Bell's Palsy Explained Clearly - Exam Practice Question

[@esbam2002]

Recently have this on the right side of my face. Don't wish this on anyone. Talking and eating are challenging, but the worst is not being able to blink or close my right eye. Always have to have a bottle of eye moisturizer on me to keep it moist.

[@tessanielsenjohnson4076]

This was so helpful! Two days ago my tongue went numb on the left side and I thought I had an allergic reaction to something. Then two days later I noticed that I couldn’t squeeze my left eye shut and I started getting shooting pains in my ear and the back of my head. The morning after that I couldn’t close my eye all the way when blinking and my eyebrow and eyelid were sagging down a little. By that night I couldn’t smile or frown on my left side and I couldn’t eat or drink properly. Basically no movement at all on my left side. it was so fast! I was so scared I was having a stroke because sometimes I have high blood pressure and have family history of high blood pressure. Basically my doctor said they believe it can be a reaction from a viral infection like a cold sore (which I did have one a few weeks prior and have had ever since I was little) or from extreme stress which I also have 🥲 but at least I wasn’t having a stroke! I was so relieved! They said it would go away on its own after a few weeks to a few months. At least no one will really know since we have to wear masks now 😅

[@BoBo-ru5dz]

I had bells at the age of 11 where half of the left side of my face dropped. At first they thought it was a tumour because it’s quite rare in children to get so stressed. I had brain scans and in the end I was given antibiotics and eye drops. I’ve dealt with anxiety since the age of 4 when I was clinically diagnosed. And now I have anxiety pills to lessen the regular anxiety and sometimes panic attacks. I never really understood what happened to me so thank you for this.

[@seymailhan8750]

Finally!!! someone explained this clearly

[@maragon1221]

Thank you so much!! Saved me and my family from needless worry about me having a stroke..

[@ALIRStudio87]

I went to the ER last night because I thought I had a stroke. But it was Bell’s palsy.

[@KandiXoXoXo]

@@ALIRStudio87 So glad for your it was not a stroke. My sister had it years ago. And it did go away for her. Hope your doing better

[@drsarfo]

This was fantastic and straight to the point - thank you!

[@dbcooper6020]

Great you pinpointed that my family member has Bell’s palsy. So then how do we get the Bell’s palsy to go away? Because my wife suffered from this in September 2020 and hasn’t fully recovered from it. I need answers and I need help. She’s given up. We’ve tried the prescriptions her doctor put her on. We’ve then tried dry needling and facial massages. She got back about 65% of her function back.

[@rameshananthanarayana3735]

Such an impressive explanation that no one ever forgets. Thanks for the upload: Dr.Ramesh AN

[@mohammedabdulkadir2004]

i learn more in youtube than i ever did in school! great ,clear,shortandeasy exxplanation

[@zootrunner]

I came down with Bells Palsy yesterday. My doctor made me do the frown test. Now I see why!

[@meichelle2000]

I had bells back in 2012.. Made a full recovery.. I just woke up this morning to find that I now have bells on the other side of my face now in 2020.. Went to the er, no explanation, just steriods, antibiotic and sent me on my way.. Im hoping mine gets better... Im looking for answers and keeping my fingers crossed.. I have NOT been sick with any virus but my job is very demanding.. I also have severe back issues too and excruciating cramps and pain all over my body that drs cannot find a reason for.. Im thinking there must be some kind of link????? But no, Ive NOT been sick.. Not back in 2012 and not this time????

[@laurenbri690]

I recently been diagnosed with Bell’s palsy about 2 weeks ago. At first the back pain came it was super exhausting, I’m 23 and never had any health issues. The back pain was there then the symptoms came about 2 days after. Sorry to over explain my situation but I found the mutual symptoms of back pain to be interesting.

[@mhai03lee]

I have the same problem with you guys i had back pain last week then it went away ... suddenly Thursday night i had a headache then pain behind the left ear took some ibuprofen and sleep.. the next morning my left side started to numb and just not to function at all .. the doctor also just gave me meds and ask to go home ..today is only 48hours that im suffering from bells it kinds of stressful

[@sharonbyrd3049]

I had got it when I was 14 then it stopped thru high school thank God now it's back I just wish it would go away

[@AtlasReburdened]

Thank you sir, that's integrated into the mental model forever.

[@oldshoe1]

Awesome video ! Heres what I recommend eat clean and sleep . Take a stress leave from work and let your body heal if not your employer will work you till death .

[@lady.J3962]

Is there any help for someone that have bell form 9yrrs and now 55

[@Alex420alldayz]

I swear I had all these same symptoms, literally felt sick like a flu then out of no where I started to bite myself I can’t believe how accurate this was

[@kaorimiyazono213]

I'm 17 year old, was diagnosed with Bells Palsy today, left-sided. Its not fun.

[@lacielHero00]

Me too. Im 23 its really freaky hahahaha.

[@yessicaambriz9463]

I was diagnosed In December 2020, I recovered in 5 months but my face lost muscle tone and I developed synkineses

[@cometaire1]

Very clear and concise!

[@Radhakrishnabhakti1]

I am diagnosed with this bells palsy almost 10yrs back and i am still not able to laugh or blink eyes..my eyebrows are not symmetrical...

[@dahveed1991]

Amazing thank you! I was so worried

[@soundwriter3083]

Who’s here because of the vaccine?

[@jupiterlove76]

Can someone be able to wrinkle the forehead and frown or what ever and still have a stroke or is it not possible?

[@TheStonedPriestess]

I got diagnosed in the last few weeks of pregnancy 😳 luckily I was already in the hospital for induction when I realized I couldn't smile right for a selfie...

[@kytim89]

Try having all four of your wisdom teeth removed at the same time while having Bell's palsy. It's not a pleasant experience, but I had to endure it when I was a teenager.

[@chrisguapo69]

Great lecture! So what I get out of this is that Bells Palsy affecting expressive motor movement of the face is exclusive to this disorder in absence of other stroke like symptoms like limb ataxia, expressive aphasia etc? Which would guide the clinician to decide whether or not the urgency to rule our stroke is needed.

[@michaelpurcelldo]

Clearly explained. My only issue is that this does not determine cause, only clarifies not of central origin. "Next most appropriate test" may have been better phrasing

[@natashiehutchinson]

Michael Purcell, DO they're not completely sure of the cause some say stress some say a herpes virus related to the cold sore but I have none of the above the first time it happened I was 9 I didn't actually find out what it was until 19 it's happened over and over I'm 36 now I the meds Prednisone and acyolvir did help to straighten it some but never all the way straight they told me that it's unusual for it to happen so many times but still no answers I researched this to see if it's any new remedies out and came across this vid I've seen others with it and theirs did go back to normal so guess it depends on the person

[@rhshel]

I got it left side and I'm 72 ! I was amazed and thankful it wasn't a stroke however after checking the net I was blown away discovering how many people of all ages are stricken with this. And they know little about it. They only know that in most cases it goes away usually with Prednisone after a month or two. My eye was the worst part of it. But I'm a bit better now.

[@natashiehutchinson]

Michael Purcell, DO that's great mines has never completely gone away after the many of different times its happened and i would think by now they would have figured out the cause I do believe it to be some kind of air virus because of the age difference and none of the causes the think it to be have I ever had hopefully soon they'll find out and fix this

[@DFSkingA24]

Imost commonly caused by the cleaning of the ear. If you use a q-tip and dig around to far. You can cause damage.. is what i was told

[@user-ek8ik4js3m]

@@DFSkingA24 My sister had a severe ear infection as a child where she ended up needing surgery and she did get bells palsy temporarily. She's fine now but I did notice that connection with her case.

[@perlagranados765]

Around 10 years ago I had a ugly argument with my bf at the time and I feel asleep crying. Hrs later I woke up to my right side of my face asleep and my lip and eye were drippy my eye wouldn't close. I went to the ER and was diagnosed with Bells Palsy and was given steroids it took about a month to get better but 10 year later I still have a drippy eye and I get weird twitches on that side of the face.

[@akwuemarychikaodili4572]

Thanks, I always feel a pull off or a stretch on my forehead how normal is it as bell's palsy patient

[@pintupoppy2384]

Is facial nerve Paralysis and Bell's Palsy are same?

[@ahmed_np]

Awesome explanation!

[@JeffGatesBand]

Would it be inappropriate or incorrect, In this video, to bring up Pontine stroke, which I believe can also affect face and brow with paralysis... It is my worry that ER docs will dismiss patients who present brow paralysis early, under the assumptive diagnosis of Bell's Palsy, thereby missing the opportunity to treat a pontine stroke in the first 3 'golden hours'... treatment which could save function and spare suffering. Please forgive any ignorance or naivety in my comment, I am a guitar teacher.

[@Medcram]

Thank you for your question Jeff. I am also a musician. A pontine stroke is very often associated with other symptoms that should alert the clinician that this is not a Bell's Palsy. Ataxia, eye movement disorders, and vestibular syndromes are all connected with Pontine strokes and not Bell's Palsy. A brief review of typical presenting signs is listed here: www.ncbi.nlm.nih.gov/pubmed/12529787

[@anhthopham2768]

You're awesome, thank you so much

[@rafaelcardona8921]

wonderful. thanks doc.

[@kkarthikeyan1105]

wow man! you are simply amazing 😊

[@eezekiel07]

beautifully explained. thank you!

[@gavakshisharma28]

Consider a case of posterior circulation stroke, affecting one side of brainstem. If the lesion affects the whole parenchyma of the facial nucleus in the affected pontine haemorrhage side, would both upper and lower facial functions not be lost/ affected ipsilaterally? There is no suggestion of any associated vertigo, motor deficit, or presence there of. Even then...would NCCT Head not be the best diagnostic tool?

[@IdontwannabeIdontwannabeme]

I was diagnosed with bells palsy yesterday I went into the E.R because two days before I got my wisdom tooth removed and I woke up the next day with my left side paralyzed but my tooth was removed on my right side so I'm confused why my left side is paralyzed

[@bomhayhay]

Thank you for a great lecture !! :) keep it up

[@DrKailash.dermatologist]

Amazing video..amazing concept

[@bashabborah5102]

thank You Sir..

[@rossellinirossicalrossc3507]

I have Bell’s palsy currently, but I can move my forehead, wrinkle my entire forehead and raise both eye browns normally. It’s only my eyelid and mouth that is impacted, is that normal? My doctors were confused by my forehead not being affected

[@scottthomas6765]

A provider that did not get a CT and is confident in this diagnosis just on assessment findings is someone ambitions, one would say better cover your ass with a CT especially with associated H&P findings...Convoluted test question that does NOT apply to real life, great explanation though.

[@DFSkingA24]

I had suffered Bell Pasley on both side of my face. 1st on the Right. Once that recovered 100%. A month or 2 later my left side was affected. But ive only recovered around 80% of my normal nerve function. Its been almost 5 years. Doctors didn't tell me what caused it. Only gave me anti-inflammatory and stent me on my way.

[@meichelle2000]

Same here.. I had bells back in 2012.. Made a full recovery.. I just woke up this morning to find that I now have bells on the other side of my face now in 2020.. Went to the er, no explanation, just steriods, antibiotic and sent me on my way.. Im hoping mine gets better... Im looking for answers and keeping my fingers crossed..

[@ammargillani6027]

@@meichelle2000 how r u now

[@meichelle2000]

@@ammargillani6027 Thanks for asking Ammer... Believe it or not, this second time I had bells, it went away within one months time... I dont think it was as bad as the first time I had it but yes it went away much more quickly this time...

[@ironmask3738]

thanks doctor, nice video :)

[@kaddylakk2225]

I had bell's palsy in 1997 and I got back like 95% back and then 4 days ago I got another bell's palsy same right side this time its not that bad I went in put me on prednisone and viral infection pill I don't have pain I have a hard time eating and dry eye .

[@miriambato5768]

Thank you

[@laurenrondeau5828]

good explanation

[@gaylecheung3087]

CT scan ASAP I went to school to school for medical lab tech she was taking pharmaceuticals and she had a cold persistent cough for 2 1/2 months and she died passed away at 28 years old she just gave birth to a child wasn’t even a year old yet so she had flu cold symptoms that lasted too long I even told her that cold is lasting way too long but no other symptoms when it came to like stroke symptoms heart attack symptoms etc. etc. there was a blood clot in her brain and she died instantly in her sleep

[@MyName-wt7cv]

What’s the treatment?

[@MrSusanjtr]

My 3 year old have this drs said it's not a stroke but she can't fround her face. They said is not a stroke but i requested an MRI because my baby Daughter have a condition call holoprosencephaly so i think she did had one. This is so sad, her beautiful face.

[@tracimerrill3532]

Thank you!

[@abc59465]

thank you so much :)

[@angelofdeathmcgregor5701]

Do you ever have a case/patient that experience a third episode of Bell's palsy? Do you think you could get it again for the third time? Thanks

[@angelofdeathmcgregor5701]

I mean, would it be possible to get it for the fourth time?

[@natashiehutchinson]

Angelofdeath Mcgregor yes it's happened to me around 15 times since the age of 9 it's never gone all the way back to normal with meds and exercise I was told that it's rare it's happened so many times but it's possible

[@angelofdeathmcgregor5701]

Natashie Hutchinson shit!!! 😱😱😭😭😭 that's too much. I mean I got it for the third time and I'm really down. It's hard Ai. Does it get worst and worst every episode? Have you done an MRI or any scan or test?

[@natashiehutchinson]

I've had every test under the sun one doctor suggested I do a study in China because it's so rare to happen that many times and no it gets about the same each time but I'm so used to it now I catch it before it happens when I feel the stiffness Ness and my eye starts to blink slower I had to wear a eye patch one shit I've gone to the doctors and had to tell them what meds I need alot of the times it be PA there and they don't know what it is the cause is still unknown they say stress but I wasn't stressing at 9 the said a herpes virus related to cold sore don't have that either I'm sure u looked it up still no answers to the question because they don't know

[@natashiehutchinson]

And don't feel down it's a chance it should get better for the first 10 yes I had no meds what do they have u on?

[@Sri_369]

Very well explained ...awesome 👌

[@hossinsarandoy2603]

I have belle plasy abt 2yars now very 4month Enjetion Botax

[@olivergonzales8780]

Bell palsy posible make it cause of stroke?

[@farrukhali2936]

even physical therapy is a good treatment measure!!

[@medicallifewithjohn]

thanks.

[@kingdragongamer2648]

I actually had this condition or uh disease before, luckily I was a kid so no permanent damage happened

[@clarebonnar3281]

Extremely poorly explained. A major problem is the POINTER cannot be seen clearly & so as the anatomy of the nerve is described, when you need to see WHICH point is being talked about, you can't see. Major error in description too when talking about frowning.

[@reesebrits9381]

awesome!

[@nurajafar8366]

He tried to explain it well. Issues here are his use of the words 'never', 'ever', 'always' !!! These words are usually avoided in medical communication.

[@mariaestrada6624]

Thank you 🙏 👨‍⚕️

[@13gladius28]

You can lower your blood pressure quickly easily and very much simpky by fasting from all but light liquids for at least 12 hours. The more regularly you can do this the better the results including excess weight loss. IDK why doc's don't tell people this but they should. So then anyway, to cure or prevent BP one should do what? Rebuild the brain or what? What, how? I had been taking metformin for the past couple years when now I get BP. How n why? Metformin depletes B12, a nerve nutrient. Had I known I would've told my PCP to go take a flying leap, the m..f'er !!

[@dchapps5045]

13Gladius 2 fuckwit like you are doctors so what you think doesn't matter. Take what they tell you to take and shut the fuck up or go get a doctors degree and treat your self

[@maxxjackson8521]

Good research.

[@stevenbellll]

Ok serious question. I lost my left side a few days ago. Now I lost my right too. I’m going tomorrow because hospitals are not close, and getting it looked at…again. Anyone else?

[@Ammar88ist]

you never even defined bells palsy....

[@natashiehutchinson]

Ammar Anwar because they don't know!

[@abbeysomethingnormal7830]

Natashie Hutchinson most likely man made or nature altered by “man”. 🤦🏻‍♀️🥺

[@truth1267]

👌

[@The16productions]

Here because of Covid

[@zedg7473]

Could you explain what this has to do with Covid? Is this really a symptom of the new vaccine?

[@The16productions]

@@zedg7473 so far 4 people have experienced Bells Palsy

[@zedg7473]

@@The16productions Dam, hopefully it's just a rare symptom, unlike the "only 10 people" who had Cov19 last year.

[@flossym878]

Merci Mille Fois Dok

[@yotamhoshea5909]

in here cause of the Pfizer vaccine smfh

[@tipsvideo6562]

😅

[@sumitshekhawat8373]

Thanks doctor