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Short lived muscle twitches and fear of ALS

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Hello I am a 27 year old white male. I am worried I have ALS. I have short lived muscle twitches every now and than. I cant tell if my hands or feet muscles are crapped or just sore, I mean It hurts like a cramp but I have been working out a lot? IDK Maybe I am crazy. I haven't noticed any muscle weakness. I am a hypochondriac (spelling). What are some red flags for ALS ? Is the Muscle weakness noticeable or the twitches? I usually stay very active. Please help me I am freaking out.

Category: Family Physician-GP

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Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.


Thank you for choosing DoctorSpring.

There are enough clues already from your description to say you are probably NOT suffering from ALS. However let's not take any chances here. Could you please share some additional information ? You can reply as a follow up.

1. Have you seen this muscle twitching ? Like small area of muscles vibrating ?
2. Do you feel increased twitching at any particular area ?
3. Do you have any trouble in passing urine or motion ?
4. Have noticed any thinning of any muscle ?
5. Do you feel that your body is rigid or flaccid

Thank you

Patient replied :

Doctor the answer is no to all of these question. My muscles twitches I cant really see I don't think. It doesn't happen that much either

Expert:  Dr. Deepu Sebin Sebastian replied 3 Days.


In that case the answer is a definite NO. The above mentioned ones are indeed the warning signs. There will be localised muscle atrophy and there by twitching at certain localised areas. Random twitching are NOT dangerous. They occur in all individuals. They just mean the muscles are either growing or recovering. No need to worry at all.

Hope this helps
Feel free to ask followup / clarification.

Thank you

Patient replied :

Thank you Doctor!

Expert:  Dr. Deepu Sebin Sebastian replied 2 Days.

Glad to be of help.

Wish you good health from all of us at DoctorSpring

Dr. Deepu Sebin Sebastian
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MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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