Als

ALS, otherwise called amyotrophic lateral sclerosis, is a type of degenerative disease that affects the nerve cells in the brain and spinal cord that control voluntary muscles. The symptoms include difficulty walking, falling, leg weakness, muscle cramps or twitching, and behavioral changes.

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What could be the twitches in body with no atrophy?

Query: Hello doctor, I am a 38-year-old male. I am concerned about the possibility of ALS/MND. My symptoms to my knowledge started around August 2018 whilst doing a nursing degree at university. I developed a trapped nerve in my left ulnar nerve after sitting an exam and this seemed to trigger the event...  Read Full »


Dr. Aida Quka

Neurologist

Answer: Hello, Welcome to icliniq.com. I understand your concern and would explain that your symptoms are not suggestive of ALS (amyotrophic lateral sclerosis) or MND (motor neuron disease). You should know that there are a lot of benign causes underlying twitching (fasciculation), including anxiety, ...  Read Full »

Should I be worried about my tongue twitches?

Query: Hello doctor, I am having twitches on my tongue and I am really freaking out about them. I looked online and ALS pops up all over the place. I have twitches all over my body that do not bother me at all, but the tongue is really freaking me out. I had them in March and then they went away after a f...  Read Full »


Dr. Prakashkumar P Bhatt

Internal Medicine Physician, General Medicine Physician, Neurologist

Answer: Hi, Welcome to icliniq.com. Tongue muscles twitching are due to many causes and ALS (amyotrophic lateral sclerosis) is rarest of them. Do you have any weakness in limbs, unable to type on a keyboard, difficulty in using hands or walking? Any history of thinning of limb muscles? If no, then no ne...  Read Full »

Do widespread muscle twitching indicates ALS?

Query: Hi doctor, I am a 20-year-old male. For the past seven months, I have had widespread muscle twitching. The most annoying ones occur in my eyelids. I am diagnosed with anxiety and OCD, and I took Lexapro for 90 days. A couple of days ago, I was instructed by my doctor to stop the Lexapro due to...  Read Full »


Dr. Upendra K Shah

Neurologist

Answer: Hi, Welcome to icliniq.com. I would like to know how it started and progressed in detail. How it was with the said medicine? Please answer a few more questions. Is there any weakness of hands or leg or anywhere? Is there any abnormal sensation or loss of sensation? Is there any loss of muscle ma...  Read Full »

Is EMG test reliable in detecting ALS?

Query: Hello doctor, I was smoking weed for almost six years daily. Last July, I stopped, and then I started to have panic attacks with heart palpitation. I went to a cardiologist and everything was fine. But since then I became so anxious and I was aware of everything going on in my body. After that, I s...  Read Full »


Dr. Upendra K Shah

Neurologist

Answer: Hi, Welcome to icliniq.com. I understand the problem you are facing, it is partly due to anxiety and partly due to nerve and muscle hyperactivity. Coming to your specific questions: Yes, fasciculations and weakness in ALS (amyotrophic lateral sclerosis) come together, actually, weakness comes f...  Read Full »

Is forgetting to swallow along with muscle twitches a symptom of ALS?

Query: Hello doctor, I am a 42-year-old female, in good health aside from anxiety (currently taking 5 mg Citalopram). A month ago, I suddenly experienced muscle twitching all over both legs and this went on for two weeks. I took magnesium and it subsided and has not really returned except for an occasiona...  Read Full »


Dr. Ds Bakshi

Internal Medicine Physician, General Medicine Physician

Answer: Hi, Welcome to icliniq.com. Twitching of muscles can be due to anxiety as well as Citalopram. What is important is that you mention having them before initiating Citalopram. So it is unlikely to be due to the drug. If it is occasional then you should rather not bother yourself because twitching i...  Read Full »

I have body fasciculations with no numbness and tingling. Is it ALS?

Query: Hello doctor, Six months ago, following a mild concussion, I started to have symptoms that were vaguely consistent with bilateral cervical radiculopathy. The cervical MRI showed severe stenosis and disc herniation at the C6-7 level going right and C5-6 going left. The worst symptoms were numbness...  Read Full »


Dr. Sudheer Ambekar

Neuro Surgeon, Neurologist

Answer: Hi, Welcome to icliniq.com. It is highly unlikely that the EMGs (electromyography) are clean in the presence of muscle wasting and fasciculations. I believe the symptoms and signs you are experiencing are due to cervical stenosis and not due to ALS. A C6-7 disc herniation can cause all the sympto...  Read Full »

Should I worry about ALS if I have constant muscle twitching in feet and legs?

Query: Hello doctor, I have been having tiny random muscle twitching all over my body which seems like a constant thing at bottom of my feet, in both legs, both forearms, and even my stomach for almost two months now. I am scared of ALS diagnosis. I do not have any muscle weaknesses or balancing problems....  Read Full »


Dr. Aida Quka

Neurologist

Answer: Hello, Welcome to icliniq.com. I read carefully your question and would explain that your symptoms do not seem to be related to ALS (amyotrophic lateral sclerosis). You should know that there are a lot of benign causes underlying muscle twitching like anxiety, physical activity, thyroid gland d...  Read Full »

Where are my symptoms leading to?

Query: Hi doctor, My symptoms over the last four months are as follows. I sat down on my mother's bed and could not get up. I had severe pain in lower back on left side shooting down my leg. They felt like electric shocks and it lasted for a little over a week. During that time I had a lot of memory issue...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hello, Welcome to icliniq.com. These all symptoms could be unrelated but can be related too. In my opinion, you should be evaluated for multiple sclerosis. A person with ALS (amyotrophic lateral sclerosis) or multiple sclerosis (MS) can have almost any neurological symptom or sign. Autonomic, visua...  Read Full »

Why do I get muscle twitches in several areas without any muscle weakness?

Query: Hello doctor, I have been experiencing muscle twitches, in several areas of my body, for a period of three weeks. It stared in a small area in my back, then stopped. Returning in my right hip and since then the twitching has appeared at my right shoulder, both thighs, both hamstrings, both calves, ...  Read Full »


Dr. Sudheer Ambekar

Neuro Surgeon, Neurologist

Answer: Hello, Welcome to icliniq.com. Twitches are seen in ALS (amyotrophic lateral sclerosis). However, they usually start in the hands and are accompanied by the thinking of muscles or atrophy of muscles. A much more common cause of twitches is anxiety leading to hyperventilation leading to decreased ...  Read Full »

Can vitamin deficiency cause muscle twitching?

Query: Hi doctor, Before a week, I began having twitches and tingling in both legs from the knee down. For some time now, probably 6 months or more, I also began feeling that my legs were heavy and just general weakness all over, not really muscle weakness. I am also a gastric bypass patient and have a his...  Read Full »


Dr. J Mariano Anto Bruno Mascarenhas

Family Physician, General Practitioner, Neuro Surgeon, Neurologist, Spine Health Specialist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com. Vitamin B12 deficiency can cause subacute combined degeneration of the cord. So, the treatment is daily Vitamin B12 or Vitamin B complex supplementation for 12 weeks. Your vitamin D levels are also low. The treatment is Vitamin D capsules 60000 IU every Sunday for 12 ...  Read Full »

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Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.