Symptoms of ALS include:
Muscle weakness and wasting (atrophy) in the:
Arms and legs
Throat and tongue
Weakness usually begins in the arms and legs. It worsens slowly over time.
Muscle twitching, cramps, stiffness, and muscles that tire easily
Slowed speech that becomes progressively harder to understand
Difficulty breathing and swallowing; choking
Weight loss because of:
Poor nutrition caused by problems swallowing
Sudden involuntary bursts of laughter or crying
Changes in the way the person walks. Eventually, loss of ability to walk.