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Doctor insights on: Als Or Anxiety

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Dr. Heidi Fowler
3,235 doctors shared insights

Anxiety (Definition)

Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more


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34 y/o female w extreme anxiety. Can twitching and brisk reflexes for nearly 2 yrs but no weakness/atrophy still be ALS? Neuro says anxiety, scared.

Anxiety help: Without any weakness over that time frame, the Neuro is right - ALS is not likely. But you do feel worried and a good Health Psychologist might help you as you investigate. They can evaluate the emotional part and refer you to physicians w/ their impressions of the physical part. That's a bit like having an attorney. If the Dr didn't mention MS. I don't want to worry you, but that's worth a nod. ...Read more

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Neurologist told me that my thumb fasciculations can be caused only by MS, ALS or by anxiety, no third option.Can this be true for specific twitches?

Neurologist told me that my thumb fasciculations can be caused only by MS, ALS or by anxiety, no third option.Can this be true for specific twitches?

Other things: Well, there are other things that can be associated with fasciculations, such as post strenuous exercise, trauma, a compressed nerve, and familial causes, as well as MS, ALS and anxiety. Not knowing your history, it is difficult to assess this well. Suggest you obtain another opinion or do a virtual consult with a neurologist on here on HealthTap. ...Read more

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I habe constant leg stiffness nd paun did a lot of blood work and spine brain MRI all clear afraid of ALS doc says anxiety what are chanses 20 yrs?

I habe constant leg stiffness nd paun did a lot of blood work and  spine brain MRI  all clear afraid of ALS doc says anxiety  what are chanses 20 yrs?

Test are reassuring: Normal test should reassure you if they dont ask yourself why they dont.Pain is not a prominent feature of als. ...Read more

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Brisk jaw jerks. Isn't that normal if it was very brisk than abnormal correct. Als specialist say its anxiety nothing else wrong though. Should worry?

Brisk jaw jerks. Isn't that normal if it was very brisk than abnormal correct. Als specialist say its anxiety nothing else wrong though. Should worry?

Likely MD correct: Stress, tension, anxiety, and hyperthyroidism may all result in increased reflex responses, and what you describe above is not at all part of als. Not clear to me why this has been considered, based on information provided. Hope this also reassures you. ...Read more

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Feeling a weird or weak feeling in left leg. Started feeling it april last year, and it seems to come and go. Chances it's als? Male age 20. Anxiety.

Feeling a weird or weak feeling in left leg. Started feeling it april last year, and it seems to come and go. Chances it's als? Male age 20. Anxiety.

Improbable: There are many beneign causes of leg pain/ parasthesias. See musculoskletal specialist, like a manipulative do. Is there a family hist of nerve diseases? Activity can cause it too. ...Read more

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Habe leg stiffness and pain had blood works spine brain MRI neuro test all clear afraid of ALS but doc said anxiety can it be caused by anx?

Habe leg stiffness and pain had blood works spine brain MRI neuro test  all clear  afraid of ALS but doc said anxiety can it be caused by anx?

Possible: If all work ups have not found any underlying problems for your symptoms, it will be a good idea to get evaluated psychiatrically. The stress of being medically screened sometimes can be so overwhelming for some, that even after no diseases are found, the worry continues. Talking to a psychiatrist may be helpful. Good luck. ...Read more

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I have occasional lightheadedness, and on other occasions I feel a head-rush similar to an adrenaline rush. I also sometimes have a tingling sensation in my feet and hands. Should I be worried about brain tumors or ALS? Or is this anxiety 101?

I have occasional lightheadedness, and on other occasions I feel a head-rush similar to an adrenaline rush.  I also sometimes have a tingling sensation in my feet and hands.  Should I be worried about brain tumors or ALS?  Or is this anxiety 101?

Need more info: Your complaints are common to many conditions both physical and psychological. It would take an exam and a detailed personal history to try to understand what is going on. First start out with a visit to your family physician who after an exam and interview should be able to set you on the right road to feeling better. ...Read more

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Tremors in hands, weak legs, dizzy, numbing/tingling in hands and feet, weight loss. Got MRI, no MS. ALS? Parkinsons? It's not anxiety. 17yrs old

Hmmm: No way to tell with those history elements alone. Please follow up with your doctor to share more history and be assessed further. A neurologist would be a good choice as well. good luck figuring it out ...Read more

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Tremors in hands, weak legs, dizzy, some numbing/tingling in hands and feet, weight loss. Got MRI, no MS. Is it ALS? Parkinsons? It's not anxiety.

Tremors in hands, weak legs, dizzy, some numbing/tingling in hands and feet, weight loss. Got MRI, no MS. Is it ALS? Parkinsons? It's not anxiety.

Tremors: With these symptoms you need to see a good diagnostician and I would start with my family doctor. He will probably start with a complete blood panel and exclude all metabolic disease . If this is all normal that he will be able to send you to the appropiate specialist to treat your condition. Do not try to self diagnose. ...Read more

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I have anxiety, taking escitalopram 20mg, since 2 weeks have dull pain and weakness in both thighs..Can it be something serious or just anxiety? Als?

I have anxiety, taking escitalopram 20mg, since 2 weeks have dull pain and weakness in both thighs..Can it be something serious or just anxiety? Als?

Anxiety: Pain ; weakness in thighs are musculoskeletal symptoms. At your age, the most likely cause would be activity of sorts. Anxiety itself can present as various physical and/or mental symptoms, including musculoskeletal.(if continues, talk with your pcp) note: anxiety treatment requires twice the medication dose and twice the time to respond to medication treatment compared with depression treatment. ...Read more

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Would muscle twitches all over the body with no weakness or atrophy be a sign of ALS? I have severe health anxiety have had the twitches for years.

Would muscle twitches all over the body with no weakness or atrophy be a sign of ALS? I have severe health anxiety have had the twitches for years.

Fasciculation: Twitches can be the result of medications or drugs as well as muscle fatigue, but it sounds like you would benefit from a neurology consult to put your mind at ease about ALS and to rule out other disorders causing denervation of muscle groups. ...Read more

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Ive had anxiety about ALS lately. How do i get tested for this? so it can most likely be ruled out and i can take my life back

ALS: As far as I know no one be will put through the extensive and, sometimes, uncomfortable tests for ALS unless they are truly symptomatic and all other possibilities have been ruled out. I would suggest speaking to your primary care physician to discuss whatever symptoms you may be experiencing. If nothing else shows up, locate a good therapist to work on anxiety reducing strategies. ...Read more

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I am afraid I have ALS but doc says it's just anxiety. What should I do?

I am afraid I have ALS but doc says it's just anxiety. What should I do?

Why are you worried?: If you have been evaluated by a neurologist and have been told that you don't have ALS you should be joyful and enjoy your life. Try to engage in anxiety reducing activities. Consider yoga. Consultation with a mental health professional may also be of benefit to explore the basis for your anxiety. ...Read more

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Past month ive had health anxiety.thinking i have cancer or ALS.Where did this come from?I was perfectly normal and then this anxiety came from nowher

Past month ive had health anxiety.thinking i have cancer or ALS.Where did this come from?I was perfectly normal and then this anxiety came from nowher

Counseling: Cannot explain why you are having anxiety, but no reason to delay dealing with it. I believe a therapist would be far more helpful than using medication. A psychiatrist, psychologist, or even a social worker, can assist you. ...Read more

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Having twitches that last seconds to days in all diff areas. Have extreme anxiety and am now obsessing thinking it is als. No weakness but terrified.

Stress: There are many simple explanations for twitching sensations, caffeine and stress being at the top of the list. Instead of worrying about it seek medical evaluation to determine the cause of your problem. ...Read more

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My anxiety over als is high and I am experiencing pain in my left shoulder and elbow. it comes and goes. If I am 24 the chances are that it's not als?

My anxiety over als is high and I am experiencing pain in my left shoulder and elbow. it comes and goes. If I am 24 the chances are that it's not als?

Probably not, see Dr: Why your concern re this specific disease? Has a close relative had this illness? If so, there is a genetic link and possibility goes up. If not, odds are in your favor. You should see your doctor if you continue to have anxiety over this. Anxiety and stress can evoke physical symptoms, but see your doctor for an evaluation to put your mind at ease. ...Read more

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Was convinced i had cancer and seemed to "noticed symptoms." Now i think i have ALS and seem to "notice symptoms."Does this sound like health anxiety?

Hypochondriasis: Without knowing all the facts, ur family history, or physical exam / lab results, it is hard to say 4 sure. But, given how rare both cancer and ALS is in ur age group, I think u r overreacting. Access 2 too much medical information can cause problems ranging from overreaction to anxiety disorder to hypochondria to an obsessive disorder. Be assured that both ALS & cancer are rare. TTYD for advice. ...Read more

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Does hypochondria(health anxiety) often start out of nowhere?I was never like this and then last month out of nowhere ive had thoughts of cancer & als

Does hypochondria(health anxiety) often start out of nowhere?I was never like this and then last month out of nowhere ive had thoughts of cancer & als

Acknowledge &; file: You can acknowledge these anxiety thoughts and say to yourself "OK. I am having them. Are they realistic?. Nope! . But they sure feel real. What if they happen in decades? Can I keep on working, loving, enjoying, learning for the decades then IF they ever or never arrive.?SURE! ". So give yourself permission to have these thoughts. Then file them away in a special place; and get on with life! ...Read more

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I've been diagnosed with severe health anxiety. I've been getting twitches in my thigh and other parts of body. Worried about ALS ?

I've been diagnosed with severe health anxiety. I've been getting twitches in my thigh and other parts of body. Worried about ALS ?

No need to worry: You should not be worried because twitching is not the cardinal symptom of ALS. It is caused by many things, and most of them are benign- nothing to worry about. ...Read more

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