What else besides als and fasciculations can cause my tongue to feel twitchy?

Tongue: great question. Stress, dryness, acid reflux or some of the other causes. I would check it out with an ENT

Look up BFS Mayo web: Though twitching is sometimes a symptom of serious diseases such as spinal injury, muscular dystrophy, Lyme Disease, multiple sclerosis or amyotrophic lateral sclerosis (ALS), causes like BFS and over-exertion are more common Benign fasciculation syndrome (BFS) is a neurological disorder characterized by fasciculation (twitching) of various voluntary muscles in the body--including tongue