What is ALS?

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ALS (also called Motor Neurone Disease, Lou Gehrig’s disease, or Charcot’s disease) is a sickness that slowly damages the nerve cells that control your muscles. Because of this, the muscles in the body become weaker over time.

What happens in ALS?

At first, a person may notice:

  • Muscle stiffness
  • Small muscle jerks or twitches
  • Feeling weaker than usual

Later, it becomes harder to:

  • Speak
  • Swallow food
  • Breathe normally

A small percentage of people also have changes in thinking and behavior.


What can ALS cause?

As the muscles weaken, it can lead to:

  • Falls
  • Trouble breathing
  • Pneumonia
  • Not getting enough food because swallowing is hard

Who gets ALS?

  • It usually starts between 45–75 years old.
  • Most cases happen for no known reason.
  • About 5–10% come from family genes.

Some things that may increase risk:

  • Getting older
  • Being male
  • Exposure to chemicals or heavy metals
  • Head injuries
  • Smoking
  • Very hard physical activity

How do doctors find it?

There is no single test for ALS.
Doctors look at symptoms, rule out other diseases, and may use tests like:

  • EMG (checks nerve and muscle activity)
  • Genetic tests
  • Brain and spine scans

Treatment

There is no cure, but treatments help with symptoms and improve comfort:

  • Walkers or wheelchairs
  • Breathing machines
  • Feeding tubes if swallowing becomes difficult
  • Special devices to help with speaking
  • Medicines that slow down the disease a little

Life expectancy

Most people live 2–4 years after diagnosis, but some live longer. Everyone’s case is different.


How common is it?

  • About 1–2 people per 100,000 get ALS each year
  • Lifetime chance: about 1 in 400

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