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 Tang Bo
Neurology
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Is facial neuritis the same as facial paralysis?

Facial neuritis can lead to facial paralysis, but facial paralysis can be divided into central facial paralysis and peripheral facial paralysis. Generally, facial paralysis caused by facial neuritis is peripheral facial paralysis. This means that there might be incomplete closure of the eyelids and deviation of the mouth corners. If central facial paralysis is considered, it generally does not lead to incomplete closure of the eyelids. Central facial paralysis is mainly caused by cerebrovascular diseases or other diseases of the brain or brainstem, whereas facial neuritis is due to damage to the facial nerve.

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Written by Su Mei
Neurology
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Can facial neuritis be cured?

Patients with incomplete facial paralysis may recover or heal within one to two months, while those with complete facial paralysis generally need two to eight months, or even a year to recover, often leaving sequelae. Recovery of taste within a week indicates a good prognosis. Young patients have a better prognosis, while elderly patients with mastoid pain, diabetes, hypertension, cerebral arteriosclerosis, myocardial infarction, and other conditions have a poorer prognosis. We generally use electromyography (EMG) to examine and predict outcomes. If a patient with complete facial paralysis shows an M-wave amplitude in the affected area's EMG action potentials that is 30% or more of the normal value within seven days of the illness, they may fully recover within two months. If optic nerve potentials appear within ten days after the onset of the illness, the recovery tends to be slow.

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Written by Li Min
Neurology
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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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Written by Zhang Hui
Neurology
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Nursing measures for facial neuritis

The treatment of facial neuritis, in addition to some pharmacological treatments including corticosteroids, B vitamins, and antiviral medications, also requires some rehabilitative physiotherapy training. On the other hand, nursing measures also play an important role in the recovery from facial neuritis. The nursing measures for facial neuritis mainly include: First, it is essential to soothe the patient's emotions. Patients with facial neuritis often become quite depressed and may experience anxiety and depression. Nursing work must be thorough, including explanation and reassurance. Only when the patient's emotions are stable, can they cooperate with the treatment. The second nursing measure is to advise patients not to consume spicy and irritating foods. Third, it is important to keep the face warm, and patients can wear masks. Fourth, it is crucial to take good care of the eyes, as patients with facial neuritis often have difficulty closing their eyes, which can easily lead to eye infections. Eye drops can be administered to the patient.

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Written by Zhang Hui
Neurology
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How is facial neuritis treated?

Facial neuritis is generally prone to occur in patients with immune dysfunction, with factors such as viral infections and some patients may be related to cold stimulation from air conditioning or fans on the face. The treatment of facial neuritis mainly includes the following aspects: First, glucocorticoid treatment should be given. Glucocorticoids play a very important role in the treatment of facial neuritis. They can reduce abnormal inflammatory responses and swelling of the facial nerve, which greatly helps the patient's recovery. Second, some B vitamins should be given to nourish the nerves. If the condition is caused by viral infection, antiviral medication should also be provided. In addition, some rehabilitation training is particularly important, and it is recommended that patients receive early physiotherapy and functional training for facial muscles.