25 male here. For the past few months I've been experiencing muscle twitches in various places (calves, thighs, buttocks, triceps, abdomen, ribs, back, shoulders, and even tongue). The twitching has decreased in frequency. However, I still experience them pretty much every day in my right leg and upper back/shoulder area. My right calf is also constantly tight. I also started having problems swallowing, especially small bits of food. I went to an ENT who told me he could see acid reflux damage in my esophagus. He attributed my swallowing problems to GERD. My swallowing has gotten better. However, I often feel like my swallow is incomplete or like something is stuck on the base of my tongue around where it anchors.
The swallowing problems and tongue twitches eventually led me to examining my mouth on my own. That was when I noticed that I had an indent in my tongue about 1/2 and inch from the tip. This indent does not go away even if I leave my tongue hanging out of my mouth. So, I know it is not an imprint from my teeth. The area around the indent also appears to be pale. I then noticed that the left side of the tip on my tongue sticks out farther than the right and that the right side of my tongue looks thicker than the left. I also noticed that my tongue, even at rest, seems to be sitting entirely off center in my month to the left.
Should I be worried? I do have a follow up appointment with my neuro in a week for a follow up on migraines that I was having. But I'm a little anxious and thinking about trying to get an appointment this week. I know there is a condition called BFS, which I decided was the cause of my twitches until I noticed the asymmetry of my tongue.
I have been chewing exclusively on the right side of my mouth for a couple of years now. I started doing it when I had a problem with one of my teeth on the left side and it just became habit. Could this explain the asymmetry? What about the indent and paleness?