What are the symptoms of ALS - resources?
Last updated September 7, 2026.
**ALS symptoms include progressive muscle weakness, twitching, cramps, and trouble speaking, swallowing, or breathing.** You may first notice trouble gripping objects, buttoning clothes, or lifting your foot when walking. Symptoms usually develop gradually, and their starting point and pace vary. Twitching alone does not establish ALS, and other conditions can cause similar symptoms. Track changes in your daily activities and arrange a clinician visit for persistent or worsening weakness.
What to do
- **Track changes:** Write down when symptoms started and which tasks have become harder.
- **Arrange an assessment:** See a clinician for worsening weakness, repeated tripping, or persistent twitching and cramps.
- **Report swallowing trouble:** Contact your clinician promptly if you cough or choke during meals.
- **Get emergency help:** Call 911 for severe breathing difficulty or sudden weakness or speech changes.
- **Use reliable resources:** Read the linked MedlinePlus and NHS pages and bring your questions to your appointment.
Related questions
- Blood clot in leg symptoms
- Can an online doctor help with menopause symptoms
- Can i see what my doctor wrote about me
- Can stress cause physical symptoms