Surely yesAnxious people stumble over the worlds as much as other people do, but they NOTICE it and give a certain weight to that, feelsing anxious and stumbling again...and again... and again.Fascial twitches are very common in our feloowship, and practically your approach should be "oh, just another one harmless twitch". Believe me, it is not important where you have the twitch or how it is manifested. People here have twitches they can see but not feel and vice versa, they have ripples, fine twitches, hotsposts, very persistent twitches, jerks - and no one had developed MND.Bulbar issues, as well as other onsets, hardly can be missed.The fact that neither neuro nor your nearest circle people are not concerned means only that they do not hear those specific changes in your speech and voice which are features of early bulbar impairment.I live in a small town and usually once in a month or so I occasionally meet here and there a woman with seemingly impaired vocal cords. I think she had a physical trauma and therefore her VC are denervated to some point. She is very talkative however and I hear her crooky creepy voice for 30 feet easily. it is quite like scratching glass by metal. So believe me, nobody can miss initial VC denervation changes. Voice really becomes different - crooky or toneless, flat, but never like just in flu.Anxiety causes swelling of tissues (it is very complicated process, somewhat related to so called complement, part of our immune system, and to autonomous system operation). Anxious peoiple are known to have sudden swelling of limbs (I have that, for example, and several times in a year I can have fingers like hot dogs, and it lasts for hours), Quinke edemas (also known as angyoneural edemas), urticaria and tons of other swelling conditions provoked by stress hormones. Thereofre your throat might swell too and when this happens, your voice becomes hoarse as in flu, but this is not bulbar. I noticed that my voice becomes hoarse in few minutes after I have relatively moderate fear attack or just get in incertain situation (which drives me crazy as I am GAD and uncertainity is a real hell for us).And please remember that a rule of thumb in MND impairments is FAILING NOT FEELING. if you feel weakness, it is perceived one. if you fail to move a finger or do a simple task - it is PROBABLY real impairment worth to check with a doctor (becasue sometimes anxiety might paly really bad jokes and people can seemingly lost their limbs but usually it can be judged by clinical exams whether it is real or still perceived weakness).
