In BFS, the fasciculations only occur when the muscles are at
rest. In ALS, they are consistent. Even when you walk, you will
have the fasciculations. And ALS is characterized by severe muscle
weakness. A fasciculation is a small twitch in your muscles, like
your muscle going up and down in like a heart beat.
In ALS you would have weakness or atrophy/weakness.In BFS you
would not.Fascis in both can look,feel and last exactly the
same.FASCICS MEAN NOTHING if you have no severe,and i mean no other
severe symptoms.So to answer your question you cannot tell by
looking at them.