Difficulty swallowing and liquid coming through the nose can be one of the earliest red flags of ALS (Amyotrophic Lateral Sclerosis). ALS doesn’t always begin with weakness in the arms or legs. Sometimes, it shows up quietly in the muscles we use to swallow, breathe, and speak. That’s why subtle symptoms matter. 👉 If you or someone you love notices sudden trouble swallowing, choking on water, or fluids coming through the nose, don’t ignore it. Talk to a healthcare professional. Early recognitio