Dr. Goswami Parth Rajendragiri
Pathology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I was diagnosed with MGUS earlier this year. My lab report states immunoglobulin M33, lambda free light chains 19.74, kappa or lambda light chain ratio 0.07. My doctor said there is a faint spike. Black bar on a grey background and to come back in a year. I have noticed that most of my blood tests this year with other doctors reveal low WBC and hemoglobin. I have also noticed low monocytes and neutrophils over time. I was also diagnosed with small nerve fiber neuropathy earlier this year and had carpal tunnel surgery a few months back.
Hello,
Welcome to icliniq.com.
You have been diagnosed with MGUS problem (monoclonal gammopathy of undetermined significance). For that, no treatment has to be done except clinical monitoring. You are advised to investigate with serum urea, creatinine estimation, urine Bence Jones protein estimation to rule out kidney damage. Serum calcium also to be checked to determine how much osteolysis present. If needed, a CT scan can be done.
I suggest you consult a hematologist for your examination and monitoring every six months. If needed, the doctor will investigate with bone marrow aspiration study. For peripheral neuropathy, physiotherapy and multivitamin syrup can be prescribed. If neuropathic pain present, then pregabalin can be prescribed. For that problem, you can consult an orthopedic surgeon for the examination.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Pathology
Related Questions
Will eating raw rice result in low hemoglobin?
My little child has fever and low WBC count. Can it be dengue fever?
I am losing weight with low hemoglobin and persistent cough. Kindly help.
My mother is having mutiple myeloma. Will allogeneic transplantation help her?
I get a swelling on the temple after chewing hard food. Please help.
My blood report shows low WBC count. Is this an serious issue?
Is it possible to start or continue chemotherapy at very low WBC counts?
Epstein-Barr IgM is positive, but undetectable in PCR. Still, I am sick, could it be chronic fatigue?
What is your opinion about the slightly low WBC count?
Will eating raw rice result in low hemoglobin?
How to evaluate the reason for low hemoglobin?
How to find the root cause of extreme fatigue?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
