Hello, hoping someone can help me with Bulbar ALS symptoms. In spring I ran fever and thought I had a sinus infection,with eye strain and numb tingling under my right cheek. In August I developed a twitch under my right eye and muscle tics and spasms all over my body (mostly in my thighs and chest).
I finally went to the doctor in mid-august with numb face and cramping muscle fatigue. Did an MRI which came back clean and bloodwork which turned up nothing except for an IGG positive test for West Nile. The IGM was negative.
Convinced it was the West Nile, my doctor sent me to a neurologist who ran an EMG and NCT on my legs which showed no abnormalities. He, too, figured West Nile or some virus of the CNS.
Numbness and tics all over my body (but was almost always present in my left shoulder and the right side of my face) until October, when all symptoms abated. After a week, the skin on my stomach and back was sensitive like it was sunburned. Then my left shoulder got really wonky (like it was asleep) with easy fatigue.
After a couple of weeks, I got a numbness on my lower and upper lips in the middle of my mouth up to the tip of my nose. I started having trouble saying some letter combinations because of dry mouth and thick tongue.
Dr. gave me lexapro for anxiety. First dose caused cramping last night and I noticed my voice was hoarse and my tongue was spasming around the edges at rest and protruded.
I'm now having cramping all over my body. The outside of my tongue is sore and tongue is sore when I press it against the inside of my gums.
My questions: Would Bulgar ALS show up in that order in a matter of a couple of days and do spasms precede tongue atrophy or come with it? Is it likely my difficulties articulating "sp" or "th" sounds every once and a while would be an indicator of bulbar onset without other bulbar signs? Or do all my other signs point elsewhere?
I finally went to the doctor in mid-august with numb face and cramping muscle fatigue. Did an MRI which came back clean and bloodwork which turned up nothing except for an IGG positive test for West Nile. The IGM was negative.
Convinced it was the West Nile, my doctor sent me to a neurologist who ran an EMG and NCT on my legs which showed no abnormalities. He, too, figured West Nile or some virus of the CNS.
Numbness and tics all over my body (but was almost always present in my left shoulder and the right side of my face) until October, when all symptoms abated. After a week, the skin on my stomach and back was sensitive like it was sunburned. Then my left shoulder got really wonky (like it was asleep) with easy fatigue.
After a couple of weeks, I got a numbness on my lower and upper lips in the middle of my mouth up to the tip of my nose. I started having trouble saying some letter combinations because of dry mouth and thick tongue.
Dr. gave me lexapro for anxiety. First dose caused cramping last night and I noticed my voice was hoarse and my tongue was spasming around the edges at rest and protruded.
I'm now having cramping all over my body. The outside of my tongue is sore and tongue is sore when I press it against the inside of my gums.
My questions: Would Bulgar ALS show up in that order in a matter of a couple of days and do spasms precede tongue atrophy or come with it? Is it likely my difficulties articulating "sp" or "th" sounds every once and a while would be an indicator of bulbar onset without other bulbar signs? Or do all my other signs point elsewhere?