The symptoms of medullary bulbar palsy, also known as true bulbar palsy, are related to the specific cause of the disease, but there are usually typical symptoms, such as difficulty in speech, vocalization, swallowing, etc.; symptoms related to the original disease, such as limb weakness, paralysis, etc., may also occur. 1. Difficulty in speech: it may appear at the earliest stage, which often manifests as dysarthria and easy fatigue, especially when it is necessary to raise the voice and aggravate the intonation. 2. Difficulty in vocalization: it usually manifests as hoarseness in the early stage, and in the later stage, it may manifest as loss of voice and severe difficulty in inhalation. 3. Difficulty in swallowing: complicated symptoms such as difficulty in swallowing, choking on drinking water, and weakness in chewing may occur. 4. Symptoms related to the original disease: medullary bulbar palsy is mostly caused by stroke, intracranial infectious diseases, intracranial tumors, traumatic brain injury, etc. Symptoms such as limb weakness, impaired consciousness, paralysis, somatosensory disturbances, headache, nausea, vomiting, and increased intracranial pressure, etc., are often seen. If the above typical symptoms occur or if you have a primary disease with the above symptoms, you should consider medullary ball palsy and seek medical treatment in time to avoid delaying your condition.