Tongue fasiculation

[FreddyTeddy]

I am having problems deciding whethere or not my tongue is fasiculating. I find it difficult to keep it still when extended and it seems to twitch all over the place, this lessens after a while as I try to consciously relax it. When I use a piece of tissue to holdthe tip of my tongue and extend it there are no twitches whatsoever. Would fasiculations still appear if they were ALS related?

[FreddyTeddy]

Thank you for your answer to my question. Today ny neuro diagnosed peripheral neuropathy and said ALS/MND was most unlikely because of widespread symptoms in all limbs appeared so quickly. With peripheral neuropathy will the symptoms resolve and improve?

[Christopher R Newey, DO]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.

Typically, the tongue is evaluated at rest (i.e., within the mouth and relaxed) to determine fasciculations. The diagnosis of ALS requires additional findings, not just fasciculations of the tongue. If you have any findings of weakness/numbness, difficulties swallowing/speaking, etc, it would be worthwhile to be evaluated and perhaps be referred to a neurologist.

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.