A newly drooping mouth or weakness on one side of the face always needs prompt assessment. Bell's palsy can often be treated effectively, but only after a stroke and other causes have been sufficiently ruled out.
- In Bell's palsy, the facial nerve on one side suddenly becomes weak. The forehead, eye and mouth may all move less well.
- Symptoms usually develop within hours to a few days. Record as accurately as possible when you were last completely normal.
- Call Ambulance 912 for accompanying arm or leg weakness, problems speaking, seeing, walking or swallowing, a severe headache, confusion or unconsciousness.
- Are only the facial muscles affected? Still contact a doctor the same day. A course of corticosteroids works best when started early, preferably within 72 hours.
- An eye that does not close completely can dry out and suffer permanent damage. Proper eye protection starts immediately and is as important as medicines.
- Most people recover largely or completely within weeks to months. Severe, complete loss of function is more likely to leave lasting problems than mild, partial weakness.
Being able to walk or lift both arms makes a stroke less likely, but does not completely rule it out. Always have new loss of facial function assessed professionally.
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General information, not personal medical advice
This article has been carefully prepared but may contain errors or become outdated as medical knowledge changes. It does not replace diagnosis, examination or treatment by your own GP. Always discuss personal questions and starting, stopping or changing medicines or treatments with your own GP.
For a life-threatening situation, call Ambulance 912. For urgent care outside office hours, call HAP 9252.
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