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cane with present complaint as u c.past h/o water like bubbles on her face 5 to 6 months back no treatment received.not a diabetic r hypertensive.pain on her rit half of face with numbness.-bells palsy . treatment options.?

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Herpes Zoster induced Bell,s palsy Treatment delayed so chances of 100% recovery is not sure. Tab Prednisolone 10 mg tid in tapering order for 15 days. Tab Methylcobalamine 1500 OD Tab Gabapentin 300 mg OD. Tab Ranitidine 150 mg BD. eye packing & artificial tear in affected eye . Hot & cold fomentation . Physiotherapy all for one or more.

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Herpes Zoster induced Bell,s palsy Treatment delayed so chances of 100% recovery is not sure. Tab Prednisolone 10 mg tid in tapering order for 15 days. Tab Methylcobalamine 1500 OD Tab Gabapentin 300 mg OD. Tab Ranitidine 150 mg BD. eye packing & artificial tear in affected eye . Hot & cold fomentation . Physiotherapy all for one or more.

https://youtu.be/t0aQVnlbKGk Simplest. Way to learn about facial palsy
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I think tthere is no relation of Hz before 6months with present c/o left side facial paralysis any vision disturbances? should do ct or mri to r/o any intr cranial pathology if not ttof Bell's

This is Bell's palsy following HZO about 6 months back; there is no significant scar left . So treatment should include steroid and NSAID . The value of antiviral after 6 months of no medication appears to be controversial.

kept her on acyclovir 800mg bid, cap. mecofal plus, tab.olfenac-sp bid, tab.prednisilon half bid, tears plus eye drops, ...any other things missed, suggest about physiotherapy that need to be given

Dr.Jayanth please add combination of Gabapentin+Methyl cobalamine.If severe pain present that is post herpetic neuralgia add carbamazepine 200mg bid for 5 to 10 days.
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It's bells palsy or the facial nerve palsy. Corticosteroids along with anti viral drugs remains the main treatment for it.

LEFT EYE LAGOPHTHALMOS ANGULAR DEVIATION B PALSY PATCH L YE AFTER PUTTING SOME ANTIBIOTIC OINT TO PREVENT EXPOSURE KERATITIS OPION OF PHYSICIAN

sir,is it necessity to give tt of Hz which was b4 6months? pl. do guide and oblige!

You have very valid point sir..acyclovir will only work in acute phase of infection but not in dormant stage...for any herpes infection.. Acyclovir must be started within 72 hours..otherwise its benefit are questionable
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Tab. Acyclovir 800 mg 5 times a day for 5 days, Tab. Methyprednisolone 1 mg/kg/day max 60 mg OD for 5 days then taper it 50.. 40.. after every 5 days. Tab. PAN 40 BBF OD till oral steroid is given. Tab. Nervigen OD for 1 month. Methyl cellulose E/D for the affected eye to prevent dryness. Doctor's tape to cover the eye at night. Physiotherapy/Facial exercises.

https://youtu.be/t0aQVnlbKGk Simplest way to differentiate facial palsy
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Bell's palsy right. Faciei muscle exercises & Vitamine B-12.

Past history of vesicular lesion and pain Could be due to viral herpes zoster ,with auto immune or neo viral neuritis, Rx with Methyl Prednisolone 1 gm daily infusion for 3 days, tab.Oxycarbamazepine 200mg1-0-1, before food,IV B- Complex drugs B1,B2,B5B6B12, with Alpha lipoic Acid 600mg bid, will cure the Problem.

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