question: Hi doctor, I am a 24 year old female. For the last three days, I have noticed continuous twitches on the thenar aspect of my right palm. Today, I searched on the internet and it showed it could be ALS. I am worried. Also, I noticed that my right thenar prominence is a little less than the left. I do not know if it was always there, but I am just noticing it now. I have not noticed any weakness as such. There is no family history of ALS. Please help.