Can Als Be Slow Progressing?

Can ALS symptoms come and go?

ALS symptoms are progressive meaning the symptoms get worse over time and often develop very quickly.

That said there are some cases in which symptoms, such as difficulty swallowing, can get better for a period of time..

What does ALS feel like in the beginning?

Early symptoms of ALS are usually characterized by muscle weakness, tightness (spasticity), cramping, or twitching (fasciculations). This stage is also associated with muscle loss or atrophy.

How do most ALS patients die?

Most people with ALS die from respiratory failure, which occurs when people cannot get enough oxygen from their lungs into their blood; or when they cannot properly remove carbon dioxide from their blood, according to NINDS.

Does ALS come on suddenly?

Marked weakness of the ED with relatively mild weakness of the other muscles in the affected limb was a characteristic finding in both cases. It is unlikely that the disease process of ALS actually began suddenly.

Why does it take so long to diagnose ALS?

ALS is difficult to diagnose early because it may mimic several other neurological diseases.

Where does ALS usually start?

ALS often starts in the hands, feet or limbs, and then spreads to other parts of your body. As the disease advances and nerve cells are destroyed, your muscles get weaker. This eventually affects chewing, swallowing, speaking and breathing.

How often is als misdiagnosed?

How often the first diagnosis of ALS wrong and the problem turns out to be something else? In up to about 10 to 15% of the cases, patients get what we call a false-positive. That means they are told they have ALS, but, in the end, another disease or condition is discovered to be the real problem.

What does weakness feel like in ALS?

Muscle weakness (which is often only on one side of the body, such as one arm or one leg) as well as changes in the character of the individual’s voice (especially slurred words or slowness of speech).

How long does it take for ALS to progress?

The rate at which ALS progresses can be quite variable from one person to another. Although the mean survival time with ALS is three to five years, some people live five, 10 or more years. Symptoms can begin in the muscles that control speech and swallowing or in the hands, arms, legs or feet.

What can mimic ALS?

A number of disorders may mimic ALS; examples include:Myasthenia gravis.Lambert-Eaton myasthenic syndrome.Lyme disease.Poliomyelitis and post-poliomyelitis.Heavy metal intoxication.Kennedy syndrome.Adult-onset Tay-Sachs disease.Hereditary spastic paraplegia.More items…

What does ALS feel like in hands?

The parts of the body showing early symptoms of ALS depend on which muscles in the body are affected. Many individuals first see the effects of the disease in a hand or arm as they experience difficulty with simple tasks requiring manual dexterity such as buttoning a shirt, writing, or turning a key in a lock.

Does ALS start on one side of the body?

You might also have difficulty speaking or swallowing, or weakness in your arms and hands. Early symptoms are usually found in specific parts of the body. They also tend to be asymmetrical, which means they only happen on one side. As the disease progresses, the symptoms generally spread to both sides of the body.

How do you rule out ALS?

ALS is primarily diagnosed based on detailed history of the symptoms and signs observed by a physician during physical examination along with a series of tests to rule out other mimicking diseases. However, the presence of upper and lower motor neuron symptoms strongly suggests the presence of the disease.

Does ALS twitching start in one place?

In ALS, twitching can start in one place, but will often spread to the areas near that starting point rather than appearing in random places.