u/Decent_Mongoose_4520

Bulbar Symptom People

My Story might not be your story.....Who are the other bulbar people that have been progressing for a bit? If any that have had subtle signs that have continued to progress? Anyone digging into any natural holistic things that have seemed to help at all?

Reality is setting in more and more despite what some on here have said that no way have I had subtle symptoms for 3.5 years and this be MND. Within the last 2 months swallowing has definitely become more and more of an issue. Stiffness in both upper thighs have become evident and a struggle. Weakness in all areas continues to decline despite trying to maintain what I have. Yes I still work, Yes I still enjoy my days, Yes family is going on vacation so I still count my blessings daily! No I'm not controlled by anxiety or by assumptions of whether or not my body is continuing to decline. Do I have all the answers, nope. What I do know is that I have had very minor symptoms that all started 3.5 years ago and have continued to progress for what some may say slowly but for me not so much. Does it seem equally symmetrical all the way around, yes. (Left hand being a little weaker and smaller than right but not by much but can still tell, balance issues worsening. Upcoming swallow appt. again this month after not being able to complete the manometry. Which is the doctor who said this was bulbar ALS almost 2 years ago, but since neuromuscular teams aren't able to identify anything, welp we wait and keep pushing the best we can to stay mentally and physically strong. Pretty sure they will look at throat and say irritation again because well you can feel that. Hoarse voice, pain when talking more and more. Some on here say it's not possible for it to be ALS(Bulbar), how do we really know? Subtle symptoms for 3.5 years with swallowing and tongue issues and more and more other areas progressing. Testing hasn't shown any major issues but I certainly have issues happening can we chalk them up for other things welp we can but not convinced that we also can't say its the progression that has been happening for multiple years now and that a private neurologist detected some PSW and then others didn't. Minor Swallowing issues that showed on MBSS and minor PFT issues. Is this the case that some researches will say welp their tests weren't 100% clear before so they never had a normal test from the beginning? That honestly drives me crazy. Will they say those issues were none related....I scratch my head when we can't detect anything when your body is functioning at a much lower ability than before. Progressive weakness that has now caused more and more twitching and buzzing, pain, burning. Ive never been one to say much about the twitching because I see those beat down from mentioning it. Have I had it from the beginning yes, is it worse now in the weaker areas, yes. Has my glutes been the worst and now the face and hands, yup. Vision effected yes, eye lids effected yes, temples and scalp effected yes. How in the world are we not able to detect anything when we have lost most muscle in areas that is quite noticeable. Mind blowing! When at the end of the day you know you've lost measurable muscle and a test can't detect it, that's unimaginable. Is that due to the muscles being effected are small ones so the damage is not detected as easily. Tongue has thinned considerably how can you tell, well you can definitely "feel" that, do people say you can't "feel" mnd, yes, but I can tell you, you can absolutely tell when you have tongue issues.....This may irritate people but reality is for me, multiple emg's full body (last one a year ago) no sign of neurodegenerative disease, and a face one in November that didn't detect anything (all by neuromuscular clinics). Multiple NFL by an off lab that doesn't factor BMI show regular, yes, every other test possible showing nothing, yes. At the end of the day, still have to think we absolutely are facing what some call " the rarest of rare" which I disagree with I believe that testing isn't able to detect until a certain threshold (failure) is met. I believe the medical society where I live is so blind to subtle symptoms they turn their heads. Have I read some studies, yes not as many as some, but nothing shows us really how long things are happening before an obvious clinical weakness, only then do we have statistics, from what ive seen. Recent things Ive seen by a doctor who studies mnd showing differently that possibly years that people are dealing with symptoms before it's detectable....What I have done is for over a year, taken lots of lion mane, L serine, larger doses of b12 at times, alpha lipoic acid, not regularly but cut lots of carbs and sugars. Taken some additional supplements inconsistently. Taken care of my mental health cause well doctors are brutal and not very help besides trying to mask symptoms, lol, if I have one more "migraine" med thrown at me I could start my own pharmacy. I know what a headache is and that's not what I have. I have pain in my head due to muscle loss and the strain of holding my head up from weak neck muscles....Been thankful for everyday that Ive been given because none of us are promised tomorrow. Thankful for a supportive family and friend base that has watched the decline and not able to do anything about it. Sorry it's long and trust me when I say this those of you that have to guess if you have weakness then it's probably not weakness. You know when you have weakness ,you absolutely can feel it. Your ability becomes altered and things become more and more challenging. Normal everyday things.

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u/Decent_Mongoose_4520 — 4 days ago

The long journey.

Seeing several things lately that seem to be eluding to more and more people explaining their diagnosis journey as subtle symptoms years prior to diagnosis, I know there were several on here that were very adamant about long journeys and that it just doesn't happen often much at all "rare". Has anyones opinions changed lately? I know some think after 3.5 years that testing and weakness should be identifiable to a neuromuscular doc and that if it were bulbar it would definitely be..... I know there are some others out there with very similar journey to mine. I still very much have the mind set after reading so many from even 10 years ago that subtle symptoms started but it took 5,6,7 plus years to develop into diagnosis. I do have to say with my personal circumstance even though most of my testing is somewhat normal well at least the last emg which I still believe my very first one done by regular neurologist picked up much more than any ones that the neuromuscular did sad but true. In addition the other tests that have identified minor issues with swallowing. 10 years of silent symptoms that no one else notices but the person seems very possible to me at this point.

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u/Decent_Mongoose_4520 — 14 days ago

Question for any with Bulbar issues

Is this a true statement and does anyone else have these issues and found any solutions….that aren’t diagnosed with anything at this time. Ive had burning tongue and gums for long time 2 years and the cracked tongue and fissured. The pain has been happening for awhile but now much worse. They checked vitamin and hormone levels and they are good. 😏

Pain and burning when talking are common in advanced Bulbar due to the extreme effort required to move weakened muscles and the potential for secondary nerve irritation. An atrophied tongue can develop a "cracked" or fissured appearance, and this physical change often leads to intense sensitivity to spicy, acidic, or salty.

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u/Decent_Mongoose_4520 — 2 months ago

Bulbar Symptom People / Facial Muscles

Does anyone have the symptoms of the muscle weakness/atrophy in front and back neck, head, scalp, temples, eye area also like eyes are sunk-in, in addition to their tongue and swallowing. Or even the nostrils. The pull of the weight of body just wanting to fall forward when leaning over or sitting due to what seems to be the weakness.

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u/Decent_Mongoose_4520 — 2 months ago

Not sure how many know of Deanna or how many would say she isn’t a real patient some on her claim you can’t believe people on FB. She is answering any questions you might have If she can get to them. For me I asked so for those that have claimed I might be a troll or my story isn’t real well you might see I am a real person!
Seems as if my neuromuscular team isn’t off the mark with 3-5 years as it seems in her story symptoms for up to 3 years prior.
The research people are showing on here doesn‘t have all the facts all the time. Be nice to one another and stop bullying because you think you have all the answers due to research articles. No one’s story is the same and absolutely some people are way more in sync with their physical health than others. So don’t shame the ones who recognize their symptom! Neuromuscular doctors absolutely need to listen to other doctors! Or stop wasting your time with Neuromuscular doctors and find other good specialists that will help find out answers and not wait for the emg to show it! Sorry that’s laziness at the expense of the patients. I’m sure someone will find some loop holes in her story but it reads to me that symptoms can absolutely be present for years before it becomes evident in any test. EMG, NFL etc….which is what the other article reads about the NFL protein that some gas lighted me about on here. The suggestion MND could be active for years….sorry but this to me shows don’t be a know it all it’s one thing to give opinions but a entire other thing to make fun of someone or others people stories and then chalk it up as you are the 1 in a million and make fun! Be nice just be nice!

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u/Decent_Mongoose_4520 — 2 months ago