Hi -- ALS/MND is a scary disease to consider/fear. We empathize.
#1 - Read the STICKIES at the top of this forum. Many questions are answered there.
#2 We are not doctors or diagnosticians, but people who are dying from or caring for people with ALS. Some of us have to type with one hand, one finger, via dictation, or even with our eyes, so reading/replying to the anxiety-ridden can be very tiring.
#3 if you think you have a motor neuron issue, see your Primary Care Provider and get a referral to a motor neuron qualified neuro
#4 an EMG, properly done, is the gold standard test for ALS.
#5 ALS does NOT present with pain, cramps, or fatigue.
#6 ALS is about failing, not feeling, so forget the "feeling" symptoms
#7 If your main issue is twitching go to the bfs forum.
#8 Your doctor is wise to look at other diseases. ALS is rare. In order for it to be ALS, it has to be nothing else.
#10 Anxiety can be a real problem that can endanger your physical health.