Nonstop-localized face twitch.

[MarHeAn]

My lovely people,

i read this forum the last 30 days and your opinion would be very important for me.

I searched every possible page on internet and i know that was a mistake, but... but now it's too late. I can not find a way out, so please allow me to write my problem, and if someone can advice or express an opinion i would be grateful.
30 days ago i developed a specific spot on my face, 3 cm above my right side of mouth, witch twitch..non stop.
When i say nonstop, i mean every second every day for the last month. Even when i sleep.
I visited the neuro, he diagnosed on 5 minutes that it is mild bell's palsy... ok... i searched every possible source and nowhere found a symptom like this could be mild bells palsy.
The last days i noticed also fasciculations on many spots on my body, especialy calves and both eyes, but i am on high levels of anxiety.
Any idea if that localized spot could be the bigging of ALS, or every similar case/symptom would be important for me.
Execuse me for the long post, i feel really desperate.

PS. I have read the stickies, but i have also read that persistent focal twich gives more chances for ALS.

Thank you for your time

 

[lgelb]

No, I don't see any reason to link this with ALS. The spectrum of Bell Palsy and hemifacial spasms is a broad one and if the diagnosis is correct and the twitching persists, you might want to look into botox injections, which are given every few months if/as needed. Certainly before considering those, you might want a second opinion.

I agree, the fascics elsewhere are probably related to the stress of what's going on with your face. You probably aren't sleeping well, either.

 

[MarHeAn]

Thank you so much for your reply, i appreciate it a lot.
The problem is that i can not accept that diagnosis because he made it too quick and no no where i could find that bells palsy could cause only twitch.
I also asked him about typical hemifacial spasm, he said he doesn't think it is.
Yes, i don't sleep and eat well the last days, i wonder all the time if Als could start that way. I also sometimes believe i have slurred speech and that is difficult for me to pronounce some letters.
Anyway i really thank you for your post because any help at my situation , for me is precious.

 

[lgelb]

Again, you have a right to another opinion. What did he specify as next steps?

If no one else mentions your speech, there is no reason to worry about it, but keeping up hydration and nutrition is really important, even if it's just a fruit protein smoothie.

As I mentioned, there are a lot of conditions between/within problems that Bell Palsy can cause and "typical" HFS. In addition, focal twitching is far more common in certain spots, like the eyelid or near the mouth, and in the calves, so for those places, there is far less concern for ALS or really for anything else involving the entire body.