BFS or other serious Disease?

This post is a response by a doctor to a question one of our community members asked.

Kennedy Asks:

During April this year, I was beaten up because of my school grade. I am 10 years old. I was scared, and forced to read. I then suddenly started experiencing twitches in legs, hands, and had some tremors due to me crying. I was overall very anxious. I googled that. It said there is ALS, and that it is going to kill you in 4 years. But luckily, I have found another cope-able and normal disease called BFS. It said a cause was anxiety. I was comforted. But I got hypochondriac as the twitches didn’t go away after I relax successfully. A month passed on and today I had an upper left eyelid twitch which has lasted one hour. It had a certain time when it starts and when it stops. Around 11 AM to 12 PM. I got scared to visit the doctor. I then later in the day got a small upper left lip twitch which has luckily lasted 1 second. Please help me and inform me if I am in current danger. Sincerely, Kennedy.

Dr Alejandro’s reply:

Hello Kennedy,

Let me start by saying that you are a very brave kid for looking for professional help. As a medical professional, I believe that you are in such a stressful situation that is causing you anxiety and, as a “side effect”, your body is expressing itself in a variety of unwanted and bothering signs (tremors and twitches).

You should be calm, do not worry, I strongly believe you do not have Amyotrophic Lateral Sclerosis (ALS) or Benign Fasciculation Syndrome (BFS). Both ALS and BFS are neurologic disorders that include a wider spectrum of signs and symptoms, which by your description, you don’t seem to have. As I said before, anxiety can be expressed by our bodies through a lot of ways, tremors and twitches being some of them, so I strongly believe that anxiety is the cause of your symptoms.

However, it is very important that you talk with your parents/school counselor about your current situation at school, since the anxiety you are having is causing you to experience those awful symptoms. Have in mind that you are loved and that there are other kids like you that are going through the same situation, do not be embarrassed or afraid to talk about it with your parents and your school counselor, I am sure they will find the best solution to your problems. Don’t be scared, once you talk to them, you will feel so much better, you will start noticing that the tremors and twitches start to go away. It may take a while, but everything will be okay.

I really hope you do talk to them, you are such a brave kid and I am sure you have an amazing and wonderful future ahead of you. I wish you the very best. You are not alone.

Sincerely, Dr. Alejandro

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