HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Should I Wait For At Least 2 Months Before I

Posted on Thu, 30 Apr 2020

Question: Should I wait for at least 2 months before i see a neurologist for follow up or I should just concentrate on my anxiety?

Again so this looks like a combination of TMJ and anxiety and not even close to MND?

They did not do my bulbar muscles (emg), am I still clear of ALS?

Follow up: Dr. Sudhir Kumar (0 minute later)

Should I wait for at least 2 months before i see a neurologist for follow up or I should just concentrate on my anxiety?

Again so this looks like a combination of TMJ and anxiety and not even close to MND?

They did not do my bulbar muscles (emg), am I still clear of ALS?

Answered by Dr. Sudhir Kumar (1 hour later)

Brief Answer:
You can wait for 2 months.

Detailed Answer:
Thank you for getting back.

You can wait for two months to see a neurologist.

Yes, it looks like TMJ and anxiety and not like MND.

As your symptoms are not suggestive of bulbar MND, you are clear of ALS, even though EMG of bulbar muscles was not done.

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Sudhir Kumar (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Sudhir Kumar (25 minutes later)

So not even a hint of ALS in this right?

Can this be due to MS or mysthenia gravis as I read symptoms are more aligned with them than ALS?

Follow up: Dr. Sudhir Kumar (0 minute later)

So not even a hint of ALS in this right?

Can this be due to MS or mysthenia gravis as I read symptoms are more aligned with them than ALS?

Follow up: Dr. Sudhir Kumar (2 minutes later)

Also,
This is the url of my soft palate and the Uvula
This is the url which you can copy and open in a new browser or a new tab:

https://jmp.sh/v/AIgmTmUvMpe6pWsQ2WGS

I also get like a pressure/tightness on the back of the mouth like between the throat and nose.

Follow up: Dr. Sudhir Kumar (0 minute later)

Answered by Dr. Sudhir Kumar (48 minutes later)

Brief Answer:
The symptoms are not suggestive of MS or myasthenia.

Detailed Answer:
Thank you for getting back with more information.

There is no hint of LAS.

Symptoms are not suggestive of MS or myasthenia gravis.

I saw the video of tongue, soft palate and pharyngeal muscles. Tongue looks normal and there is no wasting. Sounds produced are normal, there is no dysarthria. Movements of soft palate and uvula are also normal.

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Nagamani Ng

Answered by Dr. Sudhir Kumar (0 minute later)

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Sudhir Kumar (18 hours later)

1.) So what could be causing the pressure/stiffness in soft palate, cheeks region?

2.) Can TMJ affect speech due to the facial pressure?

3.) Can TMJ cause tongue biting or is it anxiety?

Follow up: Dr. Sudhir Kumar (0 minute later)

1.) So what could be causing the pressure/stiffness in soft palate, cheeks region?

2.) Can TMJ affect speech due to the facial pressure?

3.) Can TMJ cause tongue biting or is it anxiety?

Answered by Dr. Sudhir Kumar (6 minutes later)

Brief Answer:
Muscle tension related to anxiety

Detailed Answer:
Thank you for getting back.

1. Pressure and stiffness in soft palate and cheeks are related to muscle tension caused by anxiety.

2. TMJ does not affect speech.

3. Tongue biting is due to anxiety, and not related to TMJ.

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Sudhir Kumar (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (43 minutes later)

1.) Can I just rule out MND for now?

2.) Also, can I wait for 2-3 months before I see a neurologist?

3.) What is causing the pressure while talking then?

Follow up: Dr. Sudhir Kumar (0 minute later)

1.) Can I just rule out MND for now?

2.) Also, can I wait for 2-3 months before I see a neurologist?

3.) What is causing the pressure while talking then?

Answered by Dr. Sudhir Kumar (2 minutes later)

Brief Answer:
Yes, MND is ruled out.

Detailed Answer:
Thank you for getting back.

1. MND is ruled out for now.

2. You can wait for 2-3 months to consult a neurologist.

3. Pressure while talking is caused by muscle tension due to anxiety.

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Sudhir Kumar (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Sudhir Kumar (5 minutes later)

Brief Answer:
There is no chance that you have MND.

Detailed Answer:
Thank you for getting back.

It was a specific response to your question 1 ("Can I just rule out MND for now?")

There is no chance that you have MND now. There is no doubt about this being MND or any other neurological disease.

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Sudhir Kumar (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (4 minutes later)

"MND is ruled out for now"

Do you mean or trying to imply that theres a chance I do have it? I am sorry for asking you all these questions.

I just want to ask you do you think theres a slightest of doubt that this could be MND or other neurological stuff?

Follow up: Dr. Sudhir Kumar (0 minute later)

Answered by Dr. Sudhir Kumar (32 minutes later)

Brief Answer:
You can take symptomatic treatment for TMJ

Detailed Answer:
As of now, for TMJ, you can take symptomatic treatment depending on the symptoms, such as pain killers, muscle relaxants etc, until you can see a rheumatologist.

Dr Sudhir Kumar MD DM

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Sudhir Kumar (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (4 minutes later)

Thanks a lot.

Have a good day.

Follow up: Dr. Sudhir Kumar (0 minute later)

Thanks a lot.

Have a good day.

Follow up: Dr. Sudhir Kumar (0 minute later)

So What can I do for TMJ until I go and see a doctor?

Follow up: Dr. Sudhir Kumar (0 minute later)

So What can I do for TMJ until I go and see a doctor?