is extremely common and can also happen because of exercise, stress, caffeine, sleep deprivation, or other benign causes.Psychology
Twitching becomes more meaningful when it occurs alongside progressive muscle weakness or wasting. ([Mayo Clinic][1])
- Muscle Cramps
Recurrent cramps may occur in ALS, particularly when they appear together with weakness or twitching.
Common locations include:
Calves
Arms
Shoulders
HandsHealth
Cramps alone are not a reliable indicator of ALS. Dehydration, exercise, medications, electrolyte disturbances, and nerve problems are much more common explanations.
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6. Slurred or Unclear Speech
Some forms of ALS first affect the muscles involved in speech.
A person may notice:
Slurred words
A softer voice
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Hoarseness
Difficulty pronouncing certain sounds
Speech becoming slower or less clear
Mayo Clinic identifies slurred speech as a possible early symptom, especially when ALS begins in muscles controlling the mouth and throat. ([Mayo Clinic][1])Neurological Conditions
Sudden speech difficulty, however, can also indicate a stroke and should be treated as an emergency.
- Difficulty Swallowing
ALS can weaken muscles involved in swallowing.
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Early signs mightinclude:
Coughing during meals
Choking more
