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Doctor insights on: Tongue Fasciculations

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Mouth (Definition)

Mouth (mouth) " n. Pl. Mouths 1. A. The body opening through which an animal takes in food. B. The cavity lying at the upper end of the alimentary canal, bounded on the outside by the lips and inside by the oropharynx and containing in higher vertebrates the tongue, gums, and teeth. C. This cavity regarded as the source of sounds and speech. D. The opening to any cavity or canal ...Read more


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Still have tongue fasciculations. Now everyday. Can it be something else besides als?

Still have tongue fasciculations. Now everyday. Can it be something else besides als?

Yes: You may have what is called Benign Fasciculation Syndrome. The cause is as yet unknown. Patients have fasciculation or twitching in various voluntary muscles along with other signs and symptoms. The prognosis is good to excellent. Does not lead to any physical impairment of the body. SEE: http://bit.ly/1pueq5y ...Read more

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Is there a difference between benign tongue fasciculations and the ones seen in ALS? I've read beign fasciculations in the tongue doesn't exist, true?

Is there a difference between benign tongue fasciculations and the ones seen in ALS? I've read beign fasciculations in the tongue doesn't exist, true?

Unlikely ALS: At your age, very rare to develop a sporadic motor neuron disorder and even rarer would be a hereditary condition starting at this point. Question could involve whether you have true fasciculations or alternative tongue issue. Your neurologist could explore this further. ...Read more

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I've been getting tongue fasciculations for about six months now. My tongue EMG was clean. Can it still be ALS?

Could be: ALS has no test. It's a combination of upper and lower motor neuron signs. all you can do it wait and keep following up with your PCP. Life is short. Enjoy every day like it is your last. ...Read more

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Tongue fasciculations for one year. Teo clean emg's. What are the odds of it being bulbar ALS? No other symptoms.

Tongue fasciculations for one year. Teo clean emg's. What are the odds of it being bulbar ALS? No other symptoms.

Unlikely: ALS, almost never has changes in the motor unit in the initial stage and along the natural course of disease. See a neurologist for consultation and assessment. ...Read more

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Last questions. Once you have fasciculations, can an emg be done to soon? Is occasional tongue fasciculations signs of als?

Last answer: The tongue is innervated by the hypoglossal nerve at the caudal end of the brainstem. ALS starting there relentlessly spreads rostrally to other cranial nerves & caudally into the cervical spinal cord (nerves to arms & hands). There is no cure so EMG/NCSs are never too "late" or too "soon." Do you want someone doing an EMG on your tongue? I wouldn't. Just follow your neurologist's advice. ...Read more

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Does fasciculations in ALS come and go, or are they constant until the muscle dies? I have tongue fasciculations.

Fasciculations?: The muscles don't die. In ALS, cell death occurs in the nervous system. Did you diagnose yourself with tongue fasciculations or did a doctor? Not all fasciculations are a sign of ALS (MND in the UK). If you're concerned (not inappropriate), get worked up. Swedish neurologists are considered among the best in their field worldwide. P.S. Are you sure it's not the Abilify (aripiprazole)? ...Read more

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I worry about my occasional tongue fasciculations since I've read they are only due to als. I had a clean emg on my tongue yesterday. ?

Fasciculations: Tongue fasciculations are not only caused by ALS, but one would think so, after reading the internet. If the EMG is normal that is a very reassuring sign. Sometimes medications can cause these symptoms too. If that is the only symptom you have right now there is nothing to be concerned about.. Lykke til! ...Read more

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Neurologists: tongue fasciculations always indicative of ALS, is this a myth? I've had them daily for six months.

MOVEMENT DISORDER: Spontaneous movements of tongue are non-specific, and can be associated with numerous causes, many very benign. For example, uncontrollable tongue movements may be seen as a medication reaction to psychotropic drugs, and you appear to be taking three. Very doubtful you have ALS, and far more likely your tongue issues are eminently reversible. ...Read more

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Tongue fasciculations + bulbar weakness associated with fatigability from eating, prolonged talking/social interactions. Potential causes? Neurologic?

Yes: Many possibilities come to mind but without a physcial exam and good history it is not possible to be sure. I see you have dysautonomia. Your symptoms are not due to that. They may be a form of chorea or an inflammatory process such as can occur after untreated strep infection (i.e. variant of Sydenham chorea) or MS. The fact that you have other neuropathy is concerningThese are only a few of many possibilities, however, so I would make sure that you Take this information to your neurologist right away ...Read more

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Could tongue fasciculations,arm tremors,depression be a sign of Wilson's disease? Does long term use of psychiatric drugs cause Wilson's disease ?

Could tongue fasciculations,arm tremors,depression be a sign of Wilson's disease? Does long term use of psychiatric drugs cause Wilson's disease ?

My response: Psychiatric drugs do NOT cause Wilson's disease which is a problem with copper metabolism. This would be evaluated by blood testing including copper and ceruloplasmin. Since you seem concerned, see your doctor and uncover why you have issues. A tardive dyskinesia can be treated if present. ...Read more

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What is the difference between fasciculations and twitches? I've read benign fasciculations doesn't occour in the tongue, so what are thoose twitches?

What is the difference between fasciculations and twitches? I've read benign fasciculations doesn't occour in the tongue, so what are thoose twitches?

See your MD, or neur: You are not talking about minor issues. Particularly, in the context of psychoactive drugs (abilify (aripiprazole) and paroxetine) a movement disorder can represent important or serious problems. Changing or discontinuing drugs may be necessary, but that is not something you should do on your own. See the doctor who is prescribing your meds and if that isn't helpful see a neurologist for evaluation, soon. ...Read more

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Is it true fasciculations in the tongue usually means als? Can you have myokymia in the tongue?

Tongue fascics & ALS: If you have fascics in the tongue, you have changes in the tongue muscle or nerve supply to the tongue. It would be unusual for this to be the only symptom or sign of ALS. Physicians may look at a person's tongue for this sign when they have symptoms of weakness elsewhere. ...Read more

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Many doctors online has claimed that benign fasciculations can't occour in the tongue (it's always als). Why is this?

See below: You can find opinions of all stripes online, and most of what is there is misleading and inconclusive. See a dentist , and get an exam, and if the dentist is concerned, see a neurologist. ...Read more

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Is it true the tongue can't have benign fasciculations? I can feel my tongue twitch sometimes, is it ALS?

No: By the time ALS affects the tongue the rest of your body would be compromised. ALS is an "ascending" disease ...Read more

Muscle Twitches (Definition)

The twitches you can see and feel in muscle are contractions of irritable muscle fibers. They are sometimes seen with muscle fatigue. I sometimes see young people with fasciculations who google the word and come in afraid they have ALS . There is also an entity called benign fasciculation syndrome that is sometimes accompanied by cramping. Caffeine and theophylline (in ...Read more


Dr. Melinda Bailey
155 doctors shared insights

Fasciculation (Definition)

Fasciculation = brief involuntary contractions of a small ...Read more