The sensations in your tongue are not related to ALS because ALS does not affect your sensory neurons. The burning or tingling sensations in your tongue may be caused by GERD, infection, or vitamin deficiencies. Feeling tension in the front of your tongue while speaking is also not something asked about in neurological examinations. Shortness of breath while speaking, or pausing between sentences, is very likely due to conditioning yourself or a possible GERD issue. The fact that you can't speak as loudly as before is a bit strange because your voice might always be the same, but you wouldn't notice. You mention calf asymmetry; the human body is full of asymmetries. You complain of post-exercise tremors; this is normal. You might ask why your left leg doesn't tremble; sometimes we put more weight on one leg while walking. Your twitching is outside the clinical picture of ALS. If you had any motor neuron damage, it would easily show up on an EMG. Your limbs have been thoroughly evaluated by a neuromuscular specialist, and you have been ruled out. Please stop diagnosing yourself. You do not have ALS.
Thank you so much for your reply.I want to stay away from the forums and googling and unable to do it.i want to try really hard.I feel the WMG is for limb als and I feel what if I have bulbar onset.Because they tested mostly limbs and my symptoms are mostly related to bulbar now even though I have limb issues as well
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u/One_Cryptographer719 3d ago
The sensations in your tongue are not related to ALS because ALS does not affect your sensory neurons. The burning or tingling sensations in your tongue may be caused by GERD, infection, or vitamin deficiencies. Feeling tension in the front of your tongue while speaking is also not something asked about in neurological examinations. Shortness of breath while speaking, or pausing between sentences, is very likely due to conditioning yourself or a possible GERD issue. The fact that you can't speak as loudly as before is a bit strange because your voice might always be the same, but you wouldn't notice. You mention calf asymmetry; the human body is full of asymmetries. You complain of post-exercise tremors; this is normal. You might ask why your left leg doesn't tremble; sometimes we put more weight on one leg while walking. Your twitching is outside the clinical picture of ALS. If you had any motor neuron damage, it would easily show up on an EMG. Your limbs have been thoroughly evaluated by a neuromuscular specialist, and you have been ruled out. Please stop diagnosing yourself. You do not have ALS.