What should I do if facial neuritis is accompanied by a fever?

Written by Yuan Jun Li
Neurology
Updated on February 18, 2025
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Patients with facial neuritis who experience a fever with a body temperature above 38.5°C can undergo antipyretic treatment. They can take oral acetaminophen or ibuprofen, or receive intramuscular injections of Chaihu and Lysine Aspirin Injection. Simultaneously, antiviral medications should be used, such as ribavirin, oseltamivir, ganciclovir, and acyclovir, etc. It is also crucial to actively use medications that nourish the nerves, such as oral vitamin B1, vitamin B12, cobamamide, and methylcobalamin. During the acute phase, corticosteroids, which also have a certain antipyretic effect, can be used to reduce local edema and promote the absorption of inflammation. Dexamethasone and prednisone are commonly used clinically, and the medication period should generally not exceed two weeks, etc. (Medication should be used under the guidance of a physician.)

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What should be paid attention to in daily life with facial neuritis?

If facial neuritis occurs, one should pay attention to eye care. Due to facial neuritis, eyelid closure may be incomplete, potentially allowing foreign objects or infections to enter the eye. Therefore, it is advisable to reduce outdoor activities, keep the eyes clean, and during social interactions, cover the affected eye with an eye patch or apply ophthalmic ointment to prevent conjunctival or corneal infections, while minimizing eye use. Regarding diet, some patients may experience disturbances in taste, so it is important to be mindful of the temperature of food, avoid hard food, and maintain oral hygiene.

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Facial neuritis hormone treatment

If the diagnosis of facial neuritis is confirmed, and the patient does not have evident history of femoral head necrosis or diabetes, then it is advocated to treat facial neuritis with corticosteroids. Corticosteroids can suppress some of the inflammatory responses of facial neuritis, reduce edema, and facilitate the swift recovery of facial nerve function. The current guidelines recommend the use of corticosteroids for treatment. However, if the patient has conditions like elevated blood sugar, femoral head necrosis, osteoporosis, or gastric ulcers, the use of corticosteroids must be cautious to avoid adverse reactions. During the administration of corticosteroids, it is crucial to ensure the patient receives supplements of calcium and potassium to prevent electrolyte disturbances and osteoporosis. Besides corticosteroids, intake of B vitamins can also aid in promoting the repair of nerve functions.

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Written by Li Min
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What should be paid attention to with facial neuritis?

Bell's palsy is caused by a decrease in the body's resistance, resulting in damage to the facial nerve. This damage presents clinically as symptoms of viral infection. Therefore, precautions should be based on its cause and clinical symptoms. In terms of causes, patients should enhance their resistance, engage in more physical exercise, consume foods that eliminate free radicals, and enhance their diet with high-quality protein. When going out, avoid cold exposure, wind, and re-infection. In terms of treatment, patients should adhere to medical advice and take oral medications on time. Additionally, after treatment, rehabilitation should be emphasized to prevent residual symptoms. Thus, the symptoms of Bell's palsy involve a range of conditions.

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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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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.)