Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
1. As you have visited ER and your blood work with CT-scan came normal, so it could be possibly a case of
facial palsy [as prescription drug is not working], thus
consult a Neurologist for relevant examination [testing of individual muscles of face] along with taste sensation, plantar response,
corneal reflex and examination of respective or affected cranial nerve(s).
PS. Other causes which can mimic bell's palsy and thus have to be excluded are:
- Sarcoidosis
- Parotid tumor
-
Herpes zoster infection
- Middle ear disease
- Exposure to cold or chill predisposes to bell's palsy
2. If the causes mentioned are excluded then management to be followed is:
- Eye padding and
local antibiotic drop
- Proper mouthwash is advised after each meal
- Gentle massage over the paralyzed muscle is advised
- Facial exercise is advised [one may consult a Physiohterapist]
- Parenteral
vitamin B1, B6 and B12 may be given
PS.
i. Bell's palsy usually recovers [70% to 80%] spontaneously within 2 to 12 weeks
ii. Recently,
Acyclovir is tried with proven results
iii. If no improvement at all - surgical decompression may be done
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Munish Sood