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Right Hand outer Palm twitching
I am a 30 year old and in good health although i have recently been told i have high blood pressure.  i do work in a very high stress job and recently have noticed that the outer part of my hand along the palm has been twitching randomly throughout the day.  There is nothing that I am doing different however I have been on a diet recently which has been primarily protein based with no to little carbs. These twitches come from time to time during the day and have been going on a week.  I did have the same problem last year, but it was in the left hand and was my left finger that would twitch.  Eventually, this went away but I cannot remember what I did (if anything) to remedy the situation.  I have no pain, no cramps and dont think I have done anything to damage any nerves in my arm other than I did in the past month start using free weights again in lifting.  If someone could shed some light on this it would be greatly helpful.  NOt sure if its a deficiency in something or something more severe but it definelty worries me.
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Hi there.  There are certain causes responsible for muscle twitching like diet deficiency, drug overdose, and side effects of diuretics, corticosteroids, estrogens, exercise, benign twitches, and nervous system conditions like amyotrophic lateral sclerosis or ALS, muscle dystrophy, spinal muscular atrophy and myopathy. Your neurologist needs to look into these conditions one by one. The other possible cause could be multiple sclerosis and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. Therefore, it would be prudent to consult your neurologist with these concerns. Causes of strokes can be investigated like high blood pressure and high cholesterol along with brain hemorrhage. Take care.
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