instruction: hello doctor I am a 25 year old male I have had muscle twitches all around my body but primarily in my legs for three months I had the same twitches last year which lasted about a month the twitches seemed to subside shortly after I had an egg done as I was petrified and convinced that it could be als or mnd this time round with the twitches which started again almost exactly a year later I did not have another egg as my doctor did not seem it necessary but instead referred me to a neurologist which deals with als patients he did only a physical examination and test and did not have any concerns at all he also looked at my egg results and agreed they all read fine and showed benign muscle fasciculations the twitches seem to have started again more frequently the past couple of days and I have scared myself by reading als blogs on the internet where people say that they first started with muscle twitches that progressed into als do you think I should be worried about als do you think I have had my egg conducted too soon to rule out als
output: hi I have gone through your history and events I wish to know more about muscle twisting which parts of the body are affected are those twisting and painful is there any stiffness in limbs is your illness affecting your activities of daily living or occupation