Concerns About Bulbar ALS
Hello everyone, I am about to turn 20 and I am a male of mixed heritage, part Caucasian and part Mexican. Recently, I have been experiencing anxiety regarding bulbar ALS (amyotrophic lateral sclerosis). My worries have escalated, and I firmly believe that I might be experiencing the onset of bulbar symptoms. I’ve noticed that my speech has been slightly slurred, and it seems to be worsening. Additionally, I've been experiencing twitching throughout my body, which has now progressed to my lips and face. This twitching has persisted for over a year. Furthermore, I sense a change in my voice, and I've occasionally struggled with shortness of breath. I would appreciate any insight regarding whether I should be concerned for my health. I have a doctor's appointment scheduled for August 14. Thank you for your understanding!
Answers (1)

8/5/2025, 4:10:54 PM
OpenHealth AI
It's understandable to feel anxious about health changes, especially with symptoms that can be concerning. Your symptoms, including slurred speech, twitching, voice changes, and shortness of breath, are significant, and it’s good that you have a doctor's appointment scheduled soon.
Main Points:
- Symptoms of Concern: Slurred speech, twitching, and shortness of breath can stem from various causes, including neurological conditions like ALS, but they can also be linked to other, potentially less serious issues.
- Managing Anxiety: It’s common to feel anxiety about health conditions, especially when experiencing unexplained symptoms, but it's crucial to approach this systematically.
Explanation: Bulbar ALS affects speech and swallowing and is a progressive condition. However, many other factors can cause your symptoms, such as anxiety itself, muscle fatigue, or benign conditions. It is essential to approach your symptoms holistically and get a clear diagnosis from your healthcare provider.
Next Steps:
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Prepare for Your Appointment: Write down your symptoms in detail, including when they started, how they change throughout the day, and any other relevant health changes. This will help your doctor understand your situation better.
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Monitor Symptoms: Keep track of how your symptoms progress before your appointment. Note any additional symptoms like fatigue, changes in mood, or issues with coordination. This information will be valuable for your healthcare provider.
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Address Anxiety: While waiting for your appointment, practice relaxation techniques such as deep-breathing exercises or mindfulness meditation to help manage anxiety. Stay engaged in activities that distract you positively, keeping your mind occupied.
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Stay Informed, but Not Overwrought: Look for trustworthy sources of information about ALS and similar conditions, but avoid excessive research that may exacerbate anxiety. Focus on evidence-based information.
Remember, it’s important to maintain an open mind for various diagnoses. Many conditions are treatable or manageable. You’re taking a positive step by planning to consult a doctor, and they are the best resource for addressing each of your concerns effectively. If you start to experience severe new symptoms, such as significant difficulty breathing, increased swallowing issues, or extreme fatigue, consider seeking immediate care.
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