1. You may not be able to shout or sing. 2. Your speech may become slurred . 3. You may have difficulty in swallowing. 4. Other symptoms include muscle cramps, tiredness, twitching of weakened muscles. 5. Progression of Symptoms. 6. Walking becomes worst. 7. Eating and swallowing becomes difficult. 8. Doing tasks with your hands and arms increasingly difficult. 9. Sneezing and coughing becomes weak. 10. You may become breathless and minimal exertion. Diagnosis 1. Assessments through a neurologist. 2. Tests are done first. 3. Electro Miography . 4. Nerves Conduction study. 5. Transcranial magnetic stimulation. 6. And other tests like MRI and Brain Scan. Treatment Riluzole It is a medicine which has been shown in the clinical trails to have a beneficial effect on the survival of people with motor neuro disease.