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ALS

by Zigzagz, May 27, 2008 11:56PM
Hi,

     Ive been having Muscle Fasciculations for about 2 months I have not noticed any weakness but Ive only been tired and some day's my muscles will ache. They just suddenly happened all over my body at once and they have not ever stopped in these 2 months its just in a random muscle and at the moment I'm pretty scared I'm 21 years old I really I'm trying not to worry but its just the twitches happen all day and I can't stop thinking about it.  Any answer would help and I know I need to go to a doctor I just want some clarification they never started in one part they just all of a sudden where ever where all day.  Would, if I had ALS notice some sign other then Muscle twitching or could it take longer? like Weakness I kinda have noticed mucus in the back of my throat and have to clear it out a lot could these be a sign.  I also have a slight haze of breathe.

Ryan
Member Comments (1)

by DrKalraMD, May 28, 2008 12:06AM
Hi, here is some quoted literature “About 75% of people experience "limb onset" ALS. In some of these cases, symptoms initially affect one of the legs, and patients experience awkwardness when walking or running or they notice that they are tripping or stumbling more often. Other limb onset patients first see the effects of the disease on a hand or arm as they experience difficulty with simple tasks requiring manual dexterity such as buttoning a shirt, writing, or turning a key in a lock.

Regardless of the part of the body first affected by the disease, muscle weakness and atrophy spread to other parts of the body as the disease progresses. Patients experience increasing difficulty moving, swallowing (dysphagia), and speaking or forming words (dysarthria). Symptoms of upper motor neuron involvement include tight and stiff muscles (spasticity) and exaggerated reflexes (hyperreflexia) including an overactive gag reflex. An abnormal reflex commonly called Babinski's sign (the large toe extends upward as the sole of the foot is stimulated) also indicates upper motor neuron damage. Symptoms of lower motor neuron degeneration include muscle weakness and atrophy, muscle cramps, and fleeting twitches of muscles that can be seen under the skin (fasciculations). Around 15–45% of patients experience pseudobulbar affect, also known as "emotional lability", which consists of uncontrollable laughter, crying or smiling, attributable to degeneration of bulbar upper motor neurons resulting in exaggeration of motor expressions of emotion.
To be diagnosed with ALS, patients must have signs and symptoms of both upper and lower motor neuron damage that cannot be attributed to other causes”. Taken from website
http://en.wikipedia.org/wiki/Amyotrophic_lateral_sclerosis

Your symptoms are not suggestive of ALS, please cut down on coffee and take some anti anxiety medication for a week or so, even after that symptoms persist, get MRI brain along with blood tests for calcium, potassium, CPK, vitamin B done.
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