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Ask Dr. A.S. Desai Your Own Question
Dr. A.S. Desai
Dr. A.S. Desai, Ophthalmologist
Category: Eye
Satisfied Customers: 2437
Experience:  MS Ophthalmology with 13 years of surgical expereince
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I woke up two days ago the left side of my face wont work.

Customer Question

I woke up two days ago the left side of my face wont work. cant smile close my eye good. my daughter says left eye dont blink right. when i brush my teeth i cant spit. what is it help
Submitted: 5 years ago.
Category: Eye
Expert:  Dr. A.S. Desai replied 5 years ago.
Dr. A.S. Desai :

Hello, Welcome to Just Answer

Dr. A.S. Desai :

Are you available for chat now?

Dr. A.S. Desai :

It looks like it is an episode of Bell's Palsy or facial nerve palsy.

Dr. A.S. Desai :

All the features are suggestive of left sided Bell's palsy- cannot smile, cannot close the left eye, difficulty in spitting while brushing.

Dr. A.S. Desai :

It is better to consult a physician so that a short course of oral steroids can be tried so as to treat any inflammatory cause of Bell's palsy.

Dr. A.S. Desai :

Usually with steroids and with physiotherapy ( facial muscle exercises) the muscles should begin to get well soon. As for the improper closure on left eye, it is better to start putting lubricating eye drops so as to prevent exposure keratitis.

Dr. A.S. Desai :

Try taping the lids if there is exposure of the eye while sleeping at night.

Customer:

no expression. when i yawn right side pulls down away

so the eye cryin and burnin drops will help

Dr. A.S. Desai :

Yes, I understand. The signs are quite typical of facila palsy.

Dr. A.S. Desai :

facial

Customer:

not a stroke


Dr. A.S. Desai :

no not exactly.

Dr. A.S. Desai :

If it were to be a stroke, the facial palsy would have been associated with weakness in that half of the body ( upper and lower limbs), slurred speech .

Dr. A.S. Desai :

May I know in what way I could have assisted you better?

Customer:
Dr. A.S. Desai :

The advice could not have been different or better so kindly let me know what exactly was poor so that we can sort out the issue better.

Customer:
Customer:

i cant see havin hard time need to cl go


Dr. A.S. Desai :

I have given you the diagnosis bang on and the advice on further treatment too.

Dr. A.S. Desai :

I understand your problems but the negative rating would not be justified.

Customer:

not happy cat see


Dr. A.S. Desai :

Not happy with the explanation??

Customer:

it said 100percent


Dr. A.S. Desai :

May be you can rectify the rating then...

Dr. A.S. Desai :

Since I got a "poor service" rating on my screen... I was wondering in what way it could have been better.

Dr. A.S. Desai :

I got a " Bad service" rating now !!!! Is that what you have finally decided to give??