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Suggest Treatment For Muscle Weakness In Limbs And Thyroid Problem

Posted on Mon, 18 May 2015

Question: I am really scared that i have ALS, i have been having muscle weakness for like 6 weeks now, if you look at my last few qeustions ive asked on here theyve been over the same concern. Its kind of weak in my right forearm, but it more just feels like soreness and sometimes a little numb, and then i have also felt weakness in my legs too... Im just really scared that i have ALS, i have also considered that i have a thyroid problem that could be causing issues because i have also been feeling really tured lately and i have also been dealing with digestive issues and headache problems for like 9 months, along with my anxiety about thinking that i have ALS.

Answered by Dr. Saumya Mittal (2 hours later)

Brief Answer:
Unlikely ALS

Detailed Answer:
Hi
I am Dr Mittal.
I have read your query.
I think I would be able to help you.
The fact remains that the ALS does not have sensory symptoms.
In your query, you have mentioned that you get numbness and therefore, I think it is unlikely that you have ALS.
Still, it would be good to rule it our by testing. So I would suggest that you try to get the following tests -
1. A ncv
2. A emg.
As for thyroid, it's a simple blood test.

The symptoms of the query are quite suggestive of a possible TIA and possible diabetes. I would suggest that you try to get a MRI BRAIN with angiography and FBS PPBS tested.

I have tried to make it as simple as possible. I hope that the information helps you. Please feel free to contact us for more information. Best of luck. Dr Mittal.

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

Follow up: Dr. Saumya Mittal (17 hours later)

I have also been having a lot of little twitches and nuscle fasiculations for a few weeks, that is another thing that makes me worry about ALS

Answered by Dr. Saumya Mittal (3 hours later)

Brief Answer:
That can be denervation

Detailed Answer:
That symptom is not specific to ALS.
It is known in other condition including neuropathy and myopathy.
As I suggested test a NCS and EMG.
Thanks for your response.
I have tried to make it as simple as possible. I hope that the information helps you. Please feel free to contact us for more information. Best of luck. Dr Mittal.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Saumya Mittal (3 hours later)

But you still dont think that it is ALS? Its just that having muscle weakness, mostly in one arm, and having muscle fasiculations is pretty scary

Answered by Dr. Saumya Mittal (6 hours later)

Brief Answer:
No I don't think so

Detailed Answer:
Hi
Thanks for the response.
I don't think that it is ALS.
I agree that the symptoms Are suggestive of ALS.
But there are other conditions that can cause the same set of symptoms.
SInce ALS cannot be treated I would like to consider the other possible causes before saying it is ALS Unless otherwise proven in a test.

I hope that the information helps you.
Please feel free to contact us for more information. Best of luck. Dr Mittal.

Above answer was peer-reviewed by : Dr. Pradeep Vitta