I have been told a clean emg in the lower body eliminates als as a cause if ur symtoms. Further to this bulbar onset is rare in a disease which initself is rare . This along with a clean emg one would have to be pretty darn unlucky to have als. I have tinnitis in my ear as well so im also following up withthe tmj syndrome path
I read ur post about als concerns and jaw issues. I have the same problem . Body wide twitching and i cant talk or eat anymore . My jaw just feels so fatigued ! And so does my tongue . Infact i have weakness im half my body pretty much .