Quick Answer: Does ALS Start On Both Sides?

What can be mistaken for ALS?

A number of disorders may mimic ALS; examples include:Myasthenia gravis.Lambert-Eaton myasthenic syndrome.Lyme disease.Poliomyelitis and post-poliomyelitis.Heavy metal intoxication.Kennedy syndrome.Adult-onset Tay-Sachs disease.Hereditary spastic paraplegia.More items….

How do you rule out ALS?

ALS is primarily diagnosed based on detailed history of the symptoms and signs observed by a physician during physical examination along with a series of tests to rule out other mimicking diseases. However, the presence of upper and lower motor neuron symptoms strongly suggests the presence of the disease.

Does ALS come on suddenly?

Marked weakness of the ED with relatively mild weakness of the other muscles in the affected limb was a characteristic finding in both cases. It is unlikely that the disease process of ALS actually began suddenly.

How quickly does ALS progress?

The rate at which ALS progresses can be quite variable from one person to another. Although the mean survival time with ALS is three to five years, some people live five, 10 or more years. Symptoms can begin in the muscles that control speech and swallowing or in the hands, arms, legs or feet.

Are ALS twitches widespread?

The twitching also affects the muscle while it is resting, but will stop when the person starts using the muscle. In ALS, twitching can start in one place, but will often spread to the areas near that starting point rather than appearing in random places.

When should I see a doctor about muscle twitching?

Call your health care provider if you have long-term or persistent muscle twitches or if twitching occurs with weakness or loss of muscle.

Do early ALS symptoms come and go?

ALS symptoms are progressive meaning the symptoms get worse over time and often develop very quickly. That said there are some cases in which symptoms, such as difficulty swallowing, can get better for a period of time.

Is ALS symmetrical?

Although ALS affects both sides of the body, atrophy may start on one side, becoming symmetrical as the disease progresses. ALS does not have an impact on the person’s intellectual reasoning, vision, hearing or senses of taste, smell, or touch.

Where does ALS usually start?

ALS often starts in the hands, feet or limbs, and then spreads to other parts of your body. As the disease advances and nerve cells are destroyed, your muscles get weaker. This eventually affects chewing, swallowing, speaking and breathing.

What are ALS twitches like?

For instance, an individual with ALS might first notice a persistent shoulder twitch or muscle twitching in their face or legs. Whilst not painful, it can be so prevalent that it causes sleep disruption.

When should I worry about muscle twitching?

You should see a doctor for muscle spasms if you encounter any of the following situations: Any muscle spasms that are occurring regularly. Muscle spasms that are not resolving on their own with rest, hydration, and proper nutrition. Any pain or injury that you have as a result of a muscle spasm, especially back spasms.

What is usually the first sign of ALS?

Early symptoms of ALS are usually characterized by muscle weakness, tightness (spasticity), cramping, or twitching (fasciculations). This stage is also associated with muscle loss or atrophy.