For some 10 years now I have had problems almost permanently, although good periods and not so good periods with my mouth. Difficulties with lips feeling fatigued after talking at length. Difficulties with my tongue in the same regard. Sometimes dry mouth, sometimes an apparent excess of saliva. I have felt I have had problems with swallowing but that is not so an issue. I have had problems occasionally with twitching on the lips and cheeks. Occasional sensory feelings in that area, especially in terms of a tingling nose and central forehead. These symptoms have beeb worse in recent weeks in conjunction with other symptoms elsewhere. I had an MRI 10 years, clear. I had an MRS earlier this week, clear. The fact that it has been ongoing for a decade without significant progression sort of excludes ALS...I guess. Other symptoms at present are significant tinnitus, lightheadness, weak limbs and fatigue.
Thanks for reading my post.