### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
During the last 2 years i have been experiencing back ackes muscle cramps and paresthesias...In the last 2 months i noticed fasciculation in buttocks and thighs and then in legs calfs feet belly,left hand :above little finger and next to elbow....i have them in eyes and cheeks .I try to flex my arms when i get them but they dont stop and that is scary...I also feel cramps and stifness in feet and in achilles tendon the fasciculations scare me as it might be ALS...The fasciculations are pulling and pulsating but most of the time i feel only a singular pulsating-pulling..I have also noticed that my left arm wrist area is thinner than the right and the hand has more lines...I havent noticed any profound weeakness as i can lock the door open jars etc...I am a 22 year old female..I know ALS is rare in my age but i also know it does happen..Im going to have an EMG next month to evaluate my leg pain as the doctor suspected a herniated disk was the cause of my back pain ..I had mentioned fasciculating but he didnt seem concerned...I didnt mention als but since then fasciculations became more pronounced.I also have soem neck issues the neck of my muscles(near throat) one day were stiff and cramped..I sometimes get the in the same spot in buttocks,calves and feet but also in random places ....Im really scared i know only an EMG will tell me but i would also like to ask your opinion... Thank you... (p.s a will also like to add that when i had buttock fasciculation earlier i got up and walked..it stop momentarily but when i stood still i think i felt it a bit more.it cant be bfs because it always stop with movement and occurs when muscle is at rest right?..despite the other symptoms that maybe related to disk herniation i worry about propable atrophy and the non stop fasciculations) I would also like to add that I had atwo simultaneous fasciculations today and i read somewhere that simultaneous fasciculations occuring in various muscles are distinctive and show malignacy in opposition to bfs which is one muscle fasciculating at a time...is this true ?

### output:

Hi, Your main complaints are: muscle cramps, paresthesia, back pain, excessive worry and articulation. We should first suspect the common diseases which can cause all these symptoms in your age. If all investigations are normal than we should suspect anxiety disorder. Anxiety disorder can cause all these symptoms and I have seen cases who improved after treatment of anxiety in 1-2 months. Wish you Good Health, www.99doctor.com