Facial neuralgia

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Written by Zhang Hui
Neurology
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Can facial neuritis patients eat beef?

Most patients with facial neuritis have a relatively good prognosis, as long as timely drug treatment is provided, along with some acupuncture rehabilitation and therapy training. Many patients will completely recover from their symptoms within one to two months, and most will not suffer from any long-term sequelae. There are no special dietary requirements for patients with facial neuritis, and they can eat beef. Beef contains rich, high-quality proteins that can boost the body's immune system and help prevent complications caused by facial neuritis, so it is permissible to eat beef. In addition, patients with facial neuritis should also consume more cereals because cereals are rich in B vitamins, which are beneficial for recovery. It is also advocated that patients eat plenty of fresh vegetables and fruits. Moreover, patients should avoid smoking, drinking alcohol, and consuming spicy and irritating foods, such as chili peppers.

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Written by Zhang Hui
Neurology
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Is facial neuritis prone to recurrence?

For idiopathic facial neuritis, this is a nonspecific inflammatory reaction caused by an immune function disorder of the body. The probability of recurrence of this disease is not particularly high. Patients should pay attention to exercising and enhancing their physical fitness. During the onset of the disease, treatment with corticosteroids, B vitamins, etc., should be given, and the prognosis is generally good with a very low recurrence rate. However, it should be noted that sometimes facial paralysis may be caused by other diseases, such as some tumors, especially malignant lymphomas, whose initial symptoms might affect the facial nerve, causing repeated paralysis. Clinically, when seeing patients with repetitive facial neuritis, it is crucial to consider the possibility of such diseases to avoid missed diagnoses. (Medication should be used under the guidance of a doctor.)

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Written by Yuan Jun Li
Neurology
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Does facial neuritis cause vomiting?

Patients with facial neuritis generally do not experience vomiting. The main symptoms in patients are paralysis of the facial expression muscles around the eyes and mouth, which may present with the disappearance or lightening of the wrinkles on the affected side of the forehead, enlarged eye slits, incomplete eyelid closure, and exposure of the white sclera when attempting to close the eyes. Additionally, flattening of the nasolabial fold may occur, as well as reduced or lost taste sensation in the anterior two-thirds of the tongue. Patients may have symptoms such as a crooked mouth when whistling, air escape when puffing cheeks, and food retention on the affected side during meals, which increases the risk of oral infections and conjunctivitis. If vomiting occurs, other causes should be actively considered, such as the possibility of high blood pressure or electrolyte imbalance like hyponatremia. Dietary indiscretion could also be a cause, necessitating a comprehensive analysis.

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Written by Liu Hong Mei
Neurology
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Can facial neuritis be treated with hot compresses?

Facial neuritis can be treated with heat application, which can promote local blood circulation in the face and accelerate the repair of nerve functions. Patients with facial paralysis can control the water temperature at about 60°C during heat application, applying heat twice a day, each time for 10~15 minutes. It is important to prevent burns and treatments can also be combined with acupuncture and physiotherapy, which can nourish the nerves or use small doses of hormones. A light diet should be maintained, along with plenty of rest and adequate sleep. Avoid spicy, stimulating, excitatory foods, as well as raw, hard, and indigestible foods. Regularly eat fresh vegetables and fruits.

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Written by Zhang Hui
Neurology
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Symptoms of facial neuritis

The clinical symptoms of facial neuritis mainly manifest as peripheral facial paralysis, such as the patient's affected side having shallower forehead wrinkles, or disappearing wrinkles, weakened eyelid closure, and in some severe cases, the inability to close the eyes, which can easily lead to corneal damage. There is also noticeable drooping of the mouth corner, a shallower nasolabial fold, and leaking while drinking. The affected individuals are unable to whistle or puff their cheeks. Some patients may also experience disorders in the secretion of salivary and lacrimal glands, taste disturbances at the anterior part of the tongue, and a few may have herpes zoster in the external auditory canal or periosteum with significant pain. The treatment for facial neuritis generally involves the use of corticosteroids.

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Written by Yuan Jun Li
Neurology
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How to determine if facial neuritis is cured?

Patients with facial neuritis, if the paralysis of the facial expression muscles returns to normal, are generally considered cured. After the onset of the disease, patients must receive early and timely treatment. Corticosteroids such as dexamethasone, prednisone, and methylprednisolone can be used, along with B vitamins to nourish the nerves. Commonly used are vitamin B1, vitamin B12, adenosylcobalamin, and methylcobalamin, among others. One week after the onset, acupuncture treatment can be considered, as well as massage, physical therapy, and heat therapy. Most patients begin to recover two weeks after treatment, and basically return to normal within two months, with a minority possibly experiencing certain sequelae, such as facial muscle spasms or remaining facial muscle paralysis. (The use of medications should be under the guidance of a physician.)

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Written by Zhang Hui
Neurology
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Does facial neuritis cause facial pain?

Facial neuritis is mainly caused by idiopathic facial nerve paralysis, which primarily manifests as paralysis of the facial muscles. Symptoms include deviation of the mouth, eyelid closure, lack of strength in opening the eyes, and shallowing of the nasolabial fold. Some patients' conditions are related to viral infections, which may cause facial pain. However, the pain is generally not very severe, and anti-viral medications can be used for treatment, which are somewhat effective. Additionally, active treatment of facial neuritis mainly involves the use of corticosteroids and is supported by the administration of B-group vitamins. Most patients, with timely and active treatment, have a relatively very good prognosis, with many experiencing no residual effects. (Please take medications under the guidance of a professional physician, do not self-medicate.)

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Written by Yuan Jun Li
Neurology
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Can facial neuritis eat fish?

Patients with facial neuritis who are not allergic to seafood can eat fish. Fish contains a large amount of high-quality protein, which can supplement the essential proteins needed by the human body and improve the patient's physique. Patients can also eat other lean meats and poultry eggs, and consume plenty of fresh vegetables and fruits. If a patient develops facial neuritis, they should avoid spicy and stimulating food, such as hot peppers. Active treatment should also be pursued, including the early use of corticosteroids such as dexamethasone and prednisone, as well as drugs that nourish the nerves, commonly including B vitamins, vitamin B12, vitamin B1, and derivatives of B vitamins such as adenosylcobalamin and methylcobalamin. One week after the onset, acupuncture and physiotherapy can be considered, and many patients can be clinically cured. (Medication should be used under the guidance of a physician.)

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Written by Tang Bo
Neurology
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What should be paid attention to for facial neuritis?

Patients with facial neuritis usually have an acute onset, with facial nerve paralysis peaking within hours or days. It mainly manifests as paralysis of the facial expression muscles, disappearance of forehead lines, inability to frown, and incomplete closure of the eyelids. Therefore, patients with facial neuritis should pay attention to eye protection since the eyelids cannot close fully. Long-term exposure and drying of the cornea make it susceptible to infection. Therefore, it is necessary to wear an eye patch for protection or use some medicinal solutions to prevent infection and protect the cornea. Additionally, since there is a viral infection, patients should also avoid being chilled. In terms of diet, it is advisable to eat light food and avoid greasy, overly rich, or excessively spicy foods.

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Written by Zhang Hui
Neurology
1min 11sec home-news-image

Symptoms of facial neuritis

Facial neuritis, known as idiopathic facial paralysis, is a common disease in neurology. The main clinical manifestations and symptoms include acute onset, peaking within several hours to days. The primary manifestation is paralysis of the expression muscles on the affected side of the face, such as diminished forehead wrinkles, inability to open the eye, furrow the brow, or weak eyelid closure. Some patients may experience pain behind the ear, and in the tympanic membrane and external ear canal. Additionally, some patients exhibit deviation of the mouth corner, air leakage when puffing or whistling, and difficulty retaining food residues while eating or leaking water while drinking. Other patients may experience loss of taste in the anterior two-thirds of the tongue, along with secretion disorders of the salivary and lacrimal glands. Overall, the diagnosis of facial neuritis is relatively straightforward, and its clinical presentation is not particularly complex. Once the diagnosis is confirmed, timely treatment is essential, and most patients can recover.