Trying to understand aspiration and other symptoms

[sdb]

Previous thread

Mods closed my original thread hence starting a new one, please feel free to merge it. Thank you.

Brief history:
I felt leg weakness so I was referred to a neuro. Neuro conducted an EMG and some strength check in Sept/oct 2022. It was clean.
Since then my twitching had increased to all over the body. So I met the neuro again in 2/1/2022, they did leg and arm emg/ncs and result was normal. So, I was DX with BFCS. (C=cramps).

Some symptos I didn’t discuss with neuro are below and plan to discuss in next visit.

1. Most recently I am noticing need to clear throat or mild cough after drinking water. Is this aspiration?
2. If I fake smile then my cheeks start to quiver that I can’t control, then if I really apply strength to fake smile then quivering stops,
3. I notice that I bite my tongue often than before.
4. In don’t slurr words but occasionally I notice some slip of tongue.

Do I have to worry about Bulbar?

Thanks.

 

[Bestfriends14]

No

 

[affected]

nope, as before, you don't need to keep coming back here and diving into the rabbit hole of ALS fear.

Please do return to your PCP and ask for help with your fears.

 

[lgelb]

Everything you mention is very common and often associated with winter dryness, poor sleep, stress [for which you could consider counseling], and dehydration.

ALS, not so much.