What Cause Tongue Twitching In An Obese Person?
Not ALS, no indication of anything threatening.
I read your question carefully and I understand your concern.
I don't think you have to worry much about ALS. Your age alone makes you an unlikely individual to have ALS, usually appears after the age of 45. Furthermore what you describe is not typical, ALS is a disease affecting motor neurons (called also motor neuron disease). That means it spares sensation. Therefore the burning and painful sensations you describe alone would exclude the diagnosis of ALS.
What else you could be, metabolic or hormonal issues have to be considered, some blood tests such as complete blood count, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 and D levels must be done (though perhaps they were done already since you have been seen by doctors.
In any case I do not see an indication of any dangerous condition, as you yourself suggested anxiety might be playing a role as well, so try to relax.
I remain at your disposal for other questions.
No that is not the cause. Anxiety can be the driving factor for sticking tongue out as well as causing such symptoms, which are pretty common in anxiety. However if this is a new symptoms, appearing after you were checked in the hospital, it might be wise to see your primary physician or a dentist for the possibility of an oral infection such as candidiasis responsible for the soreness and the burning feeling.
Let me know if I can further assist you.
Do not worry you're not driving me nuts at all.
Well if it has been such an extreme position for prolonged periods of time there might be a chance of a neck muscle strain. Tough to differentiate though, as anxiety increases muscle tension and may also lead to the feeling of a stiff neck, so from a clinical point of view they might present in the same way and there is no test to differentiate the cause. Might be a combination of the two things together as well.
However from a practical point of view it doesn't really change much. No additional treatment or intervention would be needed apart from relaxation, it doesn't entail any particular risk.
I hope to have been of help.