Bell’s Palsy Treatment, case discussion
Symptoms
patient came to clinic with compliant of inability to close left eye since 3 days. And with up rolling of left eye. Deviation of angle of mouth to right side. Drooling of saliva and water from left side of mouth.
Diagnosed with Bell’s palsy. Lower motor neuron facial palsy. Poor patient not willing for investigations.
Bell’s Palsy treatment
Treatment started with oral Prednisolone 1mg/kg so 60mg (Bells palsy steroid dose), showed less improvement. started on Acyclovir and Doxycycline but less improvement.
Then started I/V methylprednisolone, physiotherapy and supportive care.
Patient was better on day 2. And 95%recovery on day 3. 100% better on day 7. Treated successfully. He is doing well now.
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DR RAKESH UKEY, MD
Satisfied consultant physician good for chorinc medical problem chest heart neuro etc.
Good knowledge and best treatment and behavior.