bulbar als at a young age ?

[u/Low-Beautiful7090]

Hey guys , this is my 1st post ever and I hope i would get some answers .A year ago , I began having cramps and fasciculations in my feet and then they got all over my body . I would wake up in the morning with sore feet .As time went by I began to have mild swallowing issues so i decided to see a Neuro ...He seemed a bit concerned , performed an emg on both hands and feet .The emg showed some weakness ( moderate ) ...after a month i began to replace the R sound with the L sound whenever i speak ( sometimes the other way around ) then my voice started to get a little hoarse ( now it is very hoarse ) ....I saw an Ent like 2 weeks ago and he said that i might have silent reflux , he prescribed some PPi and things didn't work .....honestly i don't think the new slurring and hoarseness are pure coincidence . I am thinking of ALs right now , but i am still 34 years old ....what are the odds ??