Hi. I know you get questions like this all the time, but please....I just need something to hang on to.
I have been twitching (Fsciculating) for approximately 4 months now. It occurs in my feet, calves,
handsHand or foot spasms
Hand tremor,
faceFace pain. Mostly in my calves and feet and prodominately on my left side. I've been to two neurologists and both say it is my nerves. The fist wanted me on
PAXILPaxil
Paxil cr which I tried and did not agree with me. Then I went to a Psychiatrist and he put me on
BusParBuspar
Buspar dividose (which helped only slightly with my anxiety). The second Neuro put me through the clinical exam and said that I have nothing to worry about because the exam shows NOTHING out of the ordinary. I went back to him after a couple of weeks because my
fingersAmputated finger
Amyloidosis on the fingers
Clubbed fingers
Cryoglobulinemia - of the fingers
Finger pain
Herpes zoster (shingles) on the hand and fingers
Janeway lesion on the finger
Kawasaki's disease, peeling of the fingertips
Nail abnormalities
Replantation of digits
Ringworm, tinea manuum on the finger started twitching and he seemed a bit aggrivated because I didn't believe him. I asked him about an EMG and he said that he STRONGLY discourages it and he felt that it would not help my problem and that I would keep finding symptoms related to ALS. I scheduled one anyway but that doesn't come until Jan 22. He did a NCV test on me (because I am a
DiabeticDiabetes education
Diabetes foot care
Diabetic blood circulation in foot
Diabetic emergency supplies
Diabetic expectorant
Diabetic foot care
Diabetic hyperglycemic hyperosmolar coma
Diabetic ketoacidosis
Diabetic nephropathy
Diabetic neuropathy
Diabetic retinopathy) to check the nerve conduction to see if the Diabeties might be playing a role, but that came out normal. I don't believe I have any weakness although being so hypervigilant (SP?) I can feel a slight difference from my left to my right hand. I can also make my feet cramp up very easily by curling my toes.....this scares me as well. I know this posting is all over the place, but I am shaking even when I am typing this because I am so scared. Thanks in advance for your response.
Regards,
Brian
Thanks for your post. I just want to know "why?" this is happening. I was fine 5 or so months ago. I just want to go back to the way I was back then. I feel like I am going to have a breakdown if this twitching doesn't stop. I keep reading different things like "widespread fascic's are NOT normal". I think I need that EMG to have something to say "this is why you don't have ALS." I am only 32 years old and I know it is quite uncommon for someone my age to have this devistating disease, but I feel that because I have Diabeties, the normal stats do not apply to me. My psychologist told me that "Lightning VERY RARELY strikes twice" meaning that being a Diabetic, my bad disease had already hit me and I should be concerned about that and not about having ALS. I do agree (in a way), but I have had Diabeties for 20 years now and have kept it in GREAT control and really don't feel that this is from that. I know you said I can email you, but where can I find your address?
Regards,
Brian
I will email when I am not at work. Thanks again.
I have had my B-12 checked along with my thyroid levels and all were O.K. I also had a Lymes test that came back "Borderline", so the Neuro put me on antibiotics and had it retested and it came back normal.
I think the "NET" is what got me to the place I am now. Basically screwed up and consantly scared. It is the first thing I think of when I wake up in the morning and the last thing I think of when I go to bed. It just plain ole' stinks! Thanks for your post.
I found a psychiatrist/analyst helpful in talking about fears and what they mean to me. An antidepressant and an antianxiety medication (clonazepam, aka "Klonopin") have also been helpful for now.
I still have an EMG and musle biopsy coming up, though. And I have neurology follow-ups and serial MRI's to go through.
I understand completely what you mean though. Although our symptoms are real, they may not be explainable nor do they seem to be disasters. We need doctors worthy of our trust, high quality second opinions when we must (go with a list of questions), get a plan for follow-up and what to watch for, and make a plan to deal with the present. I too know from experience that stressing out only makes things worse.
Make partners out of your doctors.
Good luck, B-Man.
I was in the exact same place you are, a month ago. So frightened that I had ALS I was almost incapaciatated. I ended up having the EMG and the Neurologist told me that he saw absolutely no neuromuscular disease. All blood tests were normal. IT HELPED immensely. He also said that in his experience the people that he tested who did have ALS didn't even know that they were twitching. They apparently didn't feel them. I have thyroid problems, was using asthma meds and was drinking WAY WAY too much coffee. He also said that sometimes it takes time to go away. I am still twitching but "trying" to ignore them. Hope this helps.
ARA
Your tone sounded very familiar. Although I'm still having a hard time calming myself, I am beginning to realize that there is only so much in this world we can control ourselves and that one big job for us all to do is to be patient as we deal with things that we can't control or explain.
Good luck, Brian. To you. . . and to me. . . and to everyone out there.
I'm a 20 year old male, I've been experiencing all the same symptoms you have. I started twitching about 6 months ago. Since then I've been terrified that I had the onset of ALS. Seeing that I'm only 20 years old, this would be an extremely rare case. I've had numerous tests taken, everything but an EMG. My doc said I had anxiety, and we both came to the conclusion I'm a "hypochondriac" so to speak. I've read many forums on Anxiety (GAD) and also hypochondrism, and alot of the symptoms these disorders produce can somewhat mimic ALS, even MS. Nevertheless, I keep thinking I have the worst going on. I'm going to have my FD refer me to a neuro and see what the possible problem could be. Just recently I've been experiencing quite a bit of muscle fatigue, but not really weakness. Anxiety? Maybe. Hopefully my trip to the neuro will help calm me down, and put my mind at rest. It's always relieving your not alone when it comes to these things. Thanks for reading.
-Paul
Ara
http://neuro-mancer.mgh.harvard.edu/cgi-bin/forumdisplay.cgi?action=topics&number=65&forum=Neuromuscular&DaysPrune=365&startpoint=0
Many folks with DIABETES use NUTRASWEET (also called Equal & Aspartame), as an artificial sweetener. Many "dieters" also use NUTRASWEET.
Did you know that NUTRASWEET is a major cause of TWITCHING, and SEIZURES, HEADACHES, and BLURRED VISION, and can cause blindness, brain tumors, mood changes, hyperactivity, upset stomach, and...weight gain?
I urge all "twitchers" to STOP USING ALL PRODUCTS that contain NUTRASWEET, AND/OR MSG (mono-sodium glutamate), and basically ALL ARTIFICIAL INGREDIENTS! Try this for a week, and see if you find any improvement, in the twitching.
There's an interesting book by Dr. Julian Whitaker, M.D. called "Reversing Diabetes" that diabetics (even Type I) could read.
Also, how many of you have Gastro-Esophageal Reflux Disease (GERD), and are taking ACID BLOCKERS as anti GER meds?
Acid blockers cause MALABSORPTION of Vitamin B12, protein, calcium, etc. With no Vitamin B12 being absorbed, people get PERIPHERAL NEUROPATHIES, due to nerve damage (including burning, pins & needles, pain, numbness, weakness, etc. This is discussed in a very supportive and helpful way on the PN (Peripheral Neuropathy) forum, also at http://www.braintalk.org
A helpful book that discusses holistic methods of combatting GERD is STOMACH AILMENTS AND DIGESTIVE DISTURBANCES, by Michael T. Murray, N.D. (1997), that talks about DGL (De-Glycyrrhizinated Licorice), Slippery-Elm, etc. etc.
If the holistic methods work (determined by lessening of GERD symptoms AND monitoring of esophageal damage), one could maybe stop taking nerve damaging ACID BLOCKERS (WITH YOUR DOC'S PERMISSION)!
There is also a good website called PATIENT INFORMATION SHEET ON REFLUX, by 2 ENT (Ear, nose & throat) docs, that gives helpful info on combatting reflux. The docs are James A. Koufman, M.D. and Dr. Postma, M.D. Their website is at http://www.bgsm.edu/voice/pt_info.html
The Massachussets General Hospital website neurological forums at http://www.braintalk.org are being updated tonight, but should be back "on line" tomorrow!
Good luck to all!
Sincerely,
Concerned lady
***@****
http://cantbreathesuspectvcd.com
P.S. Check on the thyroid function too!
I am with you. I understand the good intention of the "NutraSweet" post, but I very rarely use the stuff and I am not a diet soda drinker (or any soda for that matter). I also got my thyroid levels checked and it was whithin normal range. One thing that I started trying this week was taking Calcium supplements. I know I don't get my share of Calcium (never drink milk - only in my one cup of coffee a day). It does seem to make a bit of a difference. Even thought the twitches are still with me, they seemed to calm down considerably. They are more like random twitches everywhere that occure every couple of minutes. Once or twice then it moves on to somewhere else. I am taking this as a "good" thing. If this were ALS, I would think that the twiches wouldn't really slow down at all, only when the muscle is basically fully deteriorated. I suggest on giving the Calcium thing a try if you haven'y doen it before. I am not a vitamine nut, I just was on my last straw and I had to try something. I wish you well and if you decide to try it, whish you luck with it. It's really nice to know that I am not alone and crazy with this thing, but it is not nice to know that so many suffer from this disturbing, scarey disorder. Good luck and try to have a fantastic holiday - to all!!
Regards,
Brian
Glad to hear you both DON'T use Nutrasweet, or ACID BLOCKERS! I like the idea of the CALCIUM (if it is compatible with any meds you are taking.) Also, MAGNESIUM (not in excess) works with Calcium! (if OK in your particular cases).
When they get the http://www.braintalk.org forums up and running again, you might want to check out their many helpful and supportive neurological forums, as an additional resource!!
Do you both also avoid MSG??? It can be HIDDEN in many ingredients! I've heard that MSG is a neuro-toxin! (Also it's called "accent").
Anyway, I wish you all the best!
Sincerely,
Concerned lady
***@****
http://cantbreathesuspectvcd.com
Brian, you can still feel free to Email me if you want at anytime at my Email address above, or if anyone else with this problem wants to they can Email me too. I tried to bring up the website suggested by the degreeofsanity post that was listed above, but could not get it to work. I will probably try the braintalk.org site when I get a chance. Hope everyone has a Merry Christmas. Robyn
Muscles can spasm from many, many causes, including a potassium &/or sodium deficiency, and with dehydration sometimes a factor.
Are you on a very low sodium diet? Too much sodium can raise blood pressure in some people, but too little can also cause problems.
If medically OK in your case (and if you like them), RAISINS are a very rich NATURAL source of potassium. Some diuretics can cause a loss of potassium in the urine.
Too much potassium or too little potassium can both cause heart irregular rhythms, so don't overdo or underdo (it's a fine line!) on potassium. Food sources are safer than concentrated pharmacy sources of potassium, unless your doc says otherwise.
If you're not allergic to almonds, ALMONDS are very rich in CALCIUM AND MAGNESIUM, and have potassium.
You could try making what we used to call "GORP" ("trail-mix"), out of ORGANIC RAISINS, and ORGANIC ALMONDS, and see if it helps.
Of course there may be other things going on, too, which good neurologists, good vascular docs, good rheumatologists, good endocrinologists, good infectious disease specialists, good hematologists, etc. can help you diagnose, and I wish you and everyone good luck on solving your health problems.
Sometimes a very good holistic NUTRITIONIST may recognize symptoms and can steer you toward a good specialist doc, besides advising about diet and/or supplements!
Keep asking questions!
Sincerely,
Concerned lady
***@****
http://cantbreathesuspectvcd.com
ara
Also check on all possible side effects of any meds you are taking. AND check on any possible drug interactions BETWEEN all meds you are taking.
Good luck to all!
Sincerely,
Concerned lady
***@****
http://cantbreathesuspectvcd.com
YAAAAHHHHOOOOOOO!!!!!!
Congratulations B-Man. aj1962 hit it on the head. Stay away from the net on ALS. I found out about a month ago that I have als. Any time I looked on the net at the disease it made me sick. the best thing I found to do is Pray because after you have it someone besides your self needs to be in control of the rest of your life.
Dear ddcile: I looked up fibromyalgia and it is the FIRST time I've ever read anything that mentioned all my symptoms. I was amazed. Thanks for your help!
Dear fairy dust: Thanks for your input. I wish you the best of luck. We can all be here for eachother!
I went to the Neuro this afternoon and brought him a dozen donuts from Dunkin' Donuts. I told him that it was taking up so much of his time with my panics. He laughed and went on to ask me what was bothering me today. I told him about my tongue twitching and all of my other twitches again. My thumb hasn't stopped for about two weeks now. It twitches about once every 30 seconds or so. How annoying!!!! I had a list of questions for him this time and I hope this will start putting an end to this misery. My questions were as follows:
1) Is tongue twitching any more of an indicator of ALS?
His reponse: No, not at all. Twitching isn't an indicator of ALS at all. The indicator is weakness, reflex changes, spaticity, and so on. MANY people have twitches. Some are more tuned in to them so they become more bothersome.
2) What causes this twitching stuff?
His response: No neurologist can answer that question. It is not known what causes this benign form of twitching. Don't try to get an answer because you probably won't find one.
3) How many people have you tested with ALS?
His response: Aproximately 15 to 20 people during my practice.
4) And you did the preliminary diagnosis?
His response: Yes.
5) How many EMG's do you perform weekly?
His reponse: Myself....I do about 5 per week.
6) My EMG indicated Diabetic Neuropathy and Carpel Tunnel in my right hand. Can this diagnosis be mistaken and it actually could be the start of ALS?
His Response: No. The results of these findings are entirely different than ALS findings. Your needle portion of your EMG was squeeky clean.
6) Can you say with 99.9% certainty that I do not have ALS?
His response: You have no signs of ALS. Yes I can.
After these questions, he went on to check my tongue for complete certainty and he said everything looks fine. Bulk looks good and no visible twitching.
His suggestion was to see the Psychiatrist again and adjust the Buspar or add something to it. He really feels there is the true problem of Generalized Anxiety Disorder and the things I am going through right now are VERY common in this disorder. He said this is not my fault and that there is a mix-up in the brain which is making me get in such a panic about these twitches. He said to try and take his word and go and live some of my life. Don't let it slip away worrying that I have some dreadful disease when absolutely nothing points to such a thing.
I have had CT, MRI's, MRA, and ultrasounds of all arteries done as well as blood work. I have Lupus so of course they have gone with the idea that I have had a TIA. I'm now on Asprin and Plavix.
All tests have come back normal. My problem is my symptoms continued. The last week or so they eased up but yesterday something weird dhappened. After a 45 min walk yesterday I was sitting talking with a friend and my arm LEFT arm suddenly went very weak on me. It felt very heavy and weak. I went to go grab my beverage and I could in fact lift it, it just felt strange. I could feel touch to my arm but it felt kind of different I can't really explain it. This hole experience only lasted maybe seconds and I have had this happen before.
I have problems with anxiety and I keep wondering was this a TIA event or was this all in my head???? If it was a TIA why aren't these showing on my MRI's? I have an appt. with my doc on Tuesday and will tell him then. I hope I'm not making a mistake waiting but I have had every test in the book done! Should I go wait 5 hours in a ER room just for a CT when I have already been through all of this?
Aren't I relatively safe on the asprin and Plavix?
Of course all this worrying I now have a headache and I'm driving myself crazy thinking the worst.
I must sound crazy but I'm 33 and I have just been through so much lately and I'm getting to the point I'm scared to even enjoy my life.
Can anyone relate? Please give me your thoughts to all my questions if you would it would be greatly appreciated.
Sincerly,
PJD
** just a note I'm currently getting a cardiac workup to rule out anything there.