ADVERTISEMENT
ADVERTISEMENT

Q. Is it possible that my muscle twitching and cramps are early signs of ALS and EMG missed it?

Answered by
Dr. Aida Abaz Quka
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 20, 2022

Hello doctor,

I am extremely concerned that I have ALS due to twitching and cramps. I recently had an EMG performed, a nerve test, and other reflex tests. The neurologist said that I 100 % do not have ALS. I was willing to accept this, but I have some questions. Is it possible that I have bulbar ALS and an EMG missed it? Sometimes I slur my words. Also, is it possible that I have early symptoms and the EMG did not detect them? Please give me your valuable insight on this.

Thank you.

ADVERTISEMENT
#

Hello,

Welcome to icliniq.com.

Thanks for writing in, and I understand your concern. It is not possible to have early signs like muscle twitching as they are present at a later stage of amyotrophic lateral sclerosis (ALS) when muscle wasting is present. Bulbar ALS can be detected on electromyography (EMG). Besides, in bulbar ALS, the gag reflex is diminished, there is persistent dysphagia. So, I do not think you have ALS. There are a lot of benign causes of underlying muscle twitching. I recommend getting vitamin D levels, vitamin B12 levels, thyroid hormone levels, and blood electrolytes. I would also suggest avoiding caffeine intake and taking plenty of fluids to stay well hydrated.

I hope this helps.

Regards.

Hello doctor,

Thank you for your response.

Do you think that this is in my head that I might slur my words? Also, is my difficulty in swallowing persistent? Could you please clarify this for me?

Regards.

#

Hello,

Welcome back to icliniq.com.

Yes, I think your anxiety is causing you difficulties in speaking. The difficulty in swallowing is usually persistent and progressive in ALS. So, I think that this is not your case. There is nothing to worry about. So, try to relax and do not worry about it further. I would recommend you to take magnesium supplements 300 mg to 400 mg daily to help improve your symptoms.

Regards.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
I have hyperreflexia. Can this be neurological?

.. brain, spine, EMG (electromyography) and genetic workup being normal, it seems unlikely to be neurological. One think to look at would be what anesthetic agents or medicine you received during your surgery. If it has any long term such side effec...   Read full

In ALS, are symptoms present on both sides of the body?

.. your query and understand your concerns. I can state with 100 % confidence that no ALS (amyotrophic lateral sclerosis) presents over the 18 years. It is a progressive illness and once started, there is gradual deterioration. As symptoms experience...   Read full

Is it possible to have ALS with nil EMG findings?

.. 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 c...   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask a Neurologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare 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. Read our Editorial Process to know how we create content for health articles and queries.