Hi maybe you guys can help me. I have had muscle weakness since 2/14, I have seen doctors and had tests for everything. My EMGs have come back normal, but I haven't gad one since these symptoms have really hit me hard. I had Botox done July15 and ever since then I have had muscle fascinations all over my body. It's extremely hard to breath, when I swallow the food and drink just goes down, almost chocking on it. There is extreme muscle weakness in my chest upper back, left upper arm, neck, stomach, and in my upper legs. It progressed so fast, and I am waiting to see a specialist in Emory. I have been taking Ativan and Small amounts of pain meds to help me. But my breathing is getting worse. Do you guys think the Botox 40 units could have set off ALS? I have also noticed my sinuses are very stuffy when I wake up, and then my sinuses get so dry during the day. I can't do much, and when I try to walk I am extremely weak and off balance. Is this ALS?