I am bulbar onset with slow progression. I had mostly bulbar symptoms for about 5 years starting in 2005 (nasaly speech, swallowing difficulty, choking). I also had some mild cramping and slight weakness in my left hand. I had symptoms of pseudobulbar affect (pba) uncontrollable emotional laughing and crying. I participated in a trial for a now FDA approved drug and it has helped my symptoms.
In the fall of 2010, I started having problems with balance and falling. I started using a walker in public and started having anxiety issues in public.
In NOV. 2012 I have to use a walker in the house and prefer to use a scooter or wheelchair in public. I still use the walker out of the house for short trips. My left hand continues to weaken and the left arm is also weak. My legs have gotten weaker and walking with assistance has become more difficult. My speech has gotten worse (I use an ipad to talk). My swallowing issues have remained the same and I drink a supplement (Ensure every day for the extra calories).