Recently Answered Questions
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Is my twitching due to amyotrophic lateral sclerosis?
Query: Hi doctor, About two weeks ago, I started having twitching in the front of my right calf. The next four days, it began to spread to my left calf and thighs. Sporadically I will get them on peck, shoulder, triceps, back near the armpit, and shoulder blade. My lower body nearly always twitches, whi... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern and explain that a normal EMG (electromyography) excludes ALS (amyotrophic lateral sclerosis). The lack of weakness too. For this reason, I think that your symptoms are related to anxiety. Nevertheless, I would recommend checking thyroid hormon... Read Full »
How to cure the muscle weakness and pain in the left forearm and hip?
Query: Hello doctor, I am a 41 year old male. My creatine phosphokinase is mildly elevated. The reports came as 220 twice and as normal thrice. And, there was hemoglobin in my urine test. I constantly have muscle weakness and mild pain on my left side, at the forearm and hip. The weakness started suddenly ... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns about muscle weakness and raised muscle enzymes. The probable diagnosis is polymyositis. People with polymyositis have: 1) A weakness of muscles of the thigh, gluteal muscles, and shoulder girdle. 2) Raised CPK (creat... Read Full »
Can hyperreflexia be neurological?
Query: Hello doctor, I am 37 years old. Three years ago I had spine surgery for herniated disc L5-S1. After the surgery strange symptoms began. Four hours after surgery when I tried to sleep I got myoclonic jerks. Then I had problem with ligaments. My ligaments started to stretch so easily that I began ... Read Full »
Answer: Hi, Welcome to icliniq.com. With MRI 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 effects then please pro... Read Full »
Is there a permanent cure for my prolonged macrocytosis?
Query: Hello doctor, I have had macrocytosis for a long time. My last B12 and folate levels were high. I have symptoms of nervousness, snarkiness, light headedness, palpitations, and sometimes tingling in the hands and feet. It is making me crazy. My MCV is 104.9, MCH 35.6 and last TSH 2.18. I have consult... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Macrocytosis can be present because of hypothyroidism, alcohol, liver disease, etc. Your TSH value is within the limit. So, I do not think a thyroid problem can be the cause. You can get the following tests to rule out liver and kidney problem: SGOT (serum g... Read Full »
Apart from ALS, which other conditions cause muscle twitching?
Query: Hi doctor, I am a 24 year old female. For the last three days, I have noticed continuous twitches on the thenar aspect of my right palm. Today, I searched on the internet and it showed it could be ALS. I am worried. Also, I noticed that my right thenar prominence is a little less than the left. I do... Read Full »
Dr. Hardik Nareshbhai Rajyaguru
Answer: Hi, Welcome to icliniq.com. I do not think this to be ALS (amyotrophic lateral sclerosis). ALS will have little more extensive twitches and at times they are visible on the muscle surface and a number of muscles having the flaccid type of weakness. Fasciculation only for three days without an... Read Full »
Does twitching in the calf muscle mean I have amyotrophic lateral sclerosis?
Query: Hello doctor, I am a 25-year-old female and I am afraid I have ALS. This started with twitching in my right calf muscle two months ago and that has now spread to everywhere. A clinical exam showed slightly asymmetrical brisk knee reflex, and it is brisker on the right leg where it bothers me, not ... Read Full »
Dr. M. A. Toyeb, Nazma Parveen
Answer: Hello, Welcome to icliniq.com. I can completely understand your concern. First of all, ALS (amyotrophic lateral sclerosis) is a condition which requires time to diagnose especially when it is in the initial stages. You said you experience twitching in your muscles. Do you have any other problem... Read Full »
My 4-month-old daughter has very little movement in her legs. What can be done?
Query: Hello doctor, My daughter is four months old. We observed that there was very little movement in her legs. We performed an EMG and an NCV along with a vitamin D test. The report mentions generalized motor axonal polyneuropathy. I could only understand that there is an issue with her nerves in sever... Read Full »
Answer: Hello, Welcome to icliniq.com. It is advisable to do a nerve biopsy along with an MRI (magnetic resonance imaging) of the brain and spine and a detailed physical examination by a pediatric neurologist to come to a conclusion as to what we are dealing with. There are various different types of neur... Read Full »
I am concerned about my Bell's palsy recurrence. Shall I start steroids and Acyclovir?
Query: Hello doctor, I had Bell's palsy before few months, and it resolved within two months. I was treated by a neurologist then. But now I feel that my taste buds are blunt and I cannot taste very well, within the past day or so. I have no other symptoms of Bell's palsy yet, but this is how it started b... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Try finding any other cause of taste loss like consumption of any drug like Metronidazole. If you are sure that no other cause explains it then I will suggest to get NCV (nerve conduction velocity), EMG (electromyography) test because i... Read Full »
Is the numbness in my right leg a normal symptom of peroneal neuropathy?
Query: Hi doctor, I got peroneal neuropathy after bariatric surgery. I have lost 97 lbs in the last six months, and all of a sudden, I was diagnosed with peroneal neuropathy in my right leg. My right leg was numb from the knee down all through my toes, but now the numbness has subsided and only my big toe ... Read Full »
Answer: Hello,Welcome to icliniq.com.Foot drop and impaired sensation on the outer side of the leg below the knee are possible common peroneal neuropathy. But the same can also happen by the involvement of partial sciatic nerve involvement or lumbar plexus involvement or the involvement of roots coming from... Read Full »
I have twitching of different muscles. Can I be sure it is not ALS?
Query: Hello doctor, The last week and a half every few minutes, I got a muscle twitch in random parts of my body. My left eye twitches more constantly than that. I have general anxiety and major health anxiety which I am wondering can play a role. I have no muscular weakness at all, and no atrophy from wh... Read Full »
Answer: Hello, Welcome to icliniq.com. Frequent muscle twitches without any muscle weakness or atrophy and normal reflexes can be due to anxiety. The other possibility can be benign fasciculation syndrome. But before labeling this, it is advisable to rule out other possible grave diseases. Let me suggest... Read Full »