Thank you for posting your query at DoctorSpring.com
I have noted your symptoms and would like to reassure you that you do not have features of ALS.
A recent EMG has been done and I do not see a need to repeat it so soon.
The twitchings are benign fasciculations, which are getting aggravated by anxiety.
You would do well to take an anti-anxiety medication such as clonazepam tablets.
Feel free to discuss further,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist