Diffuse Fasciculations

[PodiatryStudent]

Hello,

Im a man, 26 years old.

Last november 2017 I noticed fasciculations in my right vast medial muscle.
It was pretty constant and it went away on its own a week after.

After that, I noticed small fasciculations in both gastrocnemius and soleus muscles of both legs.

Since that, fasciculations got more diffused, I have them in feet, hands, face, neck, legs, eyelids and sometimes abdomen.

They are constant in my calves muscles and are more intense after sports or a walk or when I am tired. They appear at rest and disappear when I'm using my muscles.

Theses days they are more frequent and tend to be more present.

I saw my doctor who ran blood tests. They look at my phosphate, sodium, potassium, creatinine kinase, magnesium, FSH levels. The labs came back normal. My doctor (GP) talked to a neurologist and said I had nothing to worry about. When I saw my doctor, I had normal reflex, no atrophy.

I don't have any muscle weakness, but I feel like my  muscles get tired easier.

I am very afraid and worried that this could be a motor neuron disease such as ALS. It makes me very anxious.

I am a podiatric medical student and I am sometimes very tired since theses studies are very demanding.

What should I do and what could it be?

Thanks for your help!

[specialmom]

Sorry you are having this.  Are you doing athletic activities?  Standing a lot with your medical studies?  This type of twitching makes sense where you are having it if that is the case.  ALS can take a while to diagnose as you probably know and a lot of it has to do with patient history.  You've worked with your doctor though and this isn't suspected.  Could you be under stress currently, a bit tired and hence, having some anxiety?  I would try to journal when this is happening and what preceded it a few days before.  Write down all details that pertain to it so that you can get some kind of record that you can then share with your doctor if this doesn't subside.  

I know that isn't a definitive answer but mostly, I'd try not to worry.  I'm sure it's annoying that this happens and it causes you concern and worry.  But try to see if it's not lifestyle related and journal about it to begin a written record of the facts surrounding it.  good luck