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I have had cramps in my calf and thigh intermittently for around 3 months. Twitching started about 2 months ago in same leg long before I was anxious about it. I have been to the GP yesterday. I am going completely insane with worry over ALSand cannot get it out of my head as I have read and re read that it can begin with theses symptoms alone. I am not coping well and the gp knows that. She checked over my whole body for any changes.. all fine... she tested all muscle strength in arms and legs.... all fine … she did reflexes ….. all fine and Babinski test all fine. I feel that I am now just waiting for something to fail . Most drs say muscle weakness first but one says it can take 6 months from the onset of twitching. My GP says no they would see something can you help I keep getting conflicting answers
I have had cramps in my calf and thigh intermittently for around 3 months. Twitching started about 2 months ago in same leg long before I was anxious about it. I have been to the GP yesterday. I am going completely insane with worry over ALSand cannot get it out of my head as I have read and re read that it can begin with theses symptoms alone. I am not coping well and the gp knows that. She checked over my whole body for any changes.. all fine... she tested all muscle strength in arms and legs.... all fine … she did reflexes ….. all fine and Babinski test all fine. I feel that I am now just waiting for something to fail . Most drs say muscle weakness first but one says it can take 6 months from the onset of twitching. My GP says no they would see something can you help I keep getting conflicting answers
Can be due to electrolyte disturbances or anxiety.
Detailed Answer:
Hello.
Thanks for writing to us
The cramps and twitching that you are having with all normal muscle strength and reflexes suggests the cause to be related to electrolyte disturbance or anxiety or thyroid disturbances or a decreased fluid intake. This can also be related to low levels of Vitamin B12 or Vitamin D3. ALS is highly unlikely with the history that you have provided
It is best to get a few blood tests done to find out any abnormality related to electrolytes, vitamin levels and thyroid levels. You can start proper medicine after that. Till then try to have plenty of electrolyte rich fluids and stay calm. Doing exercises like deep breathing exercises to calm your mind will also help.
Hope my answer is helpful. Any follow up queries are always welcome.
Regards.
Dr. Praveen Tayal.
Can be due to electrolyte disturbances or anxiety.
Detailed Answer:
Hello.
Thanks for writing to us
The cramps and twitching that you are having with all normal muscle strength and reflexes suggests the cause to be related to electrolyte disturbance or anxiety or thyroid disturbances or a decreased fluid intake. This can also be related to low levels of Vitamin B12 or Vitamin D3. ALS is highly unlikely with the history that you have provided
It is best to get a few blood tests done to find out any abnormality related to electrolytes, vitamin levels and thyroid levels. You can start proper medicine after that. Till then try to have plenty of electrolyte rich fluids and stay calm. Doing exercises like deep breathing exercises to calm your mind will also help.
Hope my answer is helpful. Any follow up queries are always welcome.
Regards.
Dr. Praveen Tayal.
Yes something should have been detected.
Detailed Answer:
Hello.
Thanks for writing again.
A muscle weakness or some nerve function disturbance could have been detected in case of ALS. It is not necessary that weakness comes at the end. Reflexes do show the nerve weakness.
This is not likely to be due to ALS.
Regards.
Dr. XXXXXXX Tayal.
Yes something should have been detected.
Detailed Answer:
Hello.
Thanks for writing again.
A muscle weakness or some nerve function disturbance could have been detected in case of ALS. It is not necessary that weakness comes at the end. Reflexes do show the nerve weakness.
This is not likely to be due to ALS.
Regards.
Dr. XXXXXXX Tayal.
Yes. Diagnosis is mainly clinical.
Detailed Answer:
The clinical tests are an important part of the diagnosis. The symptoms also gradually deteriorate.
In your case ALS is unlikely.
Regards.
Yes. Diagnosis is mainly clinical.
Detailed Answer:
The clinical tests are an important part of the diagnosis. The symptoms also gradually deteriorate.
In your case ALS is unlikely.
Regards.
Preogression can cause numbness.
Detailed Answer:
Hello.
Progression can cause a numbness, altered sensations like tingling or muscle weakness. Cramps can be related to the electrolyte imbalance.
Twitchings and cramps do not suggest a muscle weakness.
Regards.
Preogression can cause numbness.
Detailed Answer:
Hello.
Progression can cause a numbness, altered sensations like tingling or muscle weakness. Cramps can be related to the electrolyte imbalance.
Twitchings and cramps do not suggest a muscle weakness.
Regards.
Twitching is associated with loss of muscle mass and weakness.
Detailed Answer:
Twitching in ALS is not the only symptom. Twitching is associated with spasticity and muscle weakness. It affects all the limbs and not the legs only. You need to get a few blood tests done first and rule out other more common causes like electrolyte disturbance and hormonal disturbances.
Muscle mass loss and atrophy is also seen in case of ALS which is not present in your case.
Regards.
Twitching is associated with loss of muscle mass and weakness.
Detailed Answer:
Twitching in ALS is not the only symptom. Twitching is associated with spasticity and muscle weakness. It affects all the limbs and not the legs only. You need to get a few blood tests done first and rule out other more common causes like electrolyte disturbance and hormonal disturbances.
Muscle mass loss and atrophy is also seen in case of ALS which is not present in your case.
Regards.
Loss of muscle bulk would have been seen.
Detailed Answer:
Yes. If the twitching that you are having were due to ALS then the associated muscle weakness and atrophy would have been evident by now and would have been detected on your routine examination.
Regrads.
Loss of muscle bulk would have been seen.
Detailed Answer:
Yes. If the twitching that you are having were due to ALS then the associated muscle weakness and atrophy would have been evident by now and would have been detected on your routine examination.
Regrads.
Nothing to worry about.
Detailed Answer:
Cramping will also show muscle weakness if it is due to ALS. This can be related to anxiety. There is nothing to worry.
Regards.
Nothing to worry about.
Detailed Answer:
Cramping will also show muscle weakness if it is due to ALS. This can be related to anxiety. There is nothing to worry.
Regards.
You are welcome.
Detailed Answer:
Your problem seems to be related to anxiety also. Muscle weakness would have been detected by now in case of ALS. Increase intake of electrolyte rich fluids like Garotade and see if it helps.
Regards.
You are welcome.
Detailed Answer:
Your problem seems to be related to anxiety also. Muscle weakness would have been detected by now in case of ALS. Increase intake of electrolyte rich fluids like Garotade and see if it helps.
Regards.
Proper supplements will correct the vitamin D levels.
Detailed Answer:
Electrolyte disturbance can cause symptoms in one leg. The low levels of vitamin D can cause dizziness and weak bones. It is nothing serious. Proper supplements can bring back the levels to normal.
Regards.
Proper supplements will correct the vitamin D levels.
Detailed Answer:
Electrolyte disturbance can cause symptoms in one leg. The low levels of vitamin D can cause dizziness and weak bones. It is nothing serious. Proper supplements can bring back the levels to normal.
Regards.