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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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Does sallowing saliva difficulty cause by nerve malfunction? I have right back head pain along with neck with swallowing problem. Also belching problem.

Does sallowing saliva difficulty cause by nerve malfunction? I have right back head pain along with neck with swallowing problem. Also belching problem.

Dysphagia types: "transfer dysphagia" is a problem moving food/saliva from your mouth to the top of the esophagus; "transit dysphagia" is a problem transiting the food down the esophagus. Motility studies (modified barium swallow with speech therapist; esophageal manometry) may be helpful in identifying the point of pathology, if present. Sometimes, just esophageal spasms can make swallowing feel problematic. ...Read more

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I had MRI done last may showed small cyst. Neuro not concerned. Symptoms worse problem walk, swallowing, face & neck hurts. Barium swallow normal?

I had MRI done last may showed small cyst. Neuro not concerned. Symptoms worse problem walk, swallowing, face & neck hurts. Barium swallow normal?

MRI of what?: What was the MRI performed of: brain, spine, head and neck, esophagus? Not sure where the cyst is. If you provide more information, maybe a more specific answer can be given. ...Read more

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My mother has completed head IMRT radiation therapy 3 weeks before. Since last 2 weeks she is not able to swallow even any fluids and water because if severe soar throat and dry mouth. Could you please give any medications for this problem.

My mother has completed head IMRT radiation therapy 3 weeks before. Since last 2 weeks she is not able to swallow even any fluids and water because if severe soar throat and dry mouth. Could you please give any medications for this problem.

Call her doc!: Going through treatment for cancer can be pretty tough. It requires a team effort to make sure any problems due to the treatment are treated or controlled as best as possible, so treatment can continue. Please call the radiation oncologist today, or her PCP so help can be given. Don't be shy, good communication by the patient and family and docs is key to achieving the best results. ...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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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

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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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Right sids of throat pain, and pain while swallowing and eating. Head seems warm, chills. Neck isn't swollen. No caugh or runny nose. Help?

Right sids of throat pain, and pain while swallowing and eating. Head seems warm, chills. Neck isn't swollen. No caugh or runny nose. Help?

Throat pain: Symptoms suggest an infection is present. See a health care provider today for evaluation. Viral infections are a common cause of sore throats, but throat pain only on one side could be caused by a tonsillar abscess. Seek care today. ...Read more

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When I swallow, I get a sharp pain in the left side of my head and then it fades. It came on suddenly and typical headache meds don't help..

When I swallow, I get a sharp pain in the left side of my head and then it fades. It came on suddenly and typical headache meds don't help..

Muscular Issue: From the symptoms you are describing this is a muscular issues. Many muscles involved in coordinating and allowing swallowing to occur. Best bet is to see ENT specialist for evaluation. Best of luck with this. Dr R ...Read more

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After having Bell's palsy for a few months, my face has regained most movement but now have face tightening that hasn't gone away. Permanent?

After having Bell's palsy for a few months, my face has regained most movement but now have face tightening that hasn't gone away. Permanent?

Bell's palsy: No. Function will continue to improve for several more months. Corticosteroids and anti-viral medication are often prescribed at initial signs of weakness. Facial exercises, massaging the facial muscles and opening and closing the eye lid are helpful. Take extra care with oral hygiene as food can pool on the affected side. Eye drops to lubricate the eye and a wear a patch at night to protect it. ...Read more

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Lately, I've had to almost concentrate more to swallow. Is it in my head?

Lately, I've had to almost concentrate more to swallow. Is it in my head?

Likely psychological: If there's no pain during swallowing, choking sensation or food getting stuck in throat or esophagus etc, you should be fine. Anything symptom that's persistent or worsening warrants a medical evaluation. Take care! ...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