. In addition, the doctor will perform a physical and neurological examination to determine the function of the facial nerve. If the symptoms are not obvious, you need to do some tests, such as electromyography, MRI, or CT scan.

Treating Bell's Palsy
To reduce the swelling that occurs in the facial nerve, prednisolone or prednisone (a corticosteroid drug group) can be used. Meanwhile, to prevent the emergence of problems in the eye that can not close, you may need eye drops. Meanwhile, to close your eyes, you need insulation.

Bell's palsy can be recovered completely in 70 percent of patients who experienced it. In the vast majority of people suffering from Bell's palsy, symptoms began to improve after two or three weeks. But for a full recovery will require about ten months. Recovery happens depends on the level of nerve damage suffered.

Complications of Bell's Palsy
Here are some of the complications that may occur as a result of Bell's palsy.

• Disorders of the eye.
• Difficulty eating, drinking, and talking.
• Weakness or paralysis of the muscles continuously.
• Facial muscles twitch.
• Ability decreased sense of taste.

Especially on Bell's palsy associated with heredity, there is the possibility of this condition will reoccur in the future.
( read also : what-is-stroke-how-to-prevention-and )

Symptoms of Bell's Palsy
Symptoms appear in Bell's palsy develops rapidly and reached a peak within two days. Resulting symptoms can vary. Here are the symptoms that usually appear in Bell's palsy.

One side will face paralysis or weakness. The affected side of the face would be visible sag and you can not move it. You will find it hard to open or close the eyes and mouth.

• Earache on the paralyzed side of the face.
• The affected ear will be more sensitive to noise.
• Ringing in one ear or both.
• Reduction or change in sense of taste.
• Mouth parts affected would be easy dribble.
• Dry mouth.
• Pain in the jaw.
• Headaches and dizziness.
• The difficulty to eat, drink, and talk.

The symptoms usually appear at the top will begin to improve within two to three weeks and eventually recover completely within nine to ten months.

There is no test that can be done to make a diagnosis of Bell's palsy. Tests carried out to ascertain the symptoms is not because of other conditions that can cause paralysis or weakness of the face, such as stroke. Another condition that could lead to similar symptoms are:

• Tumor. Abnormal tissue growth.
• Stroke. Interruption of blood supply to some parts of the brain are dangerous and can be life threatening.
• Moebius Syndrome. The condition is very rare and appear at birth.
• Middle ear infections. Conditions are quite common in children caused by bacterial or viral infections.
• Lyme Disease. Infections caused by bacteria spread by ticks.
• Head injury. Conditions that can happen to everyone from a blow, fall, or accident.
• Cholesteatoma. Abnormal skin tissue in the middle ear.

The doctor will examine the head , ears , and neck. Then the doctor will also examine the facial muscles to make sure only the facial nerve is affected. If the doctor does not find any other condition , it can be concluded symptoms that occur are due to Bell 's palsy .

Here are some of the tests performed can be done :

• Electromyography . This check is useful to measure the electrical activity of muscles and nerves you . The information provided this tool can be used to determine whether there is nerve damage .
• MRI . This procedure can be performed to determine the cause of the pressure on the nerves of your face .
• CT scan. This procedure is performed to determine other conditions that cause your symptoms , check if there is an infection or tumor . This procedure can also determine if there is a fracture in the face.

The cause of Bell's Palsy
Bell's palsy is caused by nerves that control facial muscles or nerves are inflamed or squeezed. Of the brain, the facial nerve pass through the narrow gap near the upper jaw. When the facial nerve is squeezed or inflamed, the signal that is sent to the brain to the facial muscles will be disrupted. Disruption is restricting the supply of blood and oxygen leading to nerve cells, resulting in weakness or paralysis of the face which is called Bell's palsy.

The cause of the inflammation of the facial nerve is still unknown. There is a possibility of inflammation and facial nerve crush caused by a viral infection, one of which is a herpes virus. Here are some things that allegedly the cause of Bell's palsy.

• Herpes simplex virus. This type of virus that causes genital herpes, herpes either Type 1 (HSV-1) or type 2 (HSV-2).
• Varicella zoster virus. This type of virus that causes chickenpox and measles fire. This virus is rarely causes Bell's palsy, but can lead to more serious conditions.
• Lyme Disease. Infections caused by bacteria spread by ticks.
• Syphilis. The disease is caused by a virus Treponema pallidum.
• Epstein-Barr virus. This type of virus causes glandular fever.
• Cytomegalovirus. These viruses include the herpes virus group. This virus can cause symptoms similar to flu, glandular fever, sore throat, and swollen glands.

In addition to the facial muscles, facial nerve also affect the production of tears, saliva, sense of taste, and the small bones in the middle ear.

HIV and diabetes are also likely to cause Bell's palsy, although until now the reason is not yet known with certainty. Upper respiratory tract infections can also be a factor that increases the risk of developing Bell's palsy.

In women who are pregnant and in conditions of entering the third semester also have a higher risk of having Bell's palsy. And can occur in the first week of a woman who had just given birth. Additionally, heredity also influential in increasing the risk of developing Bell's palsy. This means that a person is more at risk of Bell's palsy if no family members with the condition.

Treatment of Bell's Palsy
If there is someone experiencing facial paralysis suddenly, should be immediately taken to the hospital emergency department nearest section. According to the study, the treatment of Bell's palsy will be very effective if done within 3 × 24 hours after the first symptoms appear.

Although no specific treatment, usually a case of Bell's palsy can recover fully. Treatment is usually required to accelerate the healing process and prevent complications due to Bell's palsy.

Handling on Bell's Palsy
Here are some of the treatment and handling are performed for Bell's palsy.

• Prednisolone. This drug is highly recommended as the treatment of Bell's palsy is the most effective. This medicine should be given 72 hours of the initial symptoms appear. These drugs will be prescribed for 10 days and consumed twice a day. Find out more about the prednisolone.
• Eye care. Patients with Bell's palsy will find it hard to turn a blind eye, then the tears would evaporate, making the eyes become drier and more prone to infection. Tears play an important role to protect and keep the eye free of dirt and bacteria. The doctor will prescribe eye drops for the day and eye ointment at night.
• Plastic Surgery. The surgeon will help overcome weakness or paralysis in your face. Operating procedures can not restore normal nerve function, but surgery can protect the eye and improve facial appearance and adds functionality to face weak. Plastic surgery procedure performed to improve the function of the eyelid, fixing the position of the mouth, helps in talking, eating, and drinking, as well as improving the balance of face shape.
• Physiotherapy. Physiotherapists will teach you some exercises that can strengthen facial muscles. This is done to improve the coordination and range of motion. This procedure is helpful in cases of Bell's palsy, although not everyone in accordance with this procedure.
• Botox injections. Particularly in patients with Bell's palsy chronic or long-term, Botox injections can be given to treat the face are affected or not affected. These injections function relaxes facial muscles to tighten or reduce unwanted muscle movement. This injection also serves to balance the movement of the face, overcome feelings of discomfort when eating, and improve the overall facial appearance. These injections generally need to be repeated every four months.
• Other treatments. Relaxation techniques and acupuncture is said to help speed recovery from Bell's palsy condition and restore the function of the facial nerve.

Until now , the role of antiviral drugs still unclear . Antiviral drugs do not show the results to treat Bell 's palsy . Antivirus combined with steroids do not provide sufficient results . So the antiviral drug is not recommended to address Bell 's palsy .

Complications of Bell's Palsy
Complications caused by Bell's palsy is highly dependent on the nerve damage that occurs. Most people with Bell's palsy will heal by itself within a period of nine to ten months. But the long-term complications can occur, especially if you:

• Older than 60 years.
• Experiencing severe pain when the first symptoms appear.
• Suffered total facial paralysis on one side of the face.
• Suffered severe facial nerve damage.
• Has hypertension or diabetes.
• Is pregnant.
• Signs of recovery began only after two months.
• Not experiencing signs of recovery after suffering for four months.

Some patients with Bell's palsy will experience a return of the disease in the future on the other side of the face. This condition usually occurs when Bell's palsy related to genetic factors or derivatives.

Here are some long-term complications that can be caused by Bell's palsy.

• Facial weakness. Approximately two to three out of ten people with Bell's palsy will experience permanent facial weakness. Some children born with facial paralysis and others suffered facial weakness after suffering an injury to the facial nerve.
• Speech disorders. This condition arises as a result of damage to the facial muscles people with Bell's palsy.
• Dry eye and corneal ulcers. Corneal ulcers can occur because the eyelids are too weak to be shut down completely. As a result, the protective layer of the eye does not function properly. This condition can lead to blindness and eye infections.
• Diminished or lost sense of taste. This condition can occur if the nerve damage can not be recovered properly.
• Contractures face. This condition occurs when the facial muscles strained permanently. Disabilities face, eyes narrowed, thickened cheeks, and the line between the nose and the mouth as a result of increases in contracture of the facial muscles.
• Sinkinesis eyes and mouth. Such conditions occur when the facial nerve grows back in a different way. When eating, laughing, or smiling, eyes can blink. In severe conditions, the eyes will be closed completely when eating.
• Ramsay Hunt syndrome. This condition can lead to the appearance of the blister on the tongue and the inside of the ear. This complication occurs in people at risk of Bell's palsy is caused by the varicella zoster virus. This condition usually can be treated with a combination of steroids and antiviral drugs.

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