Does facial neuritis cause vomiting?

Written by Yuan Jun Li
Neurology
Updated on January 08, 2025
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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 Shi Xiang
Neurology
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The difference between facial neuritis and facial nerve paralysis

The difference between facial neuritis and facial nerve paralysis is that facial neuritis refers specifically to peripheral facial paralysis, while facial nerve paralysis is a broader concept. It includes peripheral facial palsy caused by facial neuritis, as well as central facial palsy caused by cerebrovascular diseases. Therefore, the two have different clinical concepts and symptoms. Facial neuritis can involve paralysis of the entire facial muscles, including the disappearance of forehead lines and the shallowing of the nasolabial fold below the eye slit, as well as deviation of the mouth corner. Facial nerve paralysis, in addition to the symptoms caused by facial neuritis, may also include central facial palsy caused by cerebrovascular diseases. Central facial palsy does not affect the facial muscles above the eye slit, but only causes paralysis of the facial muscles below the eye slit, including shallowing of the nasolabial fold and deviation of the mouth corner. Therefore, facial nerve paralysis is a more extensive concept.

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Written by Zhang Hui
Neurology
1min 10sec home-news-image

Can facial neuritis be cured?

Facial neuritis is a relatively common disease in neurology. It is mainly caused by viral infection or other nonspecific inflammatory reactions, leading to local inflammation of the facial nerve, which results in edema of the facial nerve and clinical manifestations caused by compression within the facial nerve canal. The main symptoms include shallower furrows on the affected side of the forehead, weakness in opening and closing the eyes, drooping and skewing of the mouth corner, drooling, weakness in puffing the cheeks, and air leakage when puffing the cheeks. Most patients with facial neuritis have a good prognosis, as long as the diagnosis is clear and appropriate treatment is administered in a timely manner, such as treatment with corticosteroids and B vitamins. If it is caused by a viral infection, appropriate antiviral treatment is given, and most patients can fully recover in about three months. If the condition is severe at the onset, or if the patient has risk factors such as diabetes, the prognosis is not very good. Overall, most people with facial neuritis recover well.

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Written by Zhang Hui
Neurology
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Should one avoid certain foods with facial neuritis?

Patients with facial neuritis should still avoid certain foods during the acute phase. They should avoid alcohol, spicy and irritating foods, and preferably seafood as well. Consuming these foods may lead to immune dysfunction, which is detrimental to nerve recovery. Patients with facial neuritis are advised to eat plenty of fresh fruits and vegetables, which contain high levels of Vitamin C to enhance the body's resistance. They can also consume foods rich in B vitamins, such as whole grains, lean meats, and animal liver. For medication treatment, it is essential to treat promptly. If there are no contraindications, corticosteroids may be used under a doctor’s advice. (Please follow medical advice regarding medication.)

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Written by Zhang Hui
Neurology
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Is facial neuritis inflammation?

Bell's palsy is essentially an inflammatory reaction, but this inflammation is a nonspecific type. It also exhibits the typical inflammatory symptoms of redness, swelling, heat, and pain. However, this inflammation is not caused by direct infection from viruses, bacteria, or fungi. Since Bell's palsy is an inflammatory condition, its treatment must include corticosteroids for management. Additionally, administration of B vitamins is necessary to promote nerve function recovery. Moreover, targeted rehabilitation exercises, acupuncture, and local physiotherapy from the rehabilitation department also play a vital role in the recovery from Bell's palsy. Generally, with proper and timely treatment, Bell's palsy can fully recover, and most patients will not experience any impact on their future quality of life. However, if the symptoms of Bell's palsy are very severe, and the patient has a history of diabetes, the prognosis may be poorer.

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Written by Li Min
Neurology
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Facial neuritis requires the use of steroids.

Bell's palsy, or facial neuritis, is caused by stimulation or viral infection of the facial nerves, leading to facial nerve paralysis. This generally refers to peripheral facial neuritis. Early treatment includes antiviral, anti-inflammatory, nerve nourishment, and free radical scavenging. Therefore, early treatment of facial neuritis requires steroid therapy, commonly using oral prednisone. The dosage is determined by body weight, at 1 milligram per kilogram, taken orally for a week, then discontinued. The next step in the treatment plan involves acupuncture and physical therapy. (Use of medications should be under the guidance of a doctor.)