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29 Years Old Male 145 Pounds 5,3 Tall Medical History

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Posted on Thu, 25 Jun 2020
Question: 29 years old
Male
145 pounds
5,3 tall

Medical history
Ulcerative colitis, recovering from flare, surgery 7 years ago removal of 1.5 feet of colon.
Opiate addiction, last dose of suboxone 8/3/2019 Depression
Anxiety

Medications
Humira
Prednisone (weaning off)
Atenolol
Amoxicillin (got bit by a tick 2 weeks ago)



My hands have been a little shaky ever since I quit suboxone and I’ve noticed I’m very fatigued as well. I also haven’t stopped getting chills since I quit. I have had excessive yawning daily multiple yawns a minute. I am worried this is neurological and I’ve had severe anxiety that has made all of these symptoms worse. What would I need to do to rule out ALS?
doctor
Answered by Dr. Sudhir Kumar (40 minutes later)
Brief Answer:
A clinical examination would help.

Detailed Answer:
Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you.

I have noted your clinical details. Based on this, a diagnosis of ALS (amyotrophic lateral sclerosis) is unlikely. However, a detailed neurological examination would help. If the doctor suspects, an EMG (electromyography) can be done to exclude ALS.

I agree that your symptoms are related to anxiety. There is no need to worry.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (58 minutes later)
Thank you for the reply ! One last thing I forgot to mention was that my thumbs tremble at the muscle if I move them slowly or if I’m not applying a lot of pressure such as resting my hand and thumb on a mouse while at the computer. I also have muscle twitching all over my body and spasm in my right shoulder if I strain it too hard or at a certain angle. Just wanted to include those Symptoms as well since they have been prevalent this week. Thanks again!
doctor
Answered by Dr. Sudhir Kumar (3 minutes later)
Brief Answer:
Noted the additional symptoms.

Detailed Answer:
Thank you for getting back with additional inputs. I have noted these symptoms too.

Muscle twitching all over the body is usually due to benign fasciculations syndrome (BFS). As the name suggests, it is a benign condition and there is no need to worry about it. In fact, anxiety can worsen these symptoms.

Dr Sudhir Kumar
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6229 Questions

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29 Years Old Male 145 Pounds 5,3 Tall Medical History

Brief Answer: A clinical examination would help. Detailed Answer: Thank you for posting your query. I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you. I have noted your clinical details. Based on this, a diagnosis of ALS (amyotrophic lateral sclerosis) is unlikely. However, a detailed neurological examination would help. If the doctor suspects, an EMG (electromyography) can be done to exclude ALS. I agree that your symptoms are related to anxiety. There is no need to worry. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in