Patient's Query
Hi doctor,
I am a 19-year-old male, my height is 6'2, and my weight is 314 lbs. I have been dealing with muscle twitching for several years. I have been to a doctor and a neurologist, and they have not been able to find the reason for my issue. I get seven to eight hours of sleep a night, and I do not consume caffeine.
It only happens after I masturbate. I will go two to three days without doing it, and the twitching goes away. I then masturbate, and it comes back. I am currently taking 250 mg of magnesium once a day, and I use fish oil for cooking. I am taking Men's one daily.
Thank you.
Hi,
Welcome to icliniq.com.
I would like to know a few more details about your symptoms, so please answer these questions:
Since when have you been experiencing these twitchings?
How many years has this been going on?
Which parts of your body are affected by these twitches? As you mentioned, they have been present for many years.
Are they increasing, remaining the same, or decreasing over time?
Are these twitches visible to the naked eye, or are they only felt internally by you?
Have you noticed any factors that aggravate them, apart from masturbation?
Do you have any limb weakness or thinning of the limbs?
Have you undergone any investigations for these twitches? If yes, please attach the reports here.
How is your sleep generally? How long does it take you to fall asleep after lying down in bed?
Once asleep, do you sleep soundly, or do you experience frequent awakenings?
How is your mood generally? Do you usually feel happy, sad, or worried?
Do you have any other significant medical history apart from these twitches?
What is the composition of the medication called "Men's One," and for what reason are you taking it?
Thank you.
Patient's Query
Hi doctor,
The muscle twitching started in middle school, and I am currently a sophomore in college. So, it has been going on for about seven years.
I experience muscle twitching throughout my body, including my feet, eyelids, hands, chest, arms, back, thighs, face, and calves. The frequency has remained about the same over the years. Sometimes, I will have twitching in one specific area for a few days straight, and then it returns to occurring in multiple areas throughout my body.
The twitches are both visible to the eye and felt internally. I am not sure whether my diet contributes to the twitching, but I have had a high-sugar diet in the past. I have also noticed that when I press on a twitching muscle, the twitching becomes worse and more intense.
Several years ago, I underwent blood tests and was evaluated by a Neurologist to rule out more serious conditions. Unfortunately, I do not have those records available.
I usually fall asleep within five to ten minutes of going to bed. Other than waking up to use the bathroom, I sleep well and do not have frequent awakenings. I generally wake up feeling rested and full of energy.
My mood is usually good. I occasionally worry about certain things, but for the most part, I am happy. I currently have an easy semester, and many things are going well in my life, so I do not feel particularly stressed.
A few years ago, I was diagnosed with borderline diabetes. Since then, I have improved my diet and controlled my sugar levels. I check them occasionally to make sure they remain within a normal range. The last time I checked, my blood sugar was in the 90s.
Men's One A Day is a multivitamin. I take it to help ensure that I get the vitamins and nutrients I need each day. I take it every morning after breakfast, and I started taking it about a month ago.
Thank you.
Hi,
Welcome back to icliniq.com.
Based on the information you have provided, I would suggest the following investigations to help identify or rule out potential causes of your symptoms.
I suggest you undergo these investigations:
T3 (triiodothyronine), T4 (thyroxine), and TSH (thyroid-stimulating hormone).
Serum vitamin B12 level.
NCV (nerve conduction velocity) study and EMG (electromyography) of all four limbs, including brachial plexus studies.
MRI (magnetic resonance imaging) of the brain.
MRI cervical spine with screening of the whole spine.
ANA (antinuclear antibody).
Anti-dsDNA (double-stranded DNA antibody).
ENA (extractable nuclear antigen) profile.
Differential diagnoses are:
Benign fasciculation syndrome.
Cramp fasciculation syndrome.
Anxiety disorder.
Motor neuron disease.
Probable diagnosis is benign fasciculation syndrome.
Among the conditions listed above, some are benign while others may be progressive. However, since your symptoms have remained relatively stable over the past seven years, the likelihood of a benign condition is higher.
I would recommend consulting a neurologist in person for a detailed clinical examination and undergoing the investigations listed above. Once the evaluation is complete and a diagnosis is established, appropriate treatment can be considered.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Was this conversation helpful?
Answered byDr. Hitesh Kumar
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
Can frequent fasciculations indicate benign fasciculation syndrome?
Can muscle twitching be caused by electrolyte imbalance, vitamin deficiency, or post-infectious inflammation?
Does muscle twitching in the arms, elbows, and nose bridge indicate ALS?
Can benign fasciculation syndrome cause muscle twitching?
How to manage diabetic neuropathy along with type 1 diabetes?
Can C8 radiculopathy be confirmed by EMG but not in MRI?
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.