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Had a stroke and paralysed. Have upper lip twitching. Is it due to Bells palsy?

Jun 2015
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General & Family Physician
Practicing since : 2011
Answered : 3337 Questions
My upper lip on one side has been twitching off and on for a couple of days. My father had a stroke and was paralyzed until his death. I also thought maybe it could be Bells Palsey? Thank you! XXXX
Posted Sun, 24 Nov 2013 in Brain and Spine
Answered by Dr. Polash Sannigrahi 1 hour later
Brief Answer: Kindly view the details Detailed Answer: Dear XXXXXXX Thanks for your query. Regarding the sensation of twitching of upper lip, kindly let us know about the following: 1. Any episode of recent acute illness? 2. Any history of injury or trauma to the lip or head and neck region? 3. Involuntary twitching of muscles can be due to neurological damage secondary to Hypertension & Diabetes (known as Hypertensive neuropathy & Diabetic neuropathy respectively). Is there is significant past history of systemic disease like Diabetes, Hypertension, Thyroid disorder, etc. ? 4. Any recent history of Stress, improper nutrition & lack of sleep? 5. Habit of smoking or alcohol consumption? 6. Any other associated features like inability to concentrate or remember things, dizziness, visual disturbances, nausea, etc.? If your answer to the above mentioned questions is NO, then the symptoms can be attributed to inadequate hydration status & electrolyte imbalance of the body or dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B 12, Folic acid, etc. which help in blood formation & nerve conduction. Symptomatic relief can be obtained by intake of nervigenic agents as well as multivitamin & multimineral supplements including iron, calcium & Vit D needs to be added in your diet. If you still find any difficulty, kindly get certain investigations like fresh estimation of blood pressure & blood sugar levels, Thyroid profile & nerve conduction studies to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate hydration & proper nutrition status, exercise regularly and avoid stress. Wishing you a Good Health. Please let me know if I need to clarify further. Thanks & take care.
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