Conversation: The conversation between human and AI assistant.
[|Human|] I am a 23 year old medical student from Europe. I saw a neurologist 3 weeks ago because of my fear of MS i MG. My reflexes are normal,no Babinski sign,bulbomotorics is fine. Now, I have a fear of bulbar ALS because i noticed my tongue slightly twitches. Knowing everything I know about the disease, i developed trouble swallowing. I have a feeling that food sticks in my throat and then it starts to tickle. My gag reflex is fine,its just a sensation that I get when I am eating. I dont even know if my tounge really twitches or its normal movements since I never took the time to notice it.
[|AI|]  Hi, Thank you for posting your query. Every medical student goes through this phase, when after noting a few symptoms, it starts to look like a serious disease what he/she has read in the medical textbook. As a neurologist, I can assure you that your symptoms are not suggestive of Bulgar ALS or any other serious neurological disease. When a patient with Bulgar ALS develops swallowing problem, there would be slurred speech, nasal twang in the speech, coughing or choking while swallowing and the tongue would be wasted (thinned out). I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/