Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

146 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes loss in control in mouth and lips after fever post appendicitis surgery?

Answered by
Dr. Deepika Patil

General Surgeon

Practicing since :2008

Answered : 745 Questions

Posted on Thu, 7 Aug 2014 in Abdominal Pain
Question: Dear Sir,
Let me brief you about my profile. I am 26 years old with height 5 feet 3 inches and weight 66 kgs. 1 month back I had to undergo appendicitis surgery ( laparoscopy ). I was fine after few weeks of surgery. But post 3 weeks into the surgery , I suffered from high fever for 1 week.
During 1st 2 days of fever , I consumed only dolo ( paracetamol 650 mg ). But the fever did not subside. Fever was fluctuating around 102. On the 3rd day , I consulted a general physician. To rule out any side effects surgery , USG of abdomen was done. Nothing suspicious was found. Surgeon declared that fever is not due to any infection arising out of surgery. Thereafter I underwent tests for dengue and malaria. Both were negative. My platelet count was slightly down ( 136). Urine culture was normal. The physician had me put on dose of antibiotic ( 500mg amoxycillin + 125 mg potassium cluavante). But the fever did not subside with the medication. Rather it started to rise higher to 103. 4th day after start of antibiotic , I got myself admitted into a reputed hospital. There again malaria , dengue and typhoid tests were done. All the tests were negative. After 2 days of high intra-venous anti-biotic ( ceftbact ) and multiple doses of 1000mg paracetamol , Dr decided that they will treat as clinical malaria. There after they gave me multiple doses of falcigo ( 60 mg ) and monocef. With the above medication , the fever subsided in 2.5 days and I was discharged. During the whole period of suffering from fever , I had severe headache. Some times in the forehand , sometimes in the forehead to left upper side of head , sometimes in the forehead to right upper side of head. Dr told that it is due to high fever and gradually it will reduce. In the mean time CT scan of PNS and brain were done. Both were found to be normal. I had given 5 days of medicines.
Taxim-CV ( 1 - 0 - 1 )
Hifenac , hifenac , doxy 100 mg.
I had completed 2.5 days of medications.

In the mean time , I noticed subtle loss of control in my left portion of mouth lips. At the time of drinking , water is simply falling out of my mouth. I am unable to stop water from falling from the left side of mouth. The same situation arises at the time of mouth washing after brushing. I never had these sort of problems earlier before this episode of high fever. Kindly advise.
Answered by Dr. Deepika Patil 5 hours later
Brief Answer:
could be facial nerve palsy

Detailed Answer:

Welcome to HealthcareMagic .

After reading your query I conclude that you may have developed mild facial nerve palsy on left side. I am calling it mild cause you only have falling of water from left side of mouth and I assume there is no difficulty in closing left eye or loss of forehead wrinkle etc.

This might have occured due to high fever and headache which you had. Mild facial nerve palsy is common in post high fever period. Which I feel more of viral fever rather then clinical malaria.

I would suggest you to consult a surgeon immediately and get yourself examined . You may be put on steroids and facial excercises.

Don't worry. This palsy is self limiting in 60 to 70% people. So better is to start treatment as it is curable completely at your stage.

Hope I have been helpful . If any further queries are there I would love to help .

Dr.Deepika Patil
Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. Deepika Patil 12 hours later
Respected Dr,
Today I consulted a neurology surgeon. He diagnosed my case as ball's palsy. He advised medication as follows.

[ 1 ] Tab prednasone ( 10 mg )

1-1-1-1 * 1 week
1-0-1-1 * 1 week
1-0-0-1 * 1 week
1-0-0-0 * 1 week

[ 2 ] Tab Acyclovir ( 400 mg )

1-1-1-1 * 10 days.

[ 3 ] Tab Pantodac ( 40 mg )

Additionally he has advised facial exercises to be done as frequently as possible.

What are the proportionate contribution of medication and exercises towards mitigation of this problem ?

Kindly give your comments and additional suggestions.
Answered by Dr. Deepika Patil 29 minutes later
Brief Answer:
both have equal contribution in mitigation

Detailed Answer:

Let me tell you little about bell's palsy. It is the type of facial nerve palsy where there is no obvious cause is found like injury or infection or sinusitis.

Bell's palsy has excellent prognosis when treated early as in your case. Spontaneous recovery is seen in 80-90% of people.

In your case chances of recovery are more then 90% with these medication and facial excercises because
-you are diagnosed in early period
-prednisolone reduces nerve odema and helps in recovery
-acyclovir treats subclinical viral load
-facial excercises strengthens the muscle supplied by nerve.

I would suggest you to finish your course of drugs with regular facial muscle excercise.

Both excercise and medications are equally important for recovery. Both have 50% contribution each .

Hope I have answered your query . If you have any further queries I would love to help.

Dr.Deepika Patil
Above answer was peer-reviewed by : Dr. Vaishalee Punj
Follow up: Dr. Deepika Patil 59 minutes later
Respected Madam,
Thanks once again for your prompt reply.

Can you send me some high resolution pics / video link of exercises that would help in getting rid of these problems.
Answered by Dr. Deepika Patil 26 minutes later
Brief Answer:
here are some links

Detailed Answer:

I would love to send you pictures demonstrating the excercises but I am really sorry we don't have facility to attach pictures or pdf from our side.

Here are some links which you may follow and they are in easy way.


link 1 and 2 are video and 3rd is pictoral representation. I hope you will find these interesting and easy. You can get many on google but these I felt are adequate.

Wishing for your speedy recovery.

If you don't have any further queries you can close the discussion and rate the response .

Dr.Deepika Patil

Above answer was peer-reviewed by : Dr. Vaishalee Punj
Follow up: Dr. Deepika Patil 2 days later
Respected Madam,
2.5 days of medication are over. I am not getting any relief yet. How long it may take to get observable benefit ?
My left eye ( which is getting closed completely ) is itching and tears are coming down. Is it a matter of concern ? I have applied "Refresh tears" eye drop to lubricate the eye. During sleep I am closing the eye with an eye pad.

Even water is coming down my left nose. Is it a matter of concern ?
Answered by Dr. Deepika Patil 13 minutes later
Brief Answer:
it will take a couple of weeks

Detailed Answer:

The effect won't be seen in 2-3 days, it will take a minimum of 2-3 weeks.

If there is excessive watering from the eyes you should also put some antibiotic eye drops in addition to the artificial tears, as it could be a sign of an eye infection. But for the prescription you need to consult a local doctor.

The excessive nose watering could be your tears flowing into your nose via the nasolacrimal duct.

Hope I have been helpful .

Dr.Deepika Patil
Above answer was peer-reviewed by : Dr. Raju A.T

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication ,  
Medical Topics ,  

Recent questions on  Paracetamol

doctor1 MD

can u help my partner is 29 male and he is on tramadol, celebrex, parACETAMOL and diazepam for severe chronic pain in his back and right leg it has been going on 7 months and since then he has erectile dysfunction and allso difficulty ejaculating he has been given some taladafil from his gp to help but still finds sexual intercourse hard and his ejaculation problemss persist

doctor1 MD

I was given amoxycillin for a chest infection and did not improve after 48 hours, therefore I went back to the GP who then gave me Clarythmomycin as it resulted in pneumonia. I have been off work for 3 weeks now and feel completely washed out and exhausted. I had a chest x-ray which was clear, but was given an inhaler temporarily as I was out of breath and wheezy. I still have an incredible amount of phlegm which has now changed from brown to sometimes green to clear. Unfortunately, for last 3 days, my trachea is extremely bruised to touch and feel as if someone is pressing my windpipe. Although my tonsils aren t swollen, my ear hurts deep inside. I have had to start taking paracetamol again this week as feel weak, wobbly and feel as if I am going backwards again instead of improving. I am 45 years old. Non-smoker.This is the 3rd time I have had pneumonia in 18 years. I am reasonably fit and healthy, and I don t suffer from colds normally, but whenever I come down with something, I seem to suffer with it. How long does it take to get back to normal? Are the trachea symptoms part of the initial pneumonia symptoms or would I need to see the GP again. I am feeling extremely fed up of generally feeling unwell. I am taking a tonic (Metatone) and drinking and eating healthily. Basically, is it normal to feel this unwell for so long.

doctor1 MD

My daughter and grandson and myself went to Melton market last Tuesday seven days ago on. Friday I started to feel unwell, ache all over really bad went to bed at six Saturday developed a real bad head eyes hurt to move Sunday the same feeling like I had been run over by a steamroller, Monday morning after not sleeping found I had a rash all over chest back torso top of legs. I went to doctors they said it was a virus just take paracetamol Tuesday my daughter came and she was just the same all the same symptoms she also had cold sores which she has never suffered from before. I rang my doctor back he feels that we may contracted it from the market the previous Tuesday. What I would like to know is what can it be we are both worried about bird flu as we bought a goose and brought it back in the car with us on that day. I have not had cold symptoms but I feel as if they are just there underneath like slight symptoms like a sneeze or two and a slight feeling of a cold waiting to come out ,should we inform the market because we cant be the only ones to have contracted something that day.? Also I remember Friday night I kept having chest pains like stich but I took no notice thought it was indigestion, I do still have them slightly now.

doctor1 MD

Hi, I think I may have a paracetamol allergy. I have a rash around my mouth and chin. I took one Dolo 650 day before yesterday in the afternoon. Yesterday morning, I woke up with the rash. It has not subsided but it has not got worse either. It is very itchy. What doctor should I consult? Should I go to a skin specialist for immediate relief? Also how to determine for sure if it is an allergic reaction? I may have had a viral infection too as my children had viral fever at that time

doctor1 MD

Hi Doctor, My wife seems to be have mumps , her right cheek is swolen and she has pain. She wanted to take Ibuprofen , however the medicine instructions states check with your doctor if you have asthma . do you have any other pain reliever or pain...

doctor1 MD

Hi..8.5 month old baby got a fever 99 degree Fahrenheit..Baby little irritated. Duty doc only available. Gave babygesic & sinarest af ( .6 ml, 3 times a day)cani give him other foods now? Citrus fruits? Anything to be worried

doctor1 MD

I have a recurring pain in my stmach right side a few inches above my hip, What can it be??