instruction: hi doctor I am 34 years old and I have facial droop in the lower half of the left side of my face it has been with me for years I would not call it a paralysis or bells palsy as I have full control of my forehead and eyebrows but the lower part when I talk it is noticeable that the lip from the left side is way lower and the nose as well seems lower from one side I was wondering what this could be all the searches online say stroke but I am young and never had any symptoms of stroke so what else could it be and what would you advise me to do
output: hello I would like to know some details about your symptoms when first time you noticed facial drop in left lower half face did it happen suddenly or it happened slowly and gradually did you had any weakness in left arm hand left leg along with had you any change in voice that time have you ever undergone some tests for its evaluation have you any symptom in left ear hearing difficulty ear discharge hearing abnormal sound have you any other significant medical history apart from this facial droop at what time this facial droop is most noticeable at normal forward face look while smiling while speaking while eating while laughing have you any difficulty in swallowing revert with above mentioned information and also I suggest to make a short video of your face in normal smiling speaking laughing and upload here as attachment mri brain ent ear examination serum ace level viral markers hiv hbsag anti hav antibodies nav bilateral facial nerve