Minor Twitch in thumb has me worried

Thanks for the reassurance Lily. I agree and will be looking into seeing a doctor during the week. Is it now day 3 from the twitching and nothing new happened. 

With regards CJD, what would one expect during a given week when it comes to the development of symptoms?

Hi Liam,

I was about to post, then saw that Nikki had very much taken the words out of my mouth. Like her, I'm sorry to be a bit blunt, but it's perfectly true that even if you had drawn the one-in-a-million short straw there'd be nothing you could do about it anyway as there's no cure. (This is the actual estimated incidence of CJD worldwide, not something I pulled out of a hat.)

In fact it's highly unlikely that CJD would present initially with muscle twitches. In the vast majority of cases it starts quite abruptly with mental changes - severe memory loss (as opposed to absent-mindedness induced by anxiety), aggressive behaviour, delusions (again, not delusional fears about one's health) etc.

You do not have CJD. Basically, all you need to do is wait a couple of weeks. If you did have it you'd already be seriously disabled by then, as it progresses very quickly. Most patients die within a few months, and it's unusual to survive even for a year.

However, as we've both said, it might be helpful to see your doctor just to get some reassurance, and preferably a referral for CBT. But be careful about medication. Some GPs are a bit trigger-happy in prescribing powerful antipsychotic drugs for quite minor anxiety or depression. As Nikki rightly says - and she's speaking from experience - these drugs can in themselves cause a neurological condition (though not CJD of course) and are best avoided unless you're suffering from a full-blown psychiatric illness.

In your current heightened state of anxiety it's quite normal that you're going to start noticing every tiny twitch or tingle. It's also likely that you're going to start hyperventilating. I used to do this during times of anxiety when I was young. It was only when I started training as a nurse that I figured out what was going on.

When we get anxious, many of us hyperventilate unconsciously. We breathe too deeply and/or too quickly, but without being aware that we're doing it. This "rinses out" too much carbon dioxide from the body, rendering the blood slightly too alkaline. This in turn causes electrolyte imbalances in the body, the symptoms of which are mild dizziness, brain fog, tingling sensations in the fingers and lips, stiffening of the fingers and - if it goes on for long enough - muscle twitches and jerks.

Alarming as all this sounds, it's perfectly harmless. Once things get bad enough the brain eventually steps in and sends our breathing back to normal. Same process as when you try to hold your breath - your brain won't let you damage yourself.

Make that appointment with your doctor and please stop surfing the net for possible diagnoses. You really don't have CJD or any other neuro-degenerative disease.

You're right about the pointlessness of worrying about CJD. At this point, I'm doing exactly what you advise: waiting a couple of weeks to see what happens. The past few days have yielded no new symptoms at all so you are right so thank you for the advice and I will certainly see my GP about my anxiety problems. 

Dear Liam,

It's not your body that needs training, it's your mind.

We none of us know when we're going to die anyway. The only sure thing is that we are going to die. So in some sense it's good that we mentally prepare ourselves to accept this at any age. Most of us are "immortal" till the age of at least 30. It's just that the inevitability of death seems to have struck you at an earlier age, perhaps before you're ready for it, and you've focussed all your natural anxieties on your symptoms.

I once talked to a doctor who'd served at the front in WWII, and was subsequently instrumental in setting up a world-famous cancer care centre. The centre also provided counselling on dealing with the approach of death. He told me that he used the same method he was taught on the battlefield. When you wake up every morning, acknowledge the fact that you're going to die, and then say: "But not today". So, that's a mixture of both acceptance and repression.

In fact, it's not really even repression. It's a fact that the only moment any one of can ever experience is right now. We can be guided by what we've learned in the past, and we need to plan for the future, but there is only now, isn't there?

I really do think you'd be helped by studying mindfulness. This is what CBT is all about (at least is should be when guided by a competent practitioner). However, you can do it yourself too. There are a lot of good books on the subect - especially the older ones, which were written before mindfulness suddenly became a commercial proposition.

I'll get taken down if I start posting the names of books and authors here. If you like, I can send you a personal message with a few suggestions. PMs via this site don't transmit viruses or expose the email address of either party.

I like that advice and it is something that I hope to follow quite well in the future. 

Symptoms have improved greatly today as well. Haven't had any headaches and using the laptop has been much easier in comparison to yesterday afternoon (where I could barely move the mouse due to tremors). 

The only thing that does have me a little worried is that when I'm walking, I will walk normal for a time before my foot abruptly decides it doesn't want to lift up off the ground so there is a minor drag. Not sure if this is major or minor since it happened on my way to the doctors and during the evening I was hopping over rocks with ease.