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» LymeNet Flash » Questions and Discussion » Medical Questions » Who has had Bell's Palsy?

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Author Topic: Who has had Bell's Palsy?
Houston Lyme Pie
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Last weekend a friend of mine in the hills of North Carolina just woke up to find himself with Bell's Palsy.

He had never even heard of it before, but from my Lyme experience I knew what it was as his wife was describing it to me on the phone.

After a cat scan, his doctor decided it was not a stroke and gave him "Valtrex" (?) and also the well known steroid Prednisone.

I don't know the 1st drug, but I do know "Pred" even if I can't spell it.

His doctor did not seem to be too concerned about Lyme as a possible cause, but mentioned a possible viral etiology (the HPV viruses)

Of course, I am very concerned about the use of steroids if there is a bacterial etiology. But what about a viral cause?

Wouldn't you want to avoid suppressing your immune system at the onset of a viral infection as well?

So anyway, Have you had experience with Bell's Palsy? How long did it last?

(Right now he has no other symptoms- not of Lyme nor anything else)


Posts: 424 | From Houston TX | Registered: Jun 2002  |  IP: Logged | Report this post to a Moderator
Tincup
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You said...

"Last weekend a friend of mine in the hills of North Carolina just woke up to find himself with Bell's Palsy."

I have lived in the hills of North Carolina... and it seems lots of guys tell their wives that story when they wake up with a girl in their bed!"

Bell is a popular little lady down those parts... for sure!

Please send him to the Jemsek Clinic for testing.

The doctors in those parts seem unfamiliar with Lyme and co-infections.. big time.

My uncle lived there.. and he was diagnosed with Mad Cow disease!!

No.. it couldn't be Lyme they said...

He died from lack of decent medical care.

Bells palsy can last months.. or longer.

Why wait to see what it is. Have him check it out properly ASAP...

That's my story.. and I am sticking to it!


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jpoppeck
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My son in law woke up with Bell's and NO ONE in Florida did anything about it - until we took him to a neurologist associated with MD and ALS - would you believe he was the one who told us we need to test - it could be LYME!!!!

Took 10 months to diagnose the Lyme - but that time it had buried itself deep in his tissues and enter his brain controlling him motor skills.

Stay away from the steriods - they will kill him

Joan


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Green Darkness
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I agree with Tincup. I too lived in the south (and by the way miss it), but please get to Jemsek clinic.
My Bell's lasted a little while; sure scares the heck out of you. Freaky looking.

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slcd
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I've had very mild bells palsy since about 2 weeks after I got sick (so about 2.5 years).

With me it gets worse when I'm tired or on a really sick day. Most days you can't look at me and tell, but I can feel the droopiness.

From what I've heard . . . if it's going to clear up it will within the first year, but I also know a man who had it (Lyme related and very bad) for about 3 years, and then it slowly went away.

Steroids are a bad idea if he hasn't been tested for Lyme yet.

If you need the information for Dr. J's clinic in NC, let me know. That's where I go.

------------------
Sheri :)
[email protected]


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deedee
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my daughter had mild bell's palsy last year when she had lyme. it cleared up on it's own after a bout 3 weeks and she has been in good health since we caught the lyme early.

deedee


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Houston Lyme Pie
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Thanks for all your input! I agree with everything you all have said about the steroids- that is why I went out on a limb and begged these 2 dear old friends to do some reading before he continues with the "Pred."

And muy mucho big thanks for the 1st hand reports- each of you know how much that helps when these unsettling "conditions" strike.


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KatB
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I was diagnosed with Bell's Palsy 6 months ago. Woke up and looked like I had had a major stroke - couldn't close eye,(blink or make tears), you could not understand when I spoke, my face was completely twisted on the right side. At the emergency room they told me I had Bell's. Initial treatment was testing for diabetes (Bell's is a symptom of diabetes), then treatment with anti-virals. There has been some improvement in the last 2 months, but not much. My face is aligned better now and my eye doesn't bulge as much. and my speech is clearer, except consonants such as p and f. THE MOST IMPORTANT THING, AND I CANNOT STRESS THIS ENOUGH, is that the er doctor told me to use lubricant in my eye and put a patch on for sleeping. When I went to my regular doctor, she immediately sent me to an opthamologist. The eye must be checked regularly if it is not manufacturing natural lubrication or closing!!! I personally have great success with Allergan's Refresh LiquiGel eye drops and at night Bausch and Lomb's Refresh PM eye ointment in a tube, then adhesive Occlusor eye patches (disposable one-use, come 20 to a box) weighted with a small cotton ball. Gently close the lid after putting ointment in and apply eye patch. I had to return to work in a crappy, smoke-filled casino after one week and the opthamologist had me working on a trial basis and she was amazed and said I was the first patient she'd had to be able to do that and not dry the eye out or even worse, develop corneal ulcers; so this works! After a few months with no improvement and an MRI to rule out brain tumor, the neurologist asked if I could have been exposed to ticks; even tho' I live in Louisiana I am from the Philadelphia suburbs and visit home often. He sent me to an infectious diseases specialist who diagnosed the Lyme, which explained the past year of medical problems such as horrible joint pain and irregular heartbeat, weight gain, etc etc etc (you all know the story...) HOWEVER, right before this transpired the regular physician gave me steroids (Prednisone) because the Palsy had not improved. BIG MISTAKE !!!!! STEROIDS ARE BAD BAD BAD FOR PALSY PATIENTS WITH LYME DISEASE!!! Long story short, tell your friend anti-virals can't hurt and probably help, get tested for diabetes, TAKE CARE OF HIS EYE, I have found the sleep deprivation and extreme stress of my job have really hindered my progress, and if he's into alternative medicine I've noticed a difference since I began taking Coral Calcium, B-complex, calcium, magnesium, and flax oil in a protein smoothie everyday. Also, the amino acid taurine helps, (I love sugar-free Red Bull - it has B-12 and taurine and I always have twitching and some improvement after I drink it! and there is less facial swelling at night if I take B-complex and coral calcium before bedtime.) And don't get discouraged - a guy I work with got married in June and the day before the wedding his best man got Bell's and was better in a month! Also, as money allows I would like to try acupuncture as I've heard that's really effective on Bell's and Lyme. Also, I have really good success with wheat grass juice and immune-building smoothies from my local juice joint. The hardest part(aside from the fact people stare at what once was a pretty face in a very different way than they used to, they can be downright rude) is the lack of encouragement and support so feel free to e-mail me if you have questions or need encouragment. AND ABOVE ALL, TRY TO REMAIN POSITIVE AND VISUALIZE A GOOD OUTCOME. Believe me, I know how hard that can be but I believe one day it'll all be OK. Even when my lips were so grotesquely twisted that I couldn't even be understood when I spoke, I put on a light lipstick as if to say "#@** it!" (It's better to try to laugh and not cry with Bell's, because I very quickly learned how ridiculous it is when you're crying with one eye only!!) Lyme and Bell's stink and really, nothing about it is easy and people can be jerks, but at least the birds still sing and the sun still shines and we're alive, right?
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RECIPEGIRL
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Fellow Face Sufferers,

What I would give to have read your posts in 1989. I feel like you guys can truly understand what happens when your face turns against you.

Here's hoping this will not be too painfully long or boring to read.

Houston Pie:
Thank you for the post.

KatB:
I printed your post for my mother-in-law recently diagnosed with Bell's Palsy. She's diabetic.

The suggestions are great. (She's barely able to read 1 post.)

You got to the root cause of your problem without traveling the circuitous route of seeing 50 doctors. Thank heavens.

As for me, my facial pain started rather insidiously. I had no clue of what was to come & certainly did not believe it would stay for 13+ years.

It ranged from possible diagnosis of migraine headaches, trigeminal neuralgia and atypical facial pain.

Then you really do start looking like a blooming idiot because you're still in pain even after seeing doctor-after-doctor.

I did have an infected root canaled tooth that had to be extracted which did help. It was just one more source of infection of the face.

But I still had facial, eye & ear pain.

Just wanted to show everyone here & even future readers on a search of this thread, that there are many types of painful faces of Lyme Disease.

The patients are not all textbook cases.

These faces can hurt & debilitate and place an almost unbearable burden on families.

My LLMD told me at my first visit that most patients who had deteriorated down as far as I had, walked in his office alone.

He said your husband accompanied you. You don't know how rare that is & how fortunate you are to have him.

But yes, I do know. Here's what he came home to:

I was misdiagnosed for 5 years with Myasthenia Gravis in 1989 by one of the
"top'' neurologist in Ft. Worth.

MG causes muscle weakness & the first signs are droopy eyelids & voice weakness.

She gave me Darvocet-N for eyelid pain & asked, where is all this pain coming from?

I thought-------gee, I don't have a clue; that's why I'm here.

Being a late bloomer I was to graduate from college in 1990 & had applied to graduate school for my MSSW to become-----you guessed it, a ``medical'' social worker.

Other veteran myasthenia gravis patients told me MG does not cause pain. They said Darvocet-N was contraindicated, as it would only exacerbate the symptoms.

Over time, the facial pain became searing. It hurt the worst when the left-side of my face pulled to the left.

Back then, I ignorantly took Tylenol. I've learned it's very bad for the liver.

A Vet told us Tylenol will kill dogs because their liver cannot metabolize it.

Next DOC: She was doing her internship at a county hospital clinic (no insurance; we still paid).

If I had a question, she would leave & run ask the Resident & come back. She told me MG does not cause pain, so I didn't have that. (no test; no EMG; nothing after a 5 year diagnosis)

I told her I was still in pain & needed something for it. She proceeded to give me a 20-minute spiel on her personal headache history in college. (I could have cared less!)

I thought lady, I don't just have a headache, I'm in pain. Can't fall asleep, can't work, can't get up in the morning, etc.

I couldn't get the message across that I'd gone from a seemingly healthy person to a non-functioning, brainless wonder--------with no reasonable explanation.

I told her I would not be returning because I had obvious neurological problems & she refused to refer me to a neuro DOC.

She was mortified. Her best tip was to take Motrin for headaches.

I did & the Motrin did help.

True, Motrin is also hard on the liver, too, but I was simply trying to survive.

It does reduce inflammation. Today I take 600 mg of Motrin always with food & Elavil 10 mg.

Elavil is a cheap, old-timey antidepressant good for nerve pain & insomnia.

Next DOC: I came straight from a new DOC trying to get sleeping pills & stopped by my mom's. She took one look at me & said you're face is drawing to the left side.

I told her I was in searing pain like a hot poker, but didn't really realize my face was pulling to the left because the pain was so overwhelming.

All I could think of was going home to lie down.

I told her it was all I could do to get up & get ready for the appointment due to the pain.

Well, DOCTOR MOMS do know their kids best!

I came home, looked in the mirror & it was obviously drawing to the left. If my mom saw it, why couldn't the DOC see it?

Usually, the pain incapacitated me so I never went out in public while in pain. I couldn't get off the couch & I sure didn't inspect my face in a mirror.

The pain eventually expanded to the ``left'' side of forehead (very strange-----never, the right forehead).

It also went into the left temple & if it became really bad---------it went to my inner ear.

That's when I knew I was headed for the really heavy-duty pain.

The pain started at a low level & then grew in intensity by the hour. Thinking positive thoughts did not faze the pain.

I learned to medicate early on when the pain hit.

What I put my husband & son through during those horrible years of pain is unfathomable.

Tears were even a luxury because crying would swell the left eyelid making it heavy and even more painful.

If I ever cried, I just reached for the Motrin because I knew I would pay the ``pain price.''

I used to wear one of those old-fashioned stretchy headbands (probably back in fashion now) & pulled it down over the left eye while at home. (Does tend to ruin the hairdo. LOL)

This would ``rest'' the eyelid and at least wouldn't add to the pain.

O.K., time to get out the violins:

When my son was only around 6, back then I was still trying to work & finish school.

After picking him up at mom's, we came home & he gave me a present. It was a little perfectly cut 3 x 3 inch, eye-sized square of black, foam-rubber.

He was very proud of it & told me it was to put over my eye to help the pain.

(He said he stole it from grandmother because he knew she wouldn't mind.)
My precious thief.

Oh yeah, I still have that treasure.

Through the floundering years I had mercury amalgams removed from the teeth; & also, taking Armour Thyroid helped a lot for low body temperature.

(It actually gets the toxins out of the cell & oxygen into the cell because it revs your metabolism.)

Later in 2000, my eyelid would start hurting & then this left eye would water profusely.

While sitting at the alternative doctor's office getting a UVBI treatment with ozone, it looked like I was calmly reading a magazine crying out of one eye.

I couldn't stop the tearing.

This is almost over guys-------yes, finally diagnosed in 2003 with LD & in 2004 with Babesia.

Antibiotics are my pain killers now.

Of course, I can still have pain when certain meds hit the nerves like Mepron, Flagyl, etc.

Even stimulating antidepressants which directly affect the nerves like Wellbutrin or NADH supplement can send me into pain.

My nerves are still ``crispy fried.''

I've learned there are tiny nerves surrounding the arteries. In 1990, I couldn't even tolerate 200 IU of Vitamin E without going into searing pain for the entire day.

And, yes, my now grown-up, 20 year-old son is a junior in college.

And, yes, to my horror he's started having a right droopy eyelid.

I asked him if it scared him when he first saw it & he said no because he knew exactly what it was-------Lyme.

We feel my suffering spared him from losing his youth by getting an early diagnosis.

But it's an especially nasty two-edge sword because with his type of symptoms, it's rather apparent I passed this on to him in utero.

I told him that telling everyone, including employers, about having Lyme could eventually hurt his career.

We told him we would respect his wishes about this and tell no one, if that's what he wanted.

But he said, absolutely not. I'm telling everybody about LD.

He's on Zithromax for now & his voice sounded so strong when he called recently.

He doesn't admit to voice weakness, but his grandmother & I cannot always understand his speech. Also, he is a low-talker.

If you're still reading, glad everyone here is making their suffering count.

Over & out-----that's all my rambling for the day.

Best Wishes Fabulous Faces
Jan



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dkwdc
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My eight year old son has Lyme, with facial palsy,and was treated this summer and seems fine now, but the facial palsy remains. He did have steroids early for a week before they knew it was Lyme. I read in a couple posts here that the steroids are bad.. why? thanks
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Houston Lyme Pie
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Many of us here subscribe to the theory that one should try antibiotics first, before steroids.

Why? Because if it turns out to be an infectious agent (bacteria for instance) causing your mysterious problem, then you have a chance to be cured.
(anti-biotics fight bacteria)

If you take steroids and it turns out your illness has a bacterial etiology, you have

1) supressed the immune system just when you needed it most (that is what steroids do) therefore risking driving the bad guys further into your tissues

2)wasted valuable days or weeks that you could have been eliminating the bad guys

If take anti-biotics and decide later you want to go on steroids you can, but you don't want to go on steroids first, because then you will lessen the chances of the anti-biotics helping you later.

And what we all want is to take as little anti-biotics as we have to - so we generally want to get treatment sooner not later.

I hope this helps clarify what is a "prevailing theory" around here. I do not speak for everybody here of course, and I am no medical professional, just a recovering Lymie.



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Sue vG
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Hi Pie,

One of my early symptoms was what I'd call "mild facial paralysis." It felt like I had a raw steak plastered across my forehead. I couldn't make most of my usual facial expressions. I would occasionally drool as a corner of my mouth temporarily went slack. It happened once when I was talking to my boss.

This lasted about 4 months and resolved about the time I started getting glutathione/ATP shots from Dr. S. (my lyme had not yet been diagnosed - I was seeing her for "FM/CFIDS"). Occasionally I still feel a cold, wet feeling at the corner of my mouth where the muscle goes a bit slack, but knock on wood, that was the worst of it for me.

My heart goes out to those of you who have or have had Bell's. A couple of friends have had it and it was very difficult for them.

Sue


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LunasMom
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My hubby had Bell's about a week before this past Christmas. When I got home I took one look at him and said, "get your shoes on, we're going to the ER!"

His Bell's was preceeded by a few weeks of "flu-like" symptoms, including headaches, neck stiffness, fatigue and dizziness.

The Bell's was mild (it was noticeable when he talked, chewed, or blinked, but when at rest his face looked "normal" to most -- though I could tell). It worsened for a few days, then began to improve and was gone in 3 weeks.

An important thing to note... be sure to use some kind of artificial tears b/c corneal lesions can develop from the fact that you can't blink properly and they eye dries out. Also, use sterile tape to close the lid at night.

Interesting that my honey's leg weakness developed RIGHT AFTER he started the oral steroids they put him on as a result of the Bell's... we know better now! Too late. But he's on IV Rocephin and doing well (only 6 days in...).

good luck.

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GiGi
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I suffered from Bell's Palsy in the worst way.

Cranial Nerve problems - facial nerve: Bell's palsy - according to Dr. K., 60% are caused by Lyme Disease, 30% by one of six common viruses from the herpes family, such as Epstein-Barr, Herpes simplex type I, type II and type 6.

The teeth are usually involved.

Major culprits for me were Bartonella and Babesia. I posted about both of these plus treatment a couple of weeks ago.

I had all of them.

Take care.

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lou
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J Neurol. 2005 Jun;252(6):672-6. Epub 2005 Mar 23.


Acute peripheral facial palsy in adults.

Ljostad U, Okstad S, Topstad T, Mygland A, Monstad P.

Dept. of Neurology, Sorlandet Sykehus HF, Kristiansand, 416, 4604 Kristiansand, Norway.

OBJECTIVE: To collect epidemiological data of peripheral facial palsy, and especially to chart the incidence and clinical characteristics of Lyme associated facial palsy.

MATERIAL AND METHODS: We included consecutive adult patients presenting with peripheral facial palsy in Vest-Agder County from January 1997 to December 1998. The facial palsy was graded according to the House and Brackman facial function scoring system,and cerebrospinal fluid and serum samples were examined for Borrelia burgdorferi antibodies and virus antibodies. Final outcome was evaluated by follow up visits or telephone interview.

RESULTS: Sixty nine patients were included and followed until complete recovery, or for 5 years. Ten per cent were caused by Lyme disease, 17% by virus infection, 4% by other causes and 68% were classified as Bell's palsy. All patients with Lyme facial palsy had additional neurological symptoms, and 87% reported constitutional complaints. The overall final outcome was good with complete recovery in 77%, slight sequelae in 20% and moderate sequelae in 3%. No patients experienced severe sequelae. Two of 28 patients examined with neurography had absent compound muscle action potentials in orbicularis oculi. Both made good recovery with only slight sequelae.

CONCLUSIONS: Peripheral facial palsy is a common disorder with a favourable prognosis. Lyme disease seems to be an infrequent cause of facial palsy in patients without constitutional symptoms or additional neurological findings.

PMID: 15778908 [PubMed - indexed for MEDLINE]

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psano
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Houston,

If your friend really has just Bell's Palsy, prednisone will help him. My mom had Bell's Palsy many, many years ago, (I'm talking like, 30 yrs ago) and she recovered completely from it on prednisone.

However, your friend should probably be tested for Lyme just to rule it out as the culprit behind the palsy. I've had Bell's palsy as one of my neurologic symptoms, and it tends to come and go quite readily, and is more or less limited to a droopy eye. The type of Bell's palsy my mom had affects the entire side of the face... eye, cheek, and mouth, and muscle tone is lost causing the entire side of the face, not just the eye, to sag quite dramatically. If it's not treated rapidly w/steroids, (I don't know what Valtrex is, must be something new in the last 30yrs...) the disfiguration can become permanent. I have an aunt who also had Bell's palsy, wasn't treated quickly enough, and now is permanently disfigured.

The palsy that accompanies Lyme, by my experience, comes and goes. Big difference.

good luck.

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GiGi
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The Bell's Palsy I had stayed with me for a long time, and only gradually over time as the toxins were eliminated did it fade. I literally had one whole side collapse from top to bottom. It was Lyme caused, mainly by Bartonella and Babesia, and by heavy metals and root canals.

I did not "come and go" for me - I would have liked that a lot. It took years. Several of the Lyme patient friends I know have the same problem. It hangs on until the neurotoxins are eliminated. Neural therapy helped reactivating the nerve ganglia and move the toxins. But it took several years.


Take care.

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psano
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lou's post is excellent. It reminds us that while facial palsy is a common symptom of Lyme disease, Lyme disease is not the only illness associated w/facial palsy.

Some of the other illnesses may require treatment different from that required for us Lymies. But when facial palsy occurs, Lyme should at least be considered when making the diagnosis for the patient.

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LunasMom
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Valtrex is an antiviral, which is frequently prescribed for Bell's palsy as Bell's often has a viral cause.

Valtrex is the same stuff prescribed for people with herpes to reduce the duration of outbreaks.

The studies I read on steroid use with Bell's was equivocal about it's efficacy. Many studies suggest that it will get better on its own or not, regardless of when or if steroids are taken.

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LymeMomFL
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My first lyme symptom was Bell's Palsy. My inclination is to believe it is Lyme, treat it as Lyme, and worry about it not being Lyme after the fact. The longer one waits to treat Lyme the more difficult it is to get at the buggers.

Sheila

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Limping Lily
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never thought much about Bell's until the ER doc i was talking to last June aked me how long i had had Bell's, and i said, "probably most of my life.", which is true. however, it has mostly been mild, except for bouts of tooth and jaw pain, or ear pain/loss of hearing. my left eyelid droops somewhat,also, but nothing major like some others have had. most of my sx started in 2002 after a major tick bite.

--------------------
~*~ Carole ~*~
 - Young at Heart Grandmother of 4

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Neenny
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Mild Bell's palsy was the symptom that sent me to the LLMD.

My PCP thought the mild palsy may have been caused by a sinus infection. I was kind of sick as well. The scans of my sinus' showed NO infection. Yet the Palsy seemed to clear up with the major antibiotics the doctor put me on for what he believed to be a sinus infection.

What a blessing that was, as I knew that Bell's palsy was not a condition treated with antibiotics. So why would my condition improve?

I did a search on the internet and found out that it could be a symptom of Lymes. I have a neighbor that has been treated for Lymes. I knew the serious of her condition. I didn't waste much time making an appointment to see the LLMD.

Plus the fact I knew I had been bit by a tick in May of 2004. I am now on my 5th month of antibiotics. Things have improved greatly, but I always feel like the bell's palsy is still just waiting around the corner. As others have said, being tired magnifies the condition.

Neenny

Posts: 20 | From Northwestern PA | Registered: Apr 2005  |  IP: Logged | Report this post to a Moderator
   

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