But, there is no ALS in this picture. Zero. Absolutely without a doubt zero. I'm not a expert on ALS but I know anxiety when I see it and all the symptoms.
You state that there is no ALS in the picture... 'Absolutely without a doubt'.
Then you proceed with 'I am not an expert on ALS'...
Please, this is not a personal attack; I just get so weary of seeing these types of statements.
I do not personally believe that ALS could be involved in this case, but to say 'absolutely without a doubt'.....
The first Neurologist I went to did a complete neurological exam and finished with a cause: 'Abulia'; If anyone does not know what that means... google it.
He prescribed fluoxetine (Prozac).
I had been referred to this Neuro by my GP... he had had a CT scan performed because of my unexplained lightheadedness and a mild aphasia. His concern had been mild stroke.
I did have a tremor so the first Neuro referred me to a second (but mainly for the tremor).
The second neuro, thought the neuro exam was not overly concerning except for balance issues and a lack of reflexes in certain places.
Her thought... neuropathy.
Based on that, she scheduled an EMG.... it was only after the EMG was there even any thought about ALS at all. (at least for the doctors... between the time of the exams and having the EMG, I had noticed that the thumb muscle on the heel of my left hand had a twitch... about every 10 or 15 seconds... all the time; I had also noticed the tongue fasciculation).
If I had come to this forum and mentioned my symptoms before the EMG I would, no doubt, have received the same feedback.
Lightheadedness, weakness and fatigue with some tasks, tiring muscles, mild aphasia, mild difficulty with swallowing at times, trouble concentrating and an inability to focus on tasks at hand.
Fast forward a year (though I believe in carma about making certain statements so I try not to do so)..... I can still walk, I can still use all of my limbs and digits, I can still do whatever I could do 5 years ago... though with much, much more difficulty.
While I do not believe there is any cause to fear ALS in this person's situation, and I believe that anxiety is a large cause of many of the symptoms listed, I would never be so bold as to say there is no chance whatever of this being ALS.