For the past couple years I've experienced intermittent spasms while talking. Sometimes I'll go weeks without an incident and others I'll have 30+ a day. It effects how I talk to people and my confidence.

A little background. I also get twitches on my eyelids from time to time, muscle spasms in my extremities and back. I am also treated weekly for joint and muscle pain (back/shoulders neck/extremities) that they think is MCTD, which I've had all the blood tests that have confirmed that with a positive ANA and anti-U1-RNP antibody.

I haven't been able to get a consensus diagnosis and I've seen multiple specialists and numerous blood tests.

Any ideas on what could be going on?