Q. How to treat slow progression amyotrophic lateral sclerosis?

Hi,

Welcome to icliniq.com.

I understand your concern.

I would like to know some details about your symptoms:

1. In which body parts, do you have twitching?

2. Are these twitching visible to the eyes? Or only felt inside?

3. Have you noticed any weakness or thinning of some part of arm or leg muscles? If yes, please describe.

4. Have you noticed any situations in which these twitching get increased? If yes, please tell.

5. How is your common mood today? Is it usually towards happy, toward sad or toward worried?

6. How is your sleep usually? Do you get sleepy quickly after laying in bed? Do you have frequent awakenings in night?

7. Have you undergone some investigations for this symptoms? If yes, please send as attachment.

The investigations include T3, T4, thyroid stimulating hormone (TSH), serum vitamin B12, ECG (electrocardiogram), nerve conduction study all four limbs, serum calcium, and serum magnesium.

The differential diagnosis include-

1. Benign fasciculation syndrome.

2. Anxiety disorder.

Only twitching's cannot fulfill the diagnostic criteria for diagnosis of amyotrophic lateral sclerosis. There are many other possible etiology for twitching's.

Though ALS is progressive disease, with time more symptoms may appear.

Though no new symptoms in two years, make the possibility of ALS is lesser. Still, there are no tests or clinical methods to rule out ALS. ALS is diagnosed by clinical judgement and criteria supported by investigations.

Revert with above mentioned information for better understanding and further judgement.

Hi,

Welcome back to icliniq.com

Possibly these are fasciculations. If no other symptoms or weakness or muscle thinning, and no further progression over two years, possibility of ALS is down. With worried mood, chances are :

1. Anxiety disorder.
2. Benign fasciculation syndrome.

Hyperthyroidism needs to be ruled out.

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

Dr. Hitesh Kumar

Experience: 22 + Yrs

Neurology

---

Related Questions:
Is snoring a symptoms of amyotrophic lateral sclerosis?

Snoring is not a symptom of ALS (amyotrophic lateral sclerosis), but the obstruction of the airways causes it, probably caused by the weight gain ...   Read full

Developed muscle twitching and shaking all over the body. Could it be something serious?

.. carefully through your question and would explain that we can exclude ALS (amyotrophic lateral sclerosis), considering the fact that you have sensory complaints (tingling and burning sensation). From the other hand, this would be an exceptional diagnos   Read full

Can muscle twitching affect eye and electromyography to rule out amyotrophic lateral sclerosis?

I think that this is just a little stress and anxiety ...   Read full