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does this indicate ALS? Should I see a neuro?

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I'm a 24 year old male. I have had many troubling symptoms for almost a year now. It started with alot of back and abdominal pain. I suffer from health anxiety, so I assumed the worst. I went to the doctor multiple times and after several tests (blood work, ct scans, etc) my doctor decided my symptoms were most likely anxiety related. A few weeks later I started having significant twitching in my right shoulder, which over time spread all over my body. I also have pain in my joints and other parts of my bodily almost always. I still have them, just not as frequently as I had before. A few weeks ago I started having cramping in my hands and feet. It doesn't seem to go away. My doctor said I should try taking a multivitamin so she prescribed me one. This morning while looking at my hand I noticed my right hand looks atrophied. Not significantly, just that the muscle under my thumb looks smaller, and my knuckles are more prominent. Does any of this indicate ALS? Should I see a neuro?

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replied February 9th, 2015
ALS, Lou Gehrig Disease Answer A51022
Hello and Welcome

I appreciate your concern

No, this history does not indicate ALS. ALS involves a combination of Upper and lower motor neurons abnormality. Since there has been no major intervention to treat, the history indicates a psychiatric element to these symptoms. You should consult an internal medicine doctor initially to advise routine investigations and perform the relevant physical exam. If necessary a neurological consult would be advised in case there is any atrophy of your hand muscles. A psychiatric consult may be advised to look for any anxiety or depression related to your illness/symptoms. Behavioral cognitive therapy and appropriate medications can be added thereafter.

wishing you best of health


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