Hello, I am Dr Mittal. I have read your message. I think I can help you. The symptoms of the query are quite suggestive of MND, or motor neuron disease. There are abnormal movements which are often called as fascicualtion. The tongue may have similar very fine movements which often makes the person unable to speak or eat. The weakness usually increases gradually. He will have no urine or stool complaint. There would be no sensory complaint like numbness etc. If these features are present, it may indicate MND. I would like to see the EMG report if possible. I cannot confirm this diagnosis directly on this forum, because the patient needs to be examined further and then only a diagnosis can be suggested. There is unfortunately no treatment, except Riluzole. Please feel free to contact me for further information. I have tried to make it as simple as possible. Best of luck, Dr Mittal