Bell's palsy (2024)

Bell's palsy is temporary weakness or lack of movement that usually affects 1 side of the face. Treatment with steroids can help and most people get better within 6 months.

Immediate action required: Call 999 if:

  • somebody's face droops on 1 side (the mouth or eye may have drooped)
  • a person cannot lift up both arms and keep them there
  • a person has difficulty speaking (speech may be slurred or garbled)

These can be signs of a stroke, which is a medical emergency.

Symptoms of Bell's palsy

Symptoms of Bell's palsy include:

  • weakness on 1 side of your face, or not being able to move 1 side of your face – this usually happens over a few days
  • a drooping eyelid or corner of your mouth
  • drooling
  • a dry mouth
  • loss of taste
  • a dry or watering eye

You may also find it difficult to close the eye on the weak side of your face.

Rarely, you may not be able to move both sides of your face.

Urgent advice: Ask for an urgent GP appointment or get help from NHS 111 if:

  • you have symptoms of Bell's palsy

It's important to get help as soon as possible because treatment for Bell's palsy is more effective if started early (within 72 hours).

You can call 111 or get help from 111 online.

Treatment for Bell's palsy

Treatments for Bell's palsy include:

  • a 10-day course of steroid medicine, sometimes with antiviral medicine
  • eye drops and ointment to stop the affected eye drying out
  • surgical tape to keep the eye closed at bedtime

If you cannot close your eye, you may need treatment to prevent damage to your vision.

Recovering from Bell's palsy

Your Bell's palsy symptoms should get better within 6 months, but it can take longer for some people.

Go back to see a GP if your symptoms are not getting better after 3 weeks.

Some people can have permanent facial weakness and symptoms such as:

  • pain in their face, around the jaw and behind the ear
  • a constantly watering eye
  • difficulty eating and drinking
  • changes in their sense of taste
  • difficulty with loud sounds

Living with Bell's palsy can make you feel depressed, stressed or anxious. Speak to a GP if it's affecting your mental health.

You'll usually only get Bell's palsy once, but rarely it can come back, sometimes years later.

Page last reviewed: 04 July 2023
Next review due: 04 July 2026

Bell's palsy (2024)

FAQs

Bell's palsy? ›

What is Bell's palsy

palsy
Palsy is a medical term which refers to various types of paralysis or paresis, often accompanied by weakness and the loss of feeling and uncontrolled body movements such as shaking.
https://en.wikipedia.org › wiki › Palsy
? Bell's palsy is an unexplained episode of facial muscle weakness or paralysis. It begins suddenly and worsens over 48 hours. This condition results from damage to the facial nerve (the 7th cranial nerve). Pain and discomfort usually occur on one side of the face or head.

What is the main cause of Bell's palsy? ›

Although the exact reason Bell's palsy occurs isn't clear, it's often related to having a viral infection. Viruses that have been linked to Bell's palsy include viruses that cause: Cold sores and genital herpes, also known as herpes simplex. Chickenpox and shingles, also known as herpes zoster.

What is the fastest way to recover from Bell's palsy? ›

Oral steroids, or an antiviral medicine can be taken in the first few days from the onset of Bell's palsy. This can improve your chance of a full recovery. They may also prescribe you lubricating eye drops or an eye ointment to protect your affected eye. Physiotherapy or face massage may also be recommended.

Do you feel ill with Bell's palsy? ›

When first diagnosed with Bell's palsy you should understand that you are unwell. It is important to get plenty of rest even if you have no other symptoms. You should also maintain a healthy diet. If you are at work or school, it may be necessary to take some time to recover.

What should you avoid if you have Bell's palsy? ›

Avoid hard, chewy foods as these can be difficult to prepare and choose a soft easy chew diet (such as pasta dishes, fish, well-cooked meats and vegetables). Avoid mixed consistencies, for example, cereals in milk. Mixed consistencies are more difficult to control and may be more likely to cause coughing.

Is Bell's palsy a mini stroke? ›

“Because Bell's palsy affects a single nerve, the facial nerve, its symptoms mimic those of a stroke.” A stroke is caused by a blood clot that stops blood flow to the brain or by a blood vessel that ruptures in the brain, while Bell's palsy is linked to facial nerve damage.

Is Bell's palsy from stress? ›

Bell's Palsy as a Result of Stress

People who live a continuous stress-filled life are more likely to experience this health condition than those who do not. The effects of stress on Bell's Palsy can range from mild to severe depending on the severity of the nerve damage.

Why is Bell's palsy so painful? ›

This condition results from damage to the facial nerve (the 7th cranial nerve). Pain and discomfort usually occur on one side of the face or head.

How long is Bell's palsy contagious? ›

Facial palsy is not contagious and cannot be passed onto other people. However, if the cause of a person's facial palsy was a virus (e.g. herpes, Ramsay Hunt syndrome), then this underlying illness may be contagious. If you see vesicles, avoid touching them and speak with your doctor.

What does Bell's palsy do to the brain? ›

Bell palsy is a disorder of the nerve that controls movement of the muscles in the face. This nerve is called the facial or seventh cranial nerve. Damage to this nerve causes weakness or paralysis of these muscles. Paralysis means that you cannot use the muscles at all.

Should I go to work with Bell's palsy? ›

In many cases people who have facial palsy are able to work. Key factors that help to overcome barriers at work include: reasonable adjustments, flexibility in working arrangements, knowledgeable support and team working.

What foods help with Bell's palsy? ›

In addition, nutrients that support healthy nerve cell function such as vitamin B12, acetyl-L-carnitine, and ginkgo may benefit those with Bell's palsy. Nutrients that inhibit herpes viruses, such as reishi mushroom, licorice, zinc, and L-lysine, may also be supportive.

Will my face go back to normal after Bell's palsy? ›

You're likely to notice gradual improvement after about two weeks. Within three months, most people have recovered full motion and function of their face.

How do you comfort someone with Bell's palsy? ›

Supporting a partner with facial palsy

Be there for your partner, listen and make time to talk, and overall, be patient. It's impossible to imagine what feelings, or sensations (or lack of) they are experiencing, so do not feel you have to rationalise or make sense of things, sometimes all you can do is listen.

What deficiency causes Bell's palsy? ›

Vitamin C is also known to help in neural regeneration [6,7] and has neuroprotective roles [8]. Considering those facts, vitamin C deficiency may trigger Bell's palsy in susceptible individuals.

Is Bell's palsy a big deal? ›

Bell's palsy isn't a serious condition. Most cases go away on their own with time. However, the symptoms of Bell's palsy are similar to those of serious medical conditions, like a stroke. This is why it's important to see a healthcare provider as soon as you notice muscle weakness in your face.

Does alcohol make Bell's palsy worse? ›

Alcohol consumption was associated with decreased odds for Bell's palsy (adjusted OR [95% CI] for 2–3 times a month = 0.90 [0.82–0.99], adjusted OR [95% CI] for 1–2 times a week = 0.77 [0.69–0.85], adjusted OR [95% CI] for ≥3 times a week = 0.79 [0.71–0.88], P < 0.001; Table 2).

Can Bell's palsy lead to a stroke? ›

Does having Bell's palsy increase your risk of stroke? The authors of a 2021 study from Korea reported that people with Bell's palsy had an increased risk of experiencing ischemic stroke.

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