Seeking Advice for Possible ALS/BFS

Bubbl3Bottom

New member
New here. Hope this finds you all as well as you can be with this often awful condition. I'm a 26 year old male who's trying to figure out what exactly is happening to me. I've been a lurker here for awhile. I'm hoping some of you out there can be of some help and that perhaps I can be to some others. There are days when I'm convinced I have ALS, other days when I'm sure I'm a BFSer. I have been having occasional feelings of fatigue (and a single instance of cramping) in my right shoulder since last August, with increasing pains and perceived weakness in my wrists and forearms in the late fall. I had all but assumed that the arms pain/weakness? was a symptom of my nearly constant typing with claw hands. I have a low chair and a desk that's too high. I'm a journalist, teacher and screenwriter (unbelievable and completely unrelated, but a friend of mine won an Oscar tonight for his script! Maybe one day...) and had thus all but diagnosed myself with carpel tunnel, especially after a couple instances of tingling and numbness in my hands after a night of typing. Then, the fasciculations started. For the past two months I've been experiencing muscle twitches. I first noticed them in my left thigh around Christmas and soon after the new year they spread all over my body. I swear it was after I googled the symptoms... I first got scared of MS because of the numbness and tingling, then ALS because of the occasional but noticible fascics. For awhile they were constant (20 or so an hour, some just one instance, others that would occur 10 or more straight times continuously). They seem to fluctuate depending on how much anxiety I have, how much I'm thinking about them (more), weather I've went jogging that day (usually I don't have them after jogging for a few hours, but I have more that evening than usual) and especially, weather I sleep or not. Perceived weakness spread to my knees and my lower legs. I've had terrible sleeping patterns for years. Marijuana and/or Valerian Root seem to help. Melatonin, which worked for me early in college, mostly just keeps me up now. Now the weed makes the twitching worse and makes me terribly anxious, unable to sleep. I rarely get more than 5 or 6 hours a night and when I'm anxious about twitching, I can't sleep at all.Then, some good news. I've seen a pair of neurologists in the past three weeks. The fear has retreated somewhat. I've had two clean NCVs and EMGs, although a nerve in my left leg was alittle slow in the 2nd NCV (my 2nd neuro, a burly Kosovo vet named Rocco, suggested it was because I was cold). The 1st neuro, who laughed off my suggestion that it was ALS but performed the tests anyway, didn't even suggest I had carpel tunnel, while Rocco thinks I may have mild CTS. We're still waiting on blood work to get back, although from reading posts here that very rarely seems to provide any answers (organophosphates poisoning, lyme, minor blood related MND, thyroid issues, calcium/magnesium/potassium deficiency seem to be dead ends mostly)In the two weeks however, I've gotten anxious again. Although the twitching has reduced somewhat, I've developed consistent if not painful crepitus (joint cracking and popping). Its alarmingly consistent level. Ankles, knees, elbows, wrists, shoulders, you name it, they crack. For a 26 year old, this all seems increasingly weird. Then, in the last week, I've noticed a frequent clicking in my throat. In just the past few days, I've been having excesses saliva collect in my mouth. I feel like I have to swallow every 10 seconds! After years of eating poorly, smoking too much bud, I finally thought I'd gotten myself in good health this past year (lost thirty pounds from changing my diet and running), but these various ailments have been driving me batty with worry. My neuro wants to do one last EMG test position... in my tongue!!! We were supposed to do it yesterday, I went all the way out to one of his offices near Coney Island, but when I arrived he didn't have the specialized, superthin needle yet to do it (he says using a conventional EMG needle would hurt too much). Perhaps thinking about doing this last test, even after he conducted a thorough (four limbs, lower back and neck) EMG has been causing anxiety about bulbar onset symptoms for me, which then has me salivating too much? Still, the crepitus had me convinced I had muscle wasting. I've become like a girl with anorexia, constantly examining my body for gaps and dents.I've long been a hypochondriac. My liver failed when I was just 16 years old! I think it was do to mixing too much alcohol (A considerable amount of vodka on a Sat night) with several aspirin (4 the following day or two, if I recall correctly), but I'll never know. I had a near miraculous recovery after being put at the top of the national liver transplant list. My mother, a born again Christian, believes it was a miracle from God. My faith isn't as strong as hers, but who am I to say it wasn't? Regardless, I read a post that Aaron posted a few years back about liver enzymes being a possible cause...I don't know... What I do know is I'm driving my friends and family crazy. It's all I seem to talk about. My girlfriend, who I've only been with for a couple of months, is supportive to a point, but she certainly can't empathize. I've been working on a script about the LSD using baseball pitching Dock Ellis (you'll laugh your ass off, even with all this grim stuff bouncing around your head --- ), but I haven't been able to work on it at all for 2 months! I've been a *beep* teach and journalist and producer and boyfriend recently...I know conventional medicine doesn't have a whole lot of answers for bfs... Has anyone tried The Master Cleanse by Walter Burroughs or any other alternative medicine techniques? Any clue how I can stymie the saliva? Sorry for the crazy long post...
 
Hi Brandon. I'm watching the Oscars right now and they are boring the hell out of me. So many uninteresting awards, but it's cool that you know someone. At least they are interesting for you!Anyway--about your BFS. Your symptoms are so familiar, I could have written your post. What strikes me the most is the swallowing and excess saliva. That was very frightening for me in the beginning. I thought for sure it was bulbar for me. Fortunately, it was good old fashioned anxiety run amock. Once I got properly medicated (following months of trying to fight the anxiety on my own) the swallowing, salivating, sleep starting, startling, and most of the jerking and shaking decreased by about 90%. If you are not seeking therapy and/or meds for your health anxiety, I would highly recommend it.As for your other symptoms, you mention that they started last fall. You would be pretty darn debilitated by now if you had any of the serious diseases we fear. That alone tells me you are fine. Keep hanging out, though. You will get a lot of help and support here, and eventually you will be able to pass that help along to the next newbie.
 
I've been so scared of meds for years because of my past liver troubles. My liver function blood tests have been normal for years, but I still get anxious when I drink with friends and haven't taken any over the counter meds in a really long time. What did you take that seemed to help with the saliva? I just found a post from a few years back where I guy said mucinex helped him...
 
Also you can forget about the joint popping being anything nasty. My ankles and knees have "cracked" since I was 12 years old. That's nothing more than tendons snapping into place because of weird bone position. It's about as meaningless as saying you have a headache as a symptom of something.Seriously, if you had one of the nasties, you would know it by this point. Since you don't, then you don't. Case closed.Try working on some cognitive brain therapy (CBT) or relaxation meditation techniques for a while. See if that makes a difference. Although I'd guess what you really need more than anything else is some sort of distraction to take your mind off of things for a while. Once you get caught up in the obsession train, it's hard to get off it without something distracting you. Believe me, we have all been in the exact same position at some point.BFS sucks but, remember, it's not going to kill you. Never has, never will.
 
I didn't take any meds to reduce saliva. The saliva was a symptom of anxiety. Once I got the anxiety under control *poof* no more saliva. I take 75 mg. of Zoloft for anxiety. Works for me. At the beginning I was taking Ativan as needed, which turned out to be every 5 seconds, lol! (exagerating) All the Ativan made it clear to me that I needed a long-term solution. I've realized that I've always been nervous. It feels better to be more chill.
 
Yep you need to sort the anxiety out, then a lot of this stuff will disappear or at the very least reduce it. I am not really pro meds, but 3 months on lexapro has helped me with my anxiety and hence some of the physical symptoms...not that some have gone away. Still twitch, cramp etc, but tolerable. Sleeping has also improved. Anxiety fuels BFS big time. Oh, by the way I think you have BFS, not the nasties, by the symptoms you describe. You also need to get the diet in order- if possible-at least half in order any way! (I fall down a bit in this area but I try). I think Mario preaches this stuff all the time. He is right. CheersRodgerPs If the LFT says your liver is ok, cant see any reason for not taking some anxiety meds, if you need them...and you may? Or whatever else you need to do to relieve the anxiety... and chill.
 
Brandon and Twin,I feel like we could write a book! We've all dealt with the same things, from the saliva issues, to the throat clearing/clicking/gulping... it's all anxiety related as far as I'm concerned. I also think that as far as muscle soreness and fatigue go, I've always felt these things after activity, but now, I'm so hyper-vigilant of them, it makes things so much worse.And Brandon, two things that REALLY help us, and should, but not always do help us get over our anxiety are:1. Our age... I'm 24, you're 26...2. The fact that these twitches are noticeable, and that we can feel them... That's a huge plus and points to BFS.Try to relax and take care... I'm finally starting to get there... it's taken nearly a year, but I finally feel like I'm on my way...-Ant
 
I am so very grateful to all of you this morning! I've been smitten with terrible anxiety by all of this. Thank you for sharing your experiences, they do make me realize that other people are going through the same kinds of things and that what I'm experiencing is not the death sentence one can so easily imagine you've been given and haven't realized yet. I'm seeing my GP today (she doesn't even know I've been to the pair of neuros) and hopefully that will put my mind at greater ease. Not thinking about every twitch, or joint pop, or throat crack, as indicative of MND is so key to managing this. I know that, and yet sometimes its just so hard not to. Anyways, thanks again. I will surely update with how I'm doing and hope to provide as much support as you've already given me.
 
Hi everyone. Went to my GP yesterday. She seems kinda stumped. Crepitus + twitching points to Lyme maybe (only disease I've been able to find that has both as symptoms). Of course, its near impossible to diagnose and usually people have alot more pain than I'm having and all sorts of other crazy stuff I don't have going on. Rheumatoid Arthritis maybe? That also has more pain and rarely involves twitching. Saliva? Who knows, probably just lingering anxiety over Rocco's tongue/bulbar test. Awoke this morning with audible clicking in my throat again... I end up starting at my tongue in the bathroom mirror, but so far I haven't seen any fasciculations. Either way, whenever I seem to have a handle on one of the symptoms, another one seems to begin to worry me even more. First it was the twitching, then the crepitus, and now the throat stuff. I don't seem to have any trouble swallowing, but the past five or six days I feel the constant need to swallow saliva and my throat has begun to get sore, especially toward the end of the day... could this possibly be just globus? Its got to be near impossible for someone to have two months of widespread fascics, have two clean EMGs all over their body, only to then develop bulbar onset a**, no?
 

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