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I have been having tingling in my legs and sometimes in my fingers.  I have notice slurred speech with a extra silva in my mouth.  I have localized back pain very mild.  Have hamstring weekness and occasional pain in left foot and right fingers.  I also have noticed generalized fatigue.  Is this the start of als?
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351246 tn?1379685732
Hi!
It is very difficult to comment whether your have ALS or not. To confirm that a doctor has to find signs of both upper (muscle weakness, decreased motor control, inability to perform fine movements, increased spinal reflexes, and positive Babinski sign—great toe going up) and lower motor (muscle weakness, abnormal EMG etc) neuron signs in one limb. Symptoms of many of these diseases do mimic ALS. ALS like symptoms can be due to fibromyalgia, chronic fatigue syndrome, severe anemia, 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.
Electromyography (EMG), nerve conduction velocity (NCV), muscle biopsy, etc are done to confirm diagnosis or rule out ALS. Do discuss this with your doctor and get yourself examined. Take care!
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