How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Frank Your Own Question
Dr. Frank
Dr. Frank, Board Certified Physician
Category: Neurology
Satisfied Customers: 9000
Experience:  Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
Type Your Neurology Question Here...
Dr. Frank is online now
A new question is answered every 9 seconds

I'm 48 y/o, female, in the peri menopause period, i'm having

Customer Question

hi, i'm 48 y/o, female, in the peri menopause period, i'm having muscle twitches sporadically in different areas, i went to see a neurologist few weeks ago, he didn't find anything wrong, he order an electromyogram but was normal also the physical exam, i'm worried because i'm having the twitches again, i feel well , i have not problems with my muscular strength but the twitches bother me even though there are sporadic.
Submitted: 2 years ago.
Category: Neurology
Expert:  Dr. Frank replied 2 years ago.

Hello.Welcome to JA. I will discuss your question after review

Expert:  Dr. Frank replied 2 years ago.

Hello. there are other conditions that commonly cause twitches (called fasciculations) and give a normal EMG. The most common is excessive caffeine or stimulants, in a perimenopausal woman, You have to consider thyroid disease (hypo or hyperthyroidism) and electrolyte imbalances as related to changes in estrogen levels. Hypokalemia, or hypophosphatemia with changes in serum calcium are known to elicit these twitches. So I would ask you to see your regular MD and ask about serum electrolytes, your calcium/phosphate/magnesium levels, your potassium levels, etc. Are you taking anything like the bioidentical hormones for regulation of menopause? Please get back to me with questions and I will return to answer them. Or if satisfied with this answer, please remember to rate me as that is how I am compensated for my work by clicking on the stars. thanks *****