Dr. Prakashkumar P Bhatt
Neurology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am having twitches on my tongue and I am really freaking out about them. I looked online and ALS pops up all over the place. I have twitches all over my body that do not bother me at all, but the tongue is really freaking me out. I had them in March and then they went away after a few days. Tests showed I had low magnesium so I upped that. They started again last week, so I increased the magnesium but still having them from time to time. Should I be worried?
Hi,
Welcome to icliniq.com.
Tongue muscles twitching are due to many causes and ALS (amyotrophic lateral sclerosis) is rarest of them. Do you have any weakness in limbs, unable to type on a keyboard, difficulty in using hands or walking? Any history of thinning of limb muscles? If no, then no need to worry it is not ALS.
But still, I will suggest that you do on EMG (electromyography) study to find out what type of muscle disease is there. I am reassuring you that do not worry and overthink about ALS. Do not check in google, you will be more confused and depressed.
I hope this helps.
Patient's Query
Thank you doctor,
No weakness or wasting of muscle. I lift light weights daily and walk for exercise. I work in an office and a writer so I type on a keyboard every day with no issues. My primary doctor believes it is anxiety and some vitamins being off, but it is still scary. I am going to stay off google. I am just glad you think no issue with ALS. That is terrifying. Any suggestions on vitamins to help reduce the twitches?
Hi,
Welcome back to icliniq.com.
Fine, if no weakness and any other issues these twitching is also known as fasciculations are benign in nature, no need to worry. It is a very well known component of anxiety if other symptoms of anxiety are there like palpitations, sweating, tremors, and fearfulness. And yes, vitamin deficiency can cause in some cases especially Vitamin B12 deficiency.
You can take Vitamin B12 and B1 supplement for around a month and see the response, if it goes away then it is confirmed but of not then stop supplements consumption. But anyways this is not ALS so be happy.
Also you can try tablet Clonazepam 0.25 mg at evening time, it will reduce your twitching.
I hope this helps.
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