instruction: hello doctor I have been having tiny random muscle twitching all over my body which seems like a constant thing at bottom of my feet in both legs both forearms and even my stomach for almost two months now I am scared of als diagnosis I do not have any muscle weaknesses or balancing problems I can lift 40 labs dumbbells with no problem and still do push ups and other exercises with no problems and sprint and run without falling or tripping I have had some sort of issue for almost a year where it feels like I am not getting a satisfying breath from time to time so I bought a spot meter and my of level fluctuates between 95 98 with an average of 97 most of the time I am just freaking out because everything I search for comes back to als I even watched a similar story last night and I had a panic attack afterward I guess I am just looking for a little reassurance to calm down
output: hello I read carefully your question and would explain that your symptoms do not seem to be related to als amyotrophic lateral sclerosis you should know that there are a lot of benign causes underlying muscle twitching like anxiety physical activity thyearoid gland dysfunction benign fasciculation syndrome vitamin b12 or vitamin deficiency low calcium or magnesium levels etc as long as there is no progression no weakness no muscle wasting there is no reason to panic about als I would recommend performing some tests thyearoid hormone levels blood electrolytes vitamin b12 and vitamin plasma levels complete blood count per polymerase chain reaction ear erythrocyte sedimentation rate for inflammation nerve conduction studies would help to completely exclude als and thus put your mind to peace I recommend discussing with your doctor on the above tests I hope this helps