Dr. Upendra Kumar Shah
Neurology
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Patient's Query
Hi doctor,
I am a 37-year-old male. I am experiencing some symptoms. I am concerned about ALS and MS. Twelve months back. I started to have pain in my left thumb after applying some force with it. I started to have a similar issue with the right index finger too. My thumb issue persisted but the finger pain went away after few weeks. I do not have any weakness in my hand. Eleven months back, I started to have intermittent twitches on my right biceps. It happened for several times a day. I noticed some widespread intermittent twitching in my arms, hands, eyelid, lips, chest, legs, and calves. But my twitching in biceps and fingers persisted and others went away after some days. After that, I started to have leakage of few drops of urine after urination. I also noticed an electric shock sensation in my wrist after having a bump on the underside of the wrist. Four months back, I over-exerted my arms by doing weedeating a yard. After that, my arms started to have soreness or stiffness sometimes. I am scared about ALS or MS.
Hi,
Welcome to icliniq.com.
Fasciculations are not seen in MS (multiple sclerosis). ALS (amyotrophic lateral sclerosis) occurs with fasciculations accompanied by weakness and loss of muscle mass. They do not subside spontaneously. Pain in fingers on applying pressure indicates tenderness. They are either seen in MS or ALS. Leakage of few drops of urine is a normal thing. Bladder bowel control gets affected in the end stage of these two diseases. The median nerve passes on the underside of the wrist and so if you have bumps in this area, you can have an electric shock sensation. It is seen in carpal tunnel syndrome. It is not seen in MS or ALS.
Patient's Query
Thank you doctor,
Do these symptoms point to anything? Does anxiety cause it? What is the cause of arm achiness or stiffness?
Hi,
Welcome back to icliniq.com.
All these symptoms are non-specific. Definitely, you have anxiety and it causes trouble in you. You need to check your serum electrolytes, blood sugar, thyroid, calcium, and vitamin D levels. Achiness occurs due to overstretching of ligaments of arms. You can take Aceclofenac for five days.
Patient's Query
Thank you doctor,
I had some tingling sensation in my left hand a couple of times in the last week. I have achiness and urinary issues. Do these indicate MS?
Hi,
Welcome back to icliniq.com.
This does not indicate MS. This is seen in carpal tunnel syndrome. Do evaluation using nerve conduction study. Consult a local physician or neurologist for having a physical examination.
Patient's Query
Thank you doctor,
Do these symptoms does not indicate MS definitely?
Hi,
Welcome back to icliniq.com.
You do not have symptoms of MS. Your symptoms are due to peripheral nervous system issues while MS is a disorder of the central nervous system showing focal deficits, slowness of movements, ataxia, tremors, and loss of sensations.
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Neurology
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