Brief Answer:
All your symptoms could be stress related.

Detailed Answer:
Hi, thanks for writing to XXXXXXX

This is just to let you know that the commonest cause of muscle twitches & tingling sensation is STRESS or ANXIETY followed by intake of too much caffine, Poor diet, due to certain medications.

I strongly believe that Stress is the causative agent for all your symptoms.

I also assure you that neither you have symptoms of lateral sclerosis (ALS) .

For your information, I am providing you the commonest symptoms of the two conditions MS & ALS, which you are worried about -

Multiple sclerosis symptoms may include:
• Numbness or weakness in one or more limbs
• Partial or complete loss of central vision, usually in one eye, often with pain during eye movement (optic neuritis)
• Double vision or blurring of vision
• Tingling or pain in parts of your body
• Electric-shock sensations that occur with certain head movements
• Tremor, lack of coordination or unsteady gait
• Slurred speech
• Fatigue
• Dizziness

Signs and symptoms of ALS include:
• Difficulty lifting the front part of your foot and toes (footdrop)
• Weakness in your leg, feet or ankles
• Hand weakness or clumsiness
• Slurring of speech or trouble swallowing
• Muscle cramps and twitching in your arms, shoulders and tongue

Few self care management strategies to reduce stress includes -
* Meditation and Yoga practice
* Changing your attitude and becoming optimistic
* Keeping your mind sharp and focussed by taking the stress as a challenge rather than a threat
* Indulge in hobbies in which you are interested like gardening, drawing, painting etc which are supposed to be great stress busters
* Regular exercise is also a good stress reliever as it releases endorphins which increases your feelings of overall well being
* You should learn the art of making supportive friendships and expand your social circle so that you will have someone to lean on when stressed.
* Getting enough sleep is very important as it will have impact on both physical and mental well being. Uninterrupted sleep of atleast 6 hours is mandatory.
* Maintaining proper nutrition is also very important as poor dietary habits make you more vulnerable to stress
* Apart from all the above non pharmacological measures, there are few medications which are helpful in relieving your stress for which you have to consult a physician.

Hope I have addressed your query. Happy to help further.

Good day

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Brief Answer:
You may need to see a doctor.

Detailed Answer:
Hi, Nice to hear from you.

Fatigue & occasional numbness in feet may be related to stress.

But constant ringing in ears (Tinnitus) is not related to stress and is pathological. This can be most commonly due to outer, middle or inner ear disease. You should consult a doctor if it is bothering you or if it is associated with hearing loss or dizziness.

Hope I have justified your query. Good day

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