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Doctor insights on: Palsy Affect Face Problems Eating Swallowing

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Can bell's palsy affect both sides of the face and create problems with eating and swallowing?

Can bell's palsy affect both sides of the face and create problems with eating and swallowing?

Rarely: Bell's palsy can affect both sides of the face but that is rare. If someone has weakness or paralysis on both sides of the face then a complete evaluation, likely with and MRI or cat scan, should be done to rule out other causes of facial weakness. A neurologist, ENT specialist or a neurosurgeon can do this type of work up. ...Read more

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Palsy (Definition)

...is a corruption of French "paralise" from Latinized Greek "paralysis." In the old days it meant any kind of persistent weakness. To this day Parkinson's disease is also called "paralysis agitans" which is a Latin translation of Dr. Parkinson's original name for it, the "shaking palsy." We've obviously reborrowed the full form "paralysis" into English as well; today ...Read more


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Can bell's palsy cause problems with eating/swallowing?

Can bell's palsy cause problems with eating/swallowing?

No: If you have problems with eating or swallowing, then another diagnosis needs to be considered. The facial nerve (which bell's palsy is a paralysis of) does not innervate the areas involved with eating or swallowing. ...Read more

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Is 300 units of botox a huge dose and did it cause long term swallowing paralysis since it's been 8 months and I'm still having problems?

Is 300 units of botox a huge dose and did it cause long term swallowing paralysis since it's been 8 months and I'm still having problems?

Depends on location: 300 units of Botox (3 bottles) seems like a large dose. However, it would depend on what was being treated, and where. It isn't unusual to inject 100-150 units in the underarm area to help with sweating. Injected Botox in the face for wrinkles can range from 20-30 units per area. The effect of Botox is longer lasting for larger doses. ...Read more

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What exactly is supranuclear palsy swallowing therapy?

Speech therapy task: Persons with neurologocal disorders of swallowing may benefit from assessment and treatment by a speech therapist whois trained in swallowing disorder therapy. This would include persons with a condition like 'progressive' supranuclear palsy. ...Read more

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I still can't swallow and it's been 10 months since I had botox in my neck to treat cerebral palsy. I recently had a peg tube. ?

I still can't swallow and it's been 10 months since I had botox in my neck to treat cerebral palsy. I recently had a peg tube. ?

PEG tube: Good that you have it now, that will definitely help you to get enough nutrition for muscle power, swallowing is rather a fine motor movement, you might go for more swallow studies / speech therapy to train you on swallowing techniques, your neurologist and the treating team would explain better, wish you wellness ...Read more

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I was recently diagnosed with a rare form of cerebral palsy which I have from a birth injury. I had a peg tube because I still can't swallow. ?

I was recently diagnosed with a rare form of cerebral palsy which I have from a birth injury. I had a peg tube because I still can't swallow. ?

GI dysmotility?: Doubt Botox caused swallowing problem. When did that begin? I would recommend getting a second opinion, as birth injury is not usually associated with CP. Did they try nasogastric or nasojejeunal tube feeding? Did a GI doc do an esophageal motility and gastric emptying time study? Do you have other organ system problems, like dysautonomia, muscle/joint pain, autoimmune? Possibly mitochondrial ...Read more

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I have been diagnosed with bells palsy. I am also experiencing a bad sore throat and trouble swallowing on the impacted side. Should I be alarmed?

I have been diagnosed with bells palsy. I am also experiencing a bad sore throat and trouble swallowing on the impacted side. Should I be alarmed?

No, may be unrelated: It is possible that this may be unrelated but it may also be a viral infection you had acquired earlier which might have triggered the bell's palsy. There are theories linking some viruses to the disease so it may be possible that you acquired the viral illness prior to the onset of the bell's palsy. ...Read more

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Had facial palsy from result from surgery 5 months. Got most movement back but when I smile, chew or swallow, my ear flutters. Is this synkinesis?

Had facial palsy from result from surgery 5 months. Got most movement back but when I smile, chew or swallow, my ear flutters. Is this synkinesis?

Rare but possible : I have never encountered this but the auricular muscles are innervated by the facial nerve and so this is possible but not common. ...Read more

Dr. William Singer
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Paralysis (Definition)

A paralyzed limb cannot be voluntarily moved, and the term reflects leg involvement, paraplegia, full body, quadriplegia, and less than full, tetraplegia. Causes can be many, including stroke, trauma, ...Read more