Bell's Palasy. ( Idiopathic facial paralysis) Sudden weakness in the muscles on one half of the face. Bell's palsy may be a reaction to a viral infection. It rarely occurs more than once. Although the exact reason Bell's palsy occurs isn't clear, it's often related to exposure to a viral infection. Viruses that have been linked to Bell's palsy include the virus that causes: Cold sores and genital herpes (herpes simplex) Chickenpox and shingles (herpes zoster).. Treatment part is well texted by my learned friends...so i dont just DUPLICATE them...
Loss of wrinkles forehead lt side H/o lt side facial weakness Tingling of lips and tongue It signifies facial nerve injury With presenting bell's palsy
Absent wrinkles over lt forehead musles .it is anLMN type facial palsy(bell'spalsy).idiopathic in nature.Rx-Tab prednisolone 20 mg TDS 2-cap methylcobalmine+folic acid +pregabaline 1bd.As recovery ensues taper the dose of prednisolone every week.+1month.
Bells palsy. Ibugesic plus TDS. Multivitamins and antioxidants orally. Wysolone 20 mg tds than bd. Acyclovir 800mg 5times a day. Protect area against exposure to sunlight and bad weather conditions. Good nutritious balanced diet.
Left side lmn type of facial palsy...give steroid and acyclovir with physiotherapy ....workup for causes -risk factor...dm, vasculitis, infection -lymes leprosy
Bells palsy lt wysolone 20 mg tds5 days acyclovir800 mg 5 times aday5 day
Left side Bell's palsy.....do RBS...due to common in diabetic patient Rx Tab. Acivir 800 1-1-1 Tab. Omnacortil 20 BD in tappered dose Tab. Fdson mp forte 1-0-0 Physiotherapy
Absent wrinkling on left forehead, indicative of LMN facial palsy.
BELLS PALSY LEFT SIDE
SUGGESTIVE OF... CHECKING. THE. MOTOR. FUNCTIONS... AND. FACIAL. SYMMETRY... FOR... FRONTALIS... ORBICULARIS. OCULI CHEEKS. TENSION SMILE... BELL'S PALSY
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10 yr old girl with such lesions since 4days... her mother told that these lesions appeared just after an episode of fever... there were also same type of lesions few months ago at the same site.. wat is the diagnosis and treatment?Nikit Arya3 Likes37 Answers
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Friends today I am discussion about a savere disease. Shingles/Herpes Zoster Shingles or herpes zoster is an infection which is characterized by a painful blistering skin rash. The rash usually affects one side of the body, i.e. the torso and/or one side of the face. It appears in a band formation and therefore the name ‘shingles’, which is Latin for ‘belt’. Shingles is caused by the same virus that causes chickenpox, called the varicella-zoster virus. The initial warning symptoms appear one to five days before the rash appears. You will feel the warning signs on the location where the rash will appear. These initial symptoms include itching, pain, burning, pricking and stabbing sensation, followed by high fever, chills and muscle pain. The tell-tale rash appears soon after. When a person (usually children) gets infected by the varicella-zoster virus, he/she develops chickenpox. After the chickenpox heals, the virus remains in a dormant state in the nerve roots or the dorsal root ganglia, which contains the cell bodies of sensory neurons. Years later, this virus may wake up to cause an outbreak of shingles or herpes zoster. Although the reason for its waking up is not certain, experts believe a variety of conditions can lead to its activation such as normal ageing weakening of the immune system stress and anxiety Healthy people and young children too are not exempt from the risk. In fact, anyone who has had chickenpox is at a high risk of developing herpes zoster or shingles. Appearance of the Blistering Rash The distinctive feature of this illness is the rash that appears on one side of the body. The rash is accompanied by a pricking and sometimes stabbing pain. It erupts into clusters of small red patches that develop into blisters. Within 7 - 10 days the blisters break open and a fluid comes out. During this period, if anyone who never had chickenpox before, accidentally touches the oozing blisters of the patient, he/she will develop chickenpox. Once the fluid comes out, the rash slowly begins to dry and crust. The rash disappears completely after two to four weeks. When the blisters scab and dry, the virus cannot spread anymore. Because herpes zoster affects the nerve cells in the body, it is very common for the rash to appear in the formation of a band on one side of the body along the path of a nerve. In some people, the rash may spread to the eyes, and occur inside the eyelids. This can be extremely painful, with the person experiencing stabbing pains in the eye, constant eye watering, sensitivity to light, and blurry vision. The symptoms in the eyes usually vanish within three to five weeks. A person with shingles cannot transmit shingles to another person. Though, he can transmit chickenpox to a person, who has never had chickenpox before. Post-Herpetic Neuralgia (PHN) Around 20% of the people who suffer from shingles may develop a condition known as post-herpetic neuralgia. This occurs when the proper functioning of a nerve is disrupted due to the damage caused to it by shingles. It is commonly believed that shingles causes scar tissue to develop around the nerve, which when inadvertently pressed, causes pain signals to go to the brain. The person suffering from PHN will experience a sudden throbbing, burning, shooting, or even a stabbing pain along the damaged nerve for months, or even years, after the rash has healed. In some cases, the pain may be continuous for a few months after the rash has healed, however, if the condition runs into years, the person will experience paroxysms of pain along the nerve. Who is prone to shingles/herpes zoster? a weak immune system are experiencing any stress or trauma are suffering from any illnesses such as diabetes, HIV, cancer are taking any medications that affect the immune system such as steroids are taking treatments for certain ailments such as cancer are recuperating from any illness, be it even a cold, or flu have erratic sleeping patterns are suffering from malnutrition a dull constant pain which can be mild or severe, or an intermittently shooting pain in the affected area soreness, burning sensation, itching, or numbness in the affected area exhaustion fatigue sensitivity to light fever headache the appearance of a painful, itchy and red rash on one side of the body and sometimes in and around the eyes a sensation of pins and needles piercing through in the areas of the rash throbbing pain in the eye with burning sensation and irritation soreness and redness in and around the eye extreme sensitivity to light constant eye watering blurred vision What are the complications of shingles/herpes zoster? Shingles is a self-limiting condition which disappears within three weeks. However, in people with very low immunity, it may take a serious turn. Delaying, or not undertaking medical treatment can cause serious complications which include: Postherpetic Neuralgia - which is nerve pain caused by the damage to nerves by the varicella-zoster virus. The stabbing pain can remain for months and even for years in patients. Eye Complications - which can occur if the rash spreads to the eyes. Swelling of the cornea may occur which can leave permanent scars. Shingles in the eye can also cause the retina to swell, or increase pressure in the eye which can lead to glaucoma and eventually loss of vision. Skin Infections - may occur if the area affected by the rash is not kept clean, which can lead to scarring. Neurological Complications - can ensue if the shingles affects the nerves in the brain. The neurological complications include Guillain-Barre Syndrome, Ramsay Hunt Syndrome, Bell’s palsy, encephalitis, meningitis, and even stroke anytime in the year following the illness. Disseminated Herpes Zoster- is when the virus spreads to other organs. People with compromised immune systems ( those suffering from cancer, HIV/AIDS), are at a risk of Disseminated Herpes Zoster. This can be life-threatening especially if it affects the lungs. What is the treatment for shingles/herpes zoster? Though there is no known cure or for that matter treatment for shingles, your general physician may prescribe antiviral medicines, which will reduce the pain and duration of shingles. He may also prescribe some topical antibiotics to apply on the rashes which will reduce the stinging and prevent infection. Homoeopathic medicines for Herpes Primary Remedies Arsenicum album. If a person feels chilly, anxious, restless, and exhausted during fever-and the burning pain of the eruptions is relieved by heat-this remedy may be indicated. ... Apis mellifica. ... Iris versicolor. ... Mezereum. ... Ranunculus bulbosus. ... Rhus toxicodendron. ... Clematix.Dr. Rajesh Gupta18 Likes29 Answers
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50 years female Pain and burning sensation on left side forehead, eye and nose since 6 days. Frontal head ache. What are these lesions ? Treatment ?Dr. P.kishore Kumar4 Likes25 Answers
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DEFINITION (SHINGLES) Shingles is a viral infection that causes a painful rash. Although Shingles can occur anywhere on your body, it most often appears as a single stripe of blisters that wraps around either the left or the right side of your torso. Shingles is caused by the varicella-zoster virus — the same virus that causes Chickenpox. After you've had Chickenpox, the virus lies inactive in nerve tissue near your spinal cord and brain. Years later, the virus may reactivate as Shingles. While it isn't a life-threatening condition, Shinglescan be very painful. Vaccines can help reduce the risk of Shingles, while early treatment can help shorten a Shingles infection and lessen the chance of complications. SYMPTOMS The signs and symptoms of Shingles usually affect only a small section of one side of your body. These signs and symptoms may include: Pain, burning, numbness or tingling Sensitivity to touch A red rash that begins a few days after the pain Fluid-filled blisters that break open and crust over Itching Some people also experience: Fever Headache Sensitivity to light Fatigue Pain is usually the first symptom of Shingles. For some, it can be intense. Depending on the location of the pain, it can sometimes be mistaken for a symptom of problems affecting the heart, lungs or kidneys. Some people experience Shingles pain without ever developing the rash. Most commonly, the Shingles rash develops as a stripe of blisters that wraps around either the left or right side of your torso. Sometimes the Shinglesrash occurs around one eye or on one side of the neck or face. When to see a doctor Contact your doctor promptly if you suspect Shingles, but especially in the following situations: The pain and rash occur near an eye. If left untreated, this infection can lead to permanent eye damage. You're 70 or older, because age significantly increases your risk of complications. You or someone in your family has a weakened immune system (due to Cancer, medications or chronic illness). The rash is widespread and painful. CAUSES Shingles is caused by the varicella-zoster virus — the same virus that causes Chickenpox. Anyone who's had Chickenpox may develop Shingles. After you recover from Chickenpox, the virus can enter your nervous system and lie dormant for years. Eventually, it may reactivate and travel along nerve pathways to your skin — producing Shingles. The reason for the encore is unclear. But it may be due to lowered immunity to infections as you grow older. Shingles is more common in older adults and in people who have weak immune systems. Varicella-zoster is part of a group of viruses called herpes viruses, which includes the viruses that cause Cold sores and Genital herpes. Because of this, Shingles is also known as Herpes zoster. But the virus that causes Chickenpox and Shingles is not the same virus responsible for Cold sores or Genital herpes, a sexually transmitted infection. Are you contagious? A person with Shingles can pass the varicella-zoster virus to anyone who isn't immune to Chickenpox. This usually occurs through direct contact with the open sores of the Shingles rash. Once infected, the person will develop Chickenpox, however, not Shingles. Chickenpox can be dangerous for some groups of people. Until your Shingles blisters scab over, you are contagious and should avoid physical contact with: Anyone who has a weak immune system Newborns Pregnant women RISK FACTORS Anyone who has ever had Chickenpox can develop Shingles. Most adults in the United States had Chickenpox when they were children, before the advent of the routine childhood vaccination that now protects against Chickenpox. Factors that may increase your risk of developing Shingles include: Being older than 50. Shingles is most common in people older than 50. The risk increases with age. Some experts estimate that half the people 80 and older will have Shingles. Having certain diseases. Diseases that weaken your immune system, such as HIV/AIDS and Cancer, can increase your risk of Shingles. Undergoing Cancer treatments. Radiation or chemotherapy can lower your resistance to diseases and may trigger Shingles. Taking certain medications. Drugs designed to prevent rejection of transplanted organs can increase your risk of Shingles — as can prolonged use of steroids, such as prednisone. COMPLICATIONS Complications from Shingles can include: Postherpetic neuralgia. For some people, Shingles pain continues long after the blisters have cleared. This condition is known as Postherpetic neuralgia, and it occurs when damaged nerve fibers send confused and exaggerated messages of pain from your skin to your brain. Vision loss. Shingles in or around an eye (ophthalmic Shingles) can cause painful eye infections that may result in vision loss. Neurological problems. Depending on which nerves are affected, Shingles can cause an inflammation of the brain (Encephalitis), facial paralysis, or hearing or Balance problems. Skin infections. If Shingles blisters aren't properly treated, bacterial skin infections may develop. PREPARING FOR YOUR APPOINTMENT Some people have such mild symptoms of Shingles that they don't seek medical treatment. At the other extreme, severe symptoms may result in a visit to the emergency room. What you can do You may want to write a list that includes: A detailed description of your symptoms Information about your medical problems, past and present Information about the medical problems of your parents or siblings All the medications, vitamins and dietary supplements you take Preparing a list of questions ahead of time will help you make the most of your limited time with your doctor. List your questions from most important to least important in case time runs out. For Shingles, some basic questions to ask your doctor include: What's the most likely cause of my symptoms? How long will I have symptoms? What caused me to develop Shingles? Can I get it again? What treatment do you recommend? How quickly will I start to feel better? What if my symptoms don't improve? Are there any brochures or other printed material that I can take with me? What websites do you recommend? In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask any additional questions that occur to you during your appointment. What to expect from your doctor Your doctor will examine your rash and may ask some of the following questions: When did your symptoms begin? Does anything make them better or worse? Do you know if you've ever had Chickenpox? TESTS AND DIAGNOSIS Shingles is usually diagnosed based on the history of pain on one side of your body, along with the telltale rash and blisters. Your doctor may also take a tissue scraping or culture of the blisters for examination in the laboratory. TREATMENTS AND DRUGS There's no cure for Shingles, but prompt treatment with prescription antiviral drugs can speed healing and reduce your risk of complications. These medications include: Acyclovir (Zovirax) Valacyclovir (Valtrex) Famciclovir (Famvir) Shingles can cause severe pain, so your doctor also may prescribe: Capsaicin cream Anticonvulsants, such as gabapentin (Neurontin) Tricyclic antidepressants, such as amitriptyline Numbing agents, such as lidocaine, delivered via a cream, gel, spray or skin patch Medications that contain narcotics, such as codeine An injection including corticosteroids and local anesthetics Shingles generally lasts between two and six weeks. Most people get Shingles only once, but it is possible to get it two or more times. LIFESTYLE AND HOME REMEDIES Two vaccines may help prevent Shingles — the Chickenpox (varicella) vaccine and the Shingles(varicella-zoster) vaccine. Chickenpox vaccine The varicella vaccine (Varivax) has become a routine childhood immunization to prevent Chickenpox. The vaccine is also recommended for adults who've never had Chickenpox. Though the vaccine doesn't guarantee you won't get Chickenpox or Shingles, it can reduce your chances of complications and reduce the severity of the disease. Shingles vaccine The Food and Drug Administration has approved the use of the varicella-zoster vaccine (Zostavax) for adults age 50 and older. Like the Chickenpoxvaccine, the Shingles vaccine doesn't guarantee you won't get Shingles. But this vaccine will likely reduce the course and severity of the disease and reduce your risk of Postherpetic neuralgia. The Shingles vaccine is used only as a prevention strategy, however. It's not intended to treat people who currently have the disease. The vaccine contains live virus and should not be given to people who have weakened immune systems. Morgan Homoeopathic Clinic on Google: https://goo.gl/posts/CNTYnDr. Mohd Shafi4 Likes7 Answers
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35 year old female with Lesion over the left thigh only about 5days..now some lesion seen on forehead.itching present..fever..body ache..no insect bites..Adv treatmentDr. Abil Ansari4 Likes43 Answers