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In its early stages, some of the symptoms of ALS can be similar to those of MS. These include: Stiff, weak muscles; Twitching or spasms; Fatigue; Trouble walking; If youâre having these symptoms, donât try to guess what's going on. See a doctor and get a diagnosis. As ALS attacks the nerves that deal with movement, your symptoms will get worse.
Degeneration of the motor neurons in the brainstem (bulbar ALS) first affects an individual's ability to speak loudly and clearly (dysarthria). Eventually, the condition completely prevents speaking and vocalizing. Some of the earliest speech-related symptoms of ALS may include: