Treatment of Bell's palsy includes which of the following?

• A. Acyclovir 400 mg tid
• B. Reassurance
• C. Referral to a neurosurgeon
• D. Electromyography

Answer: (B)

Bell’s palsy is typically idiopathic and follows an often self-limited course, with many patients regaining most or all facial function over weeks to months. Because of this natural history, the most appropriate approach is reassuring the patient about the prognosis and focusing on supportive care to protect the eye and minimize complications while recovery occurs. Eye protection with lubricating drops and, if needed, taping the eyelid to prevent corneal injury are key parts of management. Antiviral therapy such as acyclovir has not shown a consistent benefit in uncomplicated Bell’s palsy, and tests like electromyography or referrals to neurosurgery do not change management in typical cases unless there are red flags or atypical features. Thus, reassurance with supportive care best fits the scenario.