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Do all my symptoms point to ALS or MS, or is my anxiety the cause?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 37-year-old male. I am experiencing some symptoms. I am concerned about ALS and MS. Twelve months back. I started to have pain in my left thumb after applying some force with it. I started to have a similar issue with the right index finger too. My thumb issue persisted but the finger pain went away after few weeks. I do not have any weakness in my hand. Eleven months back, I started to have intermittent twitches on my right biceps. It happened for several times a day. I noticed some widespread intermittent twitching in my arms, hands, eyelid, lips, chest, legs, and calves. But my twitching in biceps and fingers persisted and others went away after some days. After that, I started to have leakage of few drops of urine after urination. I also noticed an electric shock sensation in my wrist after having a bump on the underside of the wrist. Four months back, I over-exerted my arms by doing weedeating a yard. After that, my arms started to have soreness or stiffness sometimes. I am scared about ALS or MS.

Answered by Dr. Upendra Kumar Shah

Education:

MBBS

Professional Bio:

Dr. Upendra Kumar Shah is a dedicated General Physician and Neurologist specializing in a wide range of neurological conditions. He provides expert care for stroke, epilepsy, headaches, degenerative disorders, and neuropathies, combining modern diagnostic approaches with personalized treatment plans to support patients’ overall neurological health.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Fasciculations are not seen in MS (multiple sclerosis). ALS (amyotrophic lateral sclerosis) occurs with fasciculations accompanied by weakness and loss of muscle mass. They do not subside spontaneously. Pain in fingers on applying pressure indicates tenderness. They are either seen in MS or ALS. Leakage of few drops of urine is a normal thing. Bladder bowel control gets affected in the end stage of these two diseases. The median nerve passes on the underside of the wrist and so if you have bumps in this area, you can have an electric shock sensation. It is seen in carpal tunnel syndrome. It is not seen in MS or ALS.

Patient's Query

Thank you doctor,

Do these symptoms point to anything? Does anxiety cause it? What is the cause of arm achiness or stiffness?

Answered by Dr. Upendra Kumar Shah

Education:

MBBS

Professional Bio:

Dr. Upendra Kumar Shah is a dedicated General Physician and Neurologist specializing in a wide range of neurological conditions. He provides expert care for stroke, epilepsy, headaches, degenerative disorders, and neuropathies, combining modern diagnostic approaches with personalized treatment plans to support patients’ overall neurological health.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

All these symptoms are non-specific. Definitely, you have anxiety and it causes trouble in you. You need to check your serum electrolytes, blood sugar, thyroid, calcium, and vitamin D levels. Achiness occurs due to overstretching of ligaments of arms. You can take Aceclofenac for five days.

Patient's Query

Thank you doctor,

I had some tingling sensation in my left hand a couple of times in the last week. I have achiness and urinary issues. Do these indicate MS?

Answered by Dr. Upendra Kumar Shah

Education:

MBBS

Professional Bio:

Dr. Upendra Kumar Shah is a dedicated General Physician and Neurologist specializing in a wide range of neurological conditions. He provides expert care for stroke, epilepsy, headaches, degenerative disorders, and neuropathies, combining modern diagnostic approaches with personalized treatment plans to support patients’ overall neurological health.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

This does not indicate MS. This is seen in carpal tunnel syndrome. Do evaluation using nerve conduction study. Consult a local physician or neurologist for having a physical examination.

Patient's Query

Thank you doctor,

Do these symptoms does not indicate MS definitely?

Answered by Dr. Upendra Kumar Shah

Education:

MBBS

Professional Bio:

Dr. Upendra Kumar Shah is a dedicated General Physician and Neurologist specializing in a wide range of neurological conditions. He provides expert care for stroke, epilepsy, headaches, degenerative disorders, and neuropathies, combining modern diagnostic approaches with personalized treatment plans to support patients’ overall neurological health.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

You do not have symptoms of MS. Your symptoms are due to peripheral nervous system issues while MS is a disorder of the central nervous system showing focal deficits, slowness of movements, ataxia, tremors, and loss of sensations.

Medically reviewed by Dr. Sneha Kannan
Published At August 25, 2020
Reviewed At January 24, 2023

Education:

MBBS

Professional Bio:

Dr. Upendra Kumar Shah is a dedicated General Physician and Neurologist specializing in a wide range of neurological conditions. He provides expert care for stroke, epilepsy, headaches, degenerative disorders, and neuropathies, combining modern diagnostic approaches with personalized treatment plans to support patients’ overall neurological health.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Upendra Kumar Shah is a dedicated General Physician and Neurologist specializing in a wide range of neurological conditions. He provides expert care for stroke, epilepsy, headaches, degenerative disorders, and neuropathies, combining modern diagnostic approaches with personalized treatment plans to support patients’ overall neurological health.

This doctor is not available for online consultations on the platform anymore.

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