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Is this ALS?

Brain & Nervous System | Last Active: May 26, 2025 | Replies (43)

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Thank you in advance for taking the time to read and reply to my post. I am afraid I have bulbar als or regular ALS. Here's why.All year I had a history of fasiculations, leg stiffness and heaviness and some difficulties with swallowing meats (sensation of it getting stuck in throat)Then in the Spring, at the onset before a bad infection I got sensory symptoms (tingling, burning along with the heaviness, finger spasticity and weakness as well as some mild dysarthria)Then a systemic illness exploded which I know is unrelated to ALS, I developed night sweats and a GI infection and neurological symptoms kind of shiftedfrom there, neurological symptoms exploded and joined forces from the original non sensory symptoms of leg heaviness and fasiculations to clonus, head jerking, worse fasiculations, drool, issues with drool pooling in my mouth, eye issues, burning in legs, speech issues, wet and cold sensations around mouth, phlegmy voice and painful stiff neck.

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Replies to "Thank you in advance for taking the time to read and reply to my post. I..."

That must be so scary for you. Have you seen a neurologist and had nerve testing? Result?

I thought I had ALS ten years ago at 56 when suddenly I couldn’t eat anything without aspirating, trouble chewing and controlling food in my mouth, trouble swallowing. I lost 25 pounds in a month as I became afraid to eat and was just drinking protein drinks. My heart started flipping out from rapid weight loss and lack of food. Two month wait for a neurologist. I already had a history of massive fasciculations, muscle cramps, numbness, tingling, dizziness, legs stop working on stairs, random shooting pains, RLS, pain from pressure when resting my legs on something, fingers quivering, toes started going crazy like a player piano, etc. I already knew I had a rare hereditary neuropathy with pressure palsies (HNPP) but the sudden non-stop dysphagia (occasional in the past) scared me. I didn’t have the drooling but sometimes when I’m chewing something it gets too saucy so I can’t control the food and spit it out. I had the EMG/NCS testing that’s been abnormal since I was first tested at 21 (now 66). I was also tested for MS, myasthenia gravis as my chewing muscles (and other muscles) get weak and fatigued easily. In the end two different neurologists working together ruled out ALS, MS, MG and determined it was still part of my HNPP although the dysphagia is not typical with that, it’s possible. My son has HNPP too (diagnosed w/genetic testing) with some similar and some different symptoms. He has some swallowing difficulties but different than mine.

You definitely have something neurological going on, but there are so many different neurological disorders that have bizarre symptoms that I hope this gives you hope that it may not be ALS. Are all of your neuro symptoms new or do you have a history of some?

Please see a neuromuscular neurologist if you haven’t done so already. 10 years later I still have the dysphagia ( and all the other stuff) but know which foods cause the most issues, keep my head tipped down when eating to avoid aspiration, etc. Frustrating and life altering but not deadly. Prayers for you. ❤️

What is your age? And, just like the previous posters suggested, “See a Neuro ASAP.” Doctors have difficulty with these type dxs, so you know nobody can really rule it out or make you feel better about your worry. Praying, you will be well again very soon. 🙏

AlS manifests itself with weakness and twitching in one spot of the body then migrate to adjacent areas and slowly move around the body… usually starts in the arm, leg or hand. if it starts out random twitching all over the body or in different areas is usually indicative of something different such as BFS…. i’ve had random twitches all over my body for the last seven years. I have no muscle weakness or wasting….. I exercise and I can bench press 200 pounds….. i’m 67 years old. The twitching started when I was around 60.