Dear friend,
No doctor can 100% rule out ALS. but i can still console you by saying that, if we leave the probability factor aside, you don't look to be suffering from the same, or even MS.
To diagnose MS/ALS, the doctor needs to correctly co-relate the signs/symptoms along with the scan findings......
Lets think this condition as per the initial diagnosis only ie benign fasciculation syndrome and plan accordingly.
1) increase magnesium in the diet, by increasing peanuts/honey/wheat/soya in diet.
2) stay away from unwanted stress as in sub-conscious level stress can cause these symptoms.
3) give relaxation to the muscles, which is another reason for the unwanted fasciculations.
If after taking these measures fasciculations continues, then we need to re-plan, else forget the other conditions.
Regards....
Feel free to discuss more..
Did you tafe a quionolone antibiotic prior to these symtoms such as ciprofloxacin, levaquin, avolox or others?