What can be done to relieve tremors and fasciculations in my hands?

Hello doctor,

I am a 41-year-old African American male. I am 5 feet 11 inches and weigh 280 lbs. I have a muscular build and have lifted weights since my early 20s. Late last year, I started to develop chronic tension-type headaches. I was taking Tylenol and Excedrin on a daily basis. I was referred to a neurologist who sent me for an MRI, which was normal. The only thing he saw was an impacted wisdom tooth. Since then, I started to develop mild tremors in both hands and fasciculation in the right index finger. I consulted a neurologist again. He scheduled me for electromyography (EMG) specifically on my right arm. It was performed two months ago. The EMG results were normal. Gradually, the fasciculations spread across my arms, chest, stomach, calves, and thighs. These are when I am at rest or in a stationary position for an extended period. The minute I move around, they seem to disappear. I also seem to develop a mild case of restless leg syndrome in my left leg. I experience extreme fatigue and muscle pain some days, especially in those areas where the twitches have developed. Lastly, I had some issues with shortness of breath and tachycardia. The doctor put me on medicine to help with my elevated blood pressure. I take Bisoprolol 5 mg to assist with the accelerated heart rate. Should I be concerned?

Thank you.

Hi doctor,

Thanks for the reply.

I am not a heavy drinker. I am more of a social drinker. Hence alcohol withdrawal is definitely not the source of this issue. No one has a history of tremors in my family. I drink energy drinks daily. However, they have never shown adverse reactions. And I have not had an EEG done. Lastly, the tremors are mild at best and very infrequent. My concern was more toward the fasciculations. You did not mention anything regarding those. And how will an MRI detect ALS?

Thank you.