ALS is rare: if you have fasciculation of the tonge and additional upper motor neuron findins ( abnormal reflexes, spasticity, upgoing toes the index of suspicion for ALS is raised. More common causes of muscle fasciulation include,electrolyte disturbances, over exertion, and thyroid disease. Best of health. When in doubt see a neurologist who specializes in ALS
Answered 8/3/2017
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