Anxious about range of symptoms

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Mcole

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Jan 20, 2020
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Learn about ALS
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AU
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Newcastle
Hi,

I’m a 26 y.o. male hypochondriac, experiencing a range of symptoms which are giving me anxiety about this. First off, I know my age (and hypochondria) make it less likely that I have this disease but the range of symptoms has me worried. Unaware of any family history.

Fifteen months ago (I was 25), I started experiencing some nerve related symptoms in my left hand. My fourth finger would twitch for extended periods a few times a day (as though hitting a piano key) and at rest would have a slight side to side tremor. At the same time, I noticed having more difficulty eg in picking up a glass or playing a computer game with that hand. I had significant weakness when touching my ring finger to thumb to make an O. I had previously experienced isolated weakness in my left arm, particularly after swimming. The fourth finger twitch and tremor are both still apparent today although to a lesser extent.

If relevant, this onset of symptoms came 2-3 days after a fall playing soccer resulting in concussion and bruising all on the right side of my body (and anxiety / loss of sleep).

After approx. 2-3 weeks, these symptoms largely abated. However, they returned periodically and I’d have to say my sense is that they became more significant and more frequent.

Throughout last year I developed other recurring twitches - specifically mainly in the fourth left toe, left corner of mouth but also elsewhere (eg can remember experiencing muscle switching on / off every 2 seconds in my left quad just above the knee in January last year.

Today the weakness in my left arm has increased - still functional, but notice trembling and difficulty typing for extended periods, quick fatigue carrying a bag, rely mainly on my right hand when opening a bottle etc. Very rarely (2-3 times) have dropped keys / phone. Saw a GP in December who found no significant difference in arm / grip strength but believe that was (a) a time where the strength loss was less evident and (b) possibly a result of testing arm muscles which are still relatively normal. Noticeable weakness when trying to paddle a surfboard 2-3 weeks ago.

More recently (infrequently and then more noticeably over the past week) have experienced similar symptoms in right hand (fingers feel weak, twitch / tremor in ring finger).

About midway through last year, I noticed the fourth toe on my right foot felt asleep - felt like it was squashed up to the third toe although visually, responses to flexing toes seemed symmetrical with left foot. Initially went away after a day so wasn’t too worried. However in December this sensation returned, moving between both feet. Occasional stubbing of toes on ground when walking (although I do wear too-big shoes) and feeling of weakness in front of shins / ankles.

Now have tightness in calves and spasms semi regularly up back of legs. Ankles are quite tight. Slow walking speed sometimes and feels like an exertion going up stairs. Still functional (eg can play soccer but not well).

In about October I felt a sharp, sustained pang in the right of my neck and noticed right away my singing voice had changed (was singing in the car at the time). Since then, have experienced reduced volume in voice (people can’t hear me over music, or from long distances in same house) with hoarseness like my throat is clogged also evident and more frequent in past month. My voice seems higher and my lower singing range is often unreachable.

I’ve also experienced difficulty articulating words over past month. Had experienced this before but only when tired - more frequent now. About a week ago, noticed weakness / droop on one side of mouth / face for first time which worsened relatively quickly and spread to other side of mouth within days.

About two weeks ago, had sudden onset of relatively significant shortness of breath. Improved for a few days (as did my voice over that time) before returning last weekend. Slightly better now.

Should note that the past month or so has been a very stressful time (and my baseline stress / tiredness levels are usually already high) due to family illness / my own health anxieties.

For past year have experienced strong generalised tiredness and semi regular headaches, typically in afternoons / evenings.

Sorry if this got a bit long. Does this sound like it could be ALS? Very grateful for any advice anyone can offer.

I’ve seen a GP who has asked for a blood test and suggested possible MS ( without knowing the full extent of the above symptoms). Will be referred to neurologist if that test comes back clear.
 
Hello- first things first, have a read here: Read Before Posting . It covers much of what you report. Things like pain, sensory issues like tingling or limbs falling asleep, etc, do not indicate a motor control problem- ALS affects motor control. Your best bet is to continue working with your doctor or a physio to figure out what may be causing your issues. A physio can provide a full physical assessment for postural/mechanical concerns- and work with you to try to improve or mitigate symptoms.

As you know, anxiety can affect you physically in many many different ways, so it's important to have someone help you weed out what is a probable mechanical issue and what is being enhanced by worries over physical issues.
 
Thanks so much for the quick reply - I did read the main post before posting and did see that it addresses some of my concerns but still feel anxious due to the overlapping of multiple potentially relevant symptoms.

And yes I think you’re right - only minor motor control issues (eg slightly slow reaction time, fleeting issue shaving a couple of days ago).

And yes, the GP also said this could be anxiety related - definitely something I’m going to make more of an effort to sort out.
 
A symptom update - today I realised I cannot Cross by big and second toe on my left foot. Is this a worrying sign? I can do it easily on my right but not at all on my left - my toes just won’t move in that direction.

I will say that this is the first time I have been just unable to do something which (I think) I used to be capable of since the above symptoms started 15 months ago (which stresses me). But I do experience discomfort / awkwardness when playing piano, typing or lifting things from the wrist.

Still in the process of setting up specialist appointments.
 
I could never cross my big and second toes back when I was healthy. It’s not something everyone can do. You have not described true failure. Discomfort and awkwardness is not failure. Your symptoms are not worrisome.
 
I can't cross those toes either; I dont have ALS. You're really searching for some symptoms, aren't you? Nothing you've described is ALS, so be happy. Quit looking for ways to come up with symptoms in order to get a diagnosis. I've lost three dear friends in the last month, 2 in the last week, to this horrible, cruel disease. Move on and let it go.
 
A symptom update - today I realised I cannot Cross by big and second toe on my left foot.
Definitely this is a really typical example of what a self-confessed hypochondriac would constantly test and report on.
Certainly not something that would make anyone suspect ALS.
Please go to your doctor rather than here, we can't really do anything to help I'm sorry.
 
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