Conversation: The conversation between human and AI assistant.
[|Human|] My brother has been having a great deal of trouble speaking, pronouncing words. Hi physician has told him that he will never be able to speak normal again..he saw a neurologist who did 2 emgs and was told that his muscles in his legs and lower back are twitching and he doesn t know it. He did not get a diagnosis so my sister and I are trying to figure out what it would be. Thank you, Karen
[|AI|]  Hello, I am Chat Doctor. I have read your message. I think I can help you. The symptoms of the query are quite suggestive of MND, or motor neuron disease. There are abnormal movements which are often called as fascination. The tongue may have similar very fine movements which often makes the person unable to speak or eat. The weakness usually increases gradually. He will have no urine or stool complaint. There would be no sensory complaint like numbness etc. If these features are present, it may indicate MND. I would like to see the EMG report if possible. I cannot confirm this diagnosis directly on this forum, because the patient needs to be examined further and then only a diagnosis can be suggested. There is unfortunately no treatment, except Rissole. Please feel free to contact me for further information. I have tried to make it as simple as possible. Best of luck,