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28 female, bulbar concern
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28 female, bulbar concern

I had a normal ssep , eep, emg neddle of limbs, MRI , blood work, however I have lip atrophy and mild tongue weakness . Chewing feels harder to matificate. I have constant twitches widespread . I'm very concerned about bulbar als.  Woud it show up in emg even if the bulbar area was. Or tested. Please help me.
351246_tn?1379685732
Hi!
Yes, symptom-wise, bulbar ALS is a possibility. However, there is no specific test for bulbar ALS. Diagnosis is by ruling out other conditions such as spinal nerve compression high up in the cervical spine, ankylosing spondylitis, osteoarthritic changes of the vertebrae, calcium deficiency, low Vit D, electrolyte disturbance, peripheral neuropathy due to diabetes or hypothyroidism or due to bad posture. Lyme and lupus are the other possibilities. Do discuss this with your doctor and get yourself examined. Take care!
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