A member asked:

What are the first signs of als?

4 doctors weighed in across 3 answers
Dr. Roy Arnold answered

Specializes in Internal Medicine

Asymmetric weakness: Asymmetric weakness occurs in 80% of cases. It may start in upper or lower extremities or in brain stem. Weakness of the thumb and index finger or weakness of shoulder muscles can occur. Brain stem illness can manifest as difficulty with speech or swallowing. See your physician for an evaluation.

Answered 8/22/2014

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Dr. Gerald Mandell answered

Specializes in Nuclear Medicine

See als site below: Initial symptoms of ALS quite varied in different people. One person with tripping over carpet edges, another person with trouble lifting and a third person with slurred speech. Rate at which ALS progresses can be quite variable from one person to another. see http://www.alsa.org/about-als/symptoms.html

Answered 3/14/2016

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Fasciculations: Initially, most would report finding flickering of hand muscles, followed by weakness in scattered areas of the body. Muscle atrophy follows.

Answered 9/21/2014

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