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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hi my boyfriend twitches at night while he is falling

Answered by
Dr.
Dr. Arnab Banerjee

Critical Care Specialist

Practicing since :2012

Answered : 1290 Questions

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Posted on Sat, 23 Feb 2019 in Brain and Spine
Question: Hi my boyfriend twitches at night while he is falling asleep. It has been going on for almost 2 years now. He has no weekness or anything. And the doctors don’t think it’s of any concern. But I am extremely paranoid he is going to get MND I can’t get it out of my head and I am in constant worry that he is going to get it. How likely or rare would it be please can you give me some reassurance
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Follow up: Dr. Arnab Banerjee 0 minute later
Hi my boyfriend twitches at night while he is falling asleep. It has been going on for almost 2 years now. He has no weekness or anything. And the doctors don’t think it’s of any concern. But I am extremely paranoid he is going to get MND I can’t get it out of my head and I am in constant worry that he is going to get it. How likely or rare would it be please can you give me some reassurance
doctor
Answered by Dr. Arnab Banerjee 1 hour later
Brief Answer:
Not likely, no need to worry...

Detailed Answer:
Hello and welcome to 'Ask A Doctor' service...
I've gone through your query...
I can understand your concerns...

First of all, please note that a disease like MND is, in fact, quite a rare one, and by the dictum of medicine, rare diseases happen rarely, in fact, even in day to day practice, they are actually seen quite rarely...

Even if we consider numbers, the incidence i.e. the number of people who may develop MND each year is about two people in every 100,000 population (which is quite rare indeed).

Moreover, you've mentioned he's already been to the doctors who also don't think it's of any concern.

It's been 2years already.

The symptoms i.e. the fasciculations happening only during sleep (night-time). It's very common phenomena (benign fasciculations) to develop these, in fact, can be seen in any person at any point of their lifetime. There's nothing to worry about it.

Most importantly, he doesn't have any other symptoms like muscle weakness or anything, and they don't seem to happen during day time either.

So, to summarize, I do concur with his doctors that it's extremely unlikely to develop a disorder like MND. Please don't worry about it.

Let me know if I can assist you further...

Wish you good health...

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Arnab Banerjee 0 minute later
Brief Answer:
Not likely, no need to worry...

Detailed Answer:
Hello and welcome to 'Ask A Doctor' service...
I've gone through your query...
I can understand your concerns...

First of all, please note that a disease like MND is, in fact, quite a rare one, and by the dictum of medicine, rare diseases happen rarely, in fact, even in day to day practice, they are actually seen quite rarely...

Even if we consider numbers, the incidence i.e. the number of people who may develop MND each year is about two people in every 100,000 population (which is quite rare indeed).

Moreover, you've mentioned he's already been to the doctors who also don't think it's of any concern.

It's been 2years already.

The symptoms i.e. the fasciculations happening only during sleep (night-time). It's very common phenomena (benign fasciculations) to develop these, in fact, can be seen in any person at any point of their lifetime. There's nothing to worry about it.

Most importantly, he doesn't have any other symptoms like muscle weakness or anything, and they don't seem to happen during day time either.

So, to summarize, I do concur with his doctors that it's extremely unlikely to develop a disorder like MND. Please don't worry about it.

Let me know if I can assist you further...

Wish you good health...

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Arnab Banerjee 22 minutes later
So you would say it would be quite rare for him to ever develop MND. So like he will most likely never have it going by your answer. Like how is rare disease determined and how likely are they to ever occur. Can you give me mebies another example of to how rare this diease is. I’m sorry for all the questions.
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Follow up: Dr. Arnab Banerjee 0 minute later
So you would say it would be quite rare for him to ever develop MND. So like he will most likely never have it going by your answer. Like how is rare disease determined and how likely are they to ever occur. Can you give me mebies another example of to how rare this diease is. I’m sorry for all the questions.
doctor
Answered by Dr. Arnab Banerjee 24 minutes later
Brief Answer:
Yes, quite rare, as already explained earlier...

Detailed Answer:
Welcome back,

Well, no one can say never, as the theoretical possibility (even two in 100,000) can always prevail. However, practically speaking two in 100,000 is extremely rare as already explained earlier. In fact, to allay your fear further, let me also inform you that this data is specifically given based on the UK population only.

They're research data which are determined by the total number of new cases divided by the population at risk at the beginning of the observation period. This is the latest data in this scenario.

It's not a mere number but a lifetime calculated research data (which are updated from time to time, this being the latest one) of the entire UK population. It can be found in the NHS official database under MND. Another example would be one in every 50,000 population, in any one year, a very rare possibility indeed.

So, I wouldn't worry about it at all. And I suggest you not to worry about it either.

Please let me know if there are any further queries/doubts.

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Arnab Banerjee 0 minute later
Brief Answer:
Yes, quite rare, as already explained earlier...

Detailed Answer:
Welcome back,

Well, no one can say never, as the theoretical possibility (even two in 100,000) can always prevail. However, practically speaking two in 100,000 is extremely rare as already explained earlier. In fact, to allay your fear further, let me also inform you that this data is specifically given based on the UK population only.

They're research data which are determined by the total number of new cases divided by the population at risk at the beginning of the observation period. This is the latest data in this scenario.

It's not a mere number but a lifetime calculated research data (which are updated from time to time, this being the latest one) of the entire UK population. It can be found in the NHS official database under MND. Another example would be one in every 50,000 population, in any one year, a very rare possibility indeed.

So, I wouldn't worry about it at all. And I suggest you not to worry about it either.

Please let me know if there are any further queries/doubts.

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Arnab Banerjee 2 hours later
Thankyou for that can you clarify like out of the UK population the lifetime risk is 2 in 100,000 is that correct I know you can’t say he will never get it but % wise how sure are you that he will not develop it going on the data.
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Follow up: Dr. Arnab Banerjee 0 minute later
Thankyou for that can you clarify like out of the UK population the lifetime risk is 2 in 100,000 is that correct I know you can’t say he will never get it but % wise how sure are you that he will not develop it going on the data.
doctor
Answered by Dr. Arnab Banerjee 15 minutes later
Brief Answer:
that's correct, you've got it...

Detailed Answer:

Yes, you've got it correctly...

2 in 100,000 comes as 0.002% wise...Very rare as already explained earlier...

It'll be a pleasure to assist you further if need be...

Take Care
Kind Regards



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Arnab Banerjee 0 minute later
Brief Answer:
that's correct, you've got it...

Detailed Answer:

Yes, you've got it correctly...

2 in 100,000 comes as 0.002% wise...Very rare as already explained earlier...

It'll be a pleasure to assist you further if need be...

Take Care
Kind Regards



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Arnab Banerjee 13 minutes later
Sorry about this so the a lifetime risk of 0.002% out of 100,000 is that from like birth to death I still don’t really understand as I am not that good with number and when you say in the UK along does that mean that 0.002% of the population will get it over a lifetime.
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Follow up: Dr. Arnab Banerjee 0 minute later
Sorry about this so the a lifetime risk of 0.002% out of 100,000 is that from like birth to death I still don’t really understand as I am not that good with number and when you say in the UK along does that mean that 0.002% of the population will get it over a lifetime.
doctor
Answered by Dr. Arnab Banerjee 1 hour later
Brief Answer:
follow-up consultation...

Detailed Answer:
Welcome back,

Although it's not really a one-line answer let me break it down as much simple as possible for you...

This is determined by the total number of new cases divided by the population at risk at the beginning of the observation period as explained earlier.

New cases are newly diagnosed cases in the population group. Yes, we're talking about the entire UK population in this regard.

It's a lifetime risk assessment, which is composed of five main elements i.e.
1. Identifying the hazards.
2. Deciding who might be harmed and how.
3. By evaluating the risks and decide on precautions.
4. Recording individual findings and implementing them.
5. Reviewing the specific assessment and update if necessary

It's a much broader aspect than age alone, there are books on this in fact. Since you seemed to be interested, I'm explaining this.

To put it in simple language, the chance of getting MND is just 2 person per 100,000 population i.e. the 5th point: the final assessment and the updated data report.

Lifetime generally means from birth to death. However, its a highly variable entity due to several other associated factors (at least 10-15 variables). To put it simply, in this scenario, the lifetime generally implies up to the age of 80-84yrs. And this data keeps on revising after every 4-5yrs. This is the latest data.

It's a disease of the progressive age and mainly seen in the population above 60-70yrs of age. Assuming his age is less than this(correct me if otherwise), the risk assessment becomes even more negligible.

Hope this is clear now. Let me know if any more doubts regarding.

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Arnab Banerjee 0 minute later
Brief Answer:
follow-up consultation...

Detailed Answer:
Welcome back,

Although it's not really a one-line answer let me break it down as much simple as possible for you...

This is determined by the total number of new cases divided by the population at risk at the beginning of the observation period as explained earlier.

New cases are newly diagnosed cases in the population group. Yes, we're talking about the entire UK population in this regard.

It's a lifetime risk assessment, which is composed of five main elements i.e.
1. Identifying the hazards.
2. Deciding who might be harmed and how.
3. By evaluating the risks and decide on precautions.
4. Recording individual findings and implementing them.
5. Reviewing the specific assessment and update if necessary

It's a much broader aspect than age alone, there are books on this in fact. Since you seemed to be interested, I'm explaining this.

To put it in simple language, the chance of getting MND is just 2 person per 100,000 population i.e. the 5th point: the final assessment and the updated data report.

Lifetime generally means from birth to death. However, its a highly variable entity due to several other associated factors (at least 10-15 variables). To put it simply, in this scenario, the lifetime generally implies up to the age of 80-84yrs. And this data keeps on revising after every 4-5yrs. This is the latest data.

It's a disease of the progressive age and mainly seen in the population above 60-70yrs of age. Assuming his age is less than this(correct me if otherwise), the risk assessment becomes even more negligible.

Hope this is clear now. Let me know if any more doubts regarding.

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Arnab Banerjee 7 hours later
He 32. He exercises quite a lot I herd this was a risk factor there’s non of this in his family. So the chances of him ever get it is 2 to 100,000 is that correct I’m so sorry about this I just get very worried
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Follow up: Dr. Arnab Banerjee 0 minute later
He 32. He exercises quite a lot I herd this was a risk factor there’s non of this in his family. So the chances of him ever get it is 2 to 100,000 is that correct I’m so sorry about this I just get very worried
doctor
Answered by Dr. Arnab Banerjee 8 hours later
Brief Answer:
there is nothing to worry...

Detailed Answer:
Well, then there's nothing to worry at all...

Just move on with your life happily, there is no risk factor as of now...

The chance of getting the disease is the same as anyone else i.e. just 2 people per 100,000 population as already explained in details...

Relax, there is absolutely no reason to be worried in this context...

Be happy, it's advisable to divert your mind from the diseases and indulge in productive activities like going out together, movies, dinner, reading, writing, painting etc...

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Arnab Banerjee 0 minute later
Brief Answer:
there is nothing to worry...

Detailed Answer:
Well, then there's nothing to worry at all...

Just move on with your life happily, there is no risk factor as of now...

The chance of getting the disease is the same as anyone else i.e. just 2 people per 100,000 population as already explained in details...

Relax, there is absolutely no reason to be worried in this context...

Be happy, it's advisable to divert your mind from the diseases and indulge in productive activities like going out together, movies, dinner, reading, writing, painting etc...

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Arnab Banerjee 18 minutes later
Ano what % would you say that he will not get it some docs have said to me they are 99.5% sure what would you say i know you can’t say 100% and would you say that the rarity of it it would be extremely rare for him to get it sorry this is my last question
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Follow up: Dr. Arnab Banerjee 0 minute later
Ano what % would you say that he will not get it some docs have said to me they are 99.5% sure what would you say i know you can’t say 100% and would you say that the rarity of it it would be extremely rare for him to get it sorry this is my last question
doctor
Answered by Dr. Arnab Banerjee 34 minutes later
Brief Answer:
at least 99%...

Detailed Answer:

Yes, you've already being informed appropriately in this regard...

There's at least a 99% chance of not getting it (some doctors may say even 99.5%)...Yes, as already explained from the beginning itself, it is extremely rare so the chances will be extremely unlikely also...

Please do not worry about it and move on happily together...

Yes, you may kindly close the query and provide your valuable ratings for future references...

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Arnab Banerjee 0 minute later
Brief Answer:
at least 99%...

Detailed Answer:

Yes, you've already being informed appropriately in this regard...

There's at least a 99% chance of not getting it (some doctors may say even 99.5%)...Yes, as already explained from the beginning itself, it is extremely rare so the chances will be extremely unlikely also...

Please do not worry about it and move on happily together...

Yes, you may kindly close the query and provide your valuable ratings for future references...

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Arnab Banerjee 30 minutes later
Thank you so much so you would be 99% sure he will not get it? Thankyou
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Follow up: Dr. Arnab Banerjee 0 minute later
Thank you so much so you would be 99% sure he will not get it? Thankyou
doctor
Answered by Dr. Arnab Banerjee 4 hours later
Brief Answer:
most welcome...

Detailed Answer:
Yes, as already explained...

Most welcome...

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Arnab Banerjee 0 minute later
Brief Answer:
most welcome...

Detailed Answer:
Yes, as already explained...

Most welcome...

Take Care
Kind Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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