What to expect from a GP consultation for Bell's palsy

The GP may ask whether weakness affects one side of your face, whether it appeared suddenly, and whether you can close the affected eye. They may check your smile, eyebrow movement, eyelid strength, hearing, balance, limb strength, speech, and sensation. These checks help distinguish facial nerve palsy from problems needing urgent assessment. Tell the GP about ear pain, a rash, recent infection, injury, medicines, and any difficulty eating or drinking.

Note the time you first noticed the change and how it has progressed. Bring a list of medicines and mention previous episodes. Depending on the examination and timing, the GP may discuss prescription treatment, eye protection when the eyelid does not close, and a follow-up plan. Do not put contact lenses or eye drops into the affected eye unless advised; ask what type of lubrication or covering is suitable. A referral or further test may be considered if the pattern is unusual or recovery does not follow the expected course.

Seek emergency help for facial drooping with arm or leg weakness, trouble speaking, confusion, severe headache, fainting, or new difficulty walking. These symptoms can indicate a time-sensitive neurological problem. Contact a clinician promptly if you cannot protect the eye, develop severe eye pain or vision change, or notice a blistering rash around the ear.

Ask whether the examination fits Bell's palsy, how to protect your eye overnight, which changes should trigger urgent review, and when your progress should be reassessed. You can also ask whether you need referral, physiotherapy advice, or help with eating, drinking, and facial care.