Sorry, I just saw you wrote about tingling and numbness on one side. How long did that last? Was it just the one episode?
I am not an expert, but I would not worry about ALS. Ususally, with ALS you only live about 5 years after dx. I dont know all of your symptoms, but muscle twitches can be benign-many people have them and they are nothing to worry about, and they also can be a symptom of MS, but I am doubting that as well because you seem to have such little symptoms over so many years and men sometimes are worse off with MS then women.
I have had MS-like symptoms for 23 years. I was tested for MS many years ago and then had MRI's done again 6 years ago. They were clear both times, but I did not pursue a dx any further. I do feel I have MS and I am taking a holistic approach to it with diet, exercise etc.
As for the lump in the throat, I have that when I am anxious. Also, in MS trouble swallowing is a symptom but you say you do not have that.
What other symptoms do you have? Try not to worry, I am positive you do not have ALS, and if you had MS, most likely you would have more symptoms by now.
maybe they were right, and now you caught another virus!
to have difficulty swallowing because of ALS there should be more going on.
lump down the throat is one of the symptoms of a allergic reaction