[Guest]

I am a 32 year old male. I am married three children. My occupation is Inmation Technology Consultant. past year I have been having difficulty speaking clearly. I feel like I am constantly "tripping" over my tongue; straining to m certain words. is not a consistent thing. I might experience it a month fairly regularly, n not again anor month. Or family members say y haven't noticed any difference. I have seen my doctor about a few times he thinks stress related. Also, I have had an MRI in last year it looked normal. I have heard an MRI can't be used to diagnose ALS so probably doesn't indicate anything. Any feedback can give me would be appreciated.

[Guest]

It is reassuring that the MRI was normal, as many things could potentially cause speech dysfunction. If you do not have any other symptoms (muscular weakness/shrinkage/twitching, swallowing dysfunction, stiffness etc) and your doctor has not found any other abnormality, it is very unlikely to be ALS or another neuromuscular disorder. You might consider seeing a neurologist in evaluation to really assure you all is well.