Dr. Sugreev Singh
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have MGUS, and my bone marrow biopsy was taken a couple of years ago. My test results are as follows: free kappa LT chains: 35.2 mg/L, free lambda LT chains: 40.5 mg/L, immunoglobulin results 3,559 mg/L.
Should I be worried?
Hello, Welcome to icliniq.com. Thank you for writing, and I understand your concern. Please send your reports, and I will go through them and let you know. It depends on your symptoms, so please let me know your symptoms. Since when have you been diagnosed with MGUS (monoclonal gammopathy of undetermined significance)? Please let me know. Thank you.
Patient's Query
Hello doctor,
Thanl you for the reply.
I had MGUS 3 to 4 years ago, but I have had it for a decade after looking at my blood work reports. I have pain in the throat that comes and goes, and I have severe pain in the right lower side of my back that comes and goes. My bones ache badly all the time, and I am exhausted. When I did the PET scan three years ago, the doctor said a hot spot was located on the left side of my throat. But he did not go through the details.
Hello,
Welcome back to icliniq.com.
Thank you for writing, and I understand your concern.
I went through the reports (attachments removed to protect the patient's identity). The values are high, and other values such as platelets and white blood cells are normal, so nothing to worry, but you have symptoms, so you need proper treatment to control the disease. They mentioned that the hot spot is due to autoimmune illness only, and you have MGUS, an autoimmune disease. Autoimmune diseases are those in which our body develops antibodies against its own body. So it has to be controlled by giving symptomatic treatment. I would suggest you take tablet Calcium Vitamin D3 once a day before sleeping for ten days. And a thyroid function test will help us know if the hot spot is causing thyroid function impairment and thyroid hormone changes. So do thyroid function tests (TFT). Are you taking any medicine?
Patient's Query
Hello,
Thank you for the reply.
I have taken vitamin D tablets once a week for eight weeks, and I am supposed to take Metoprolol for blood pressure. But I am waiting on a refill.
Hello,
Welcome back to icliniq.com.
Yes, Metoprolol is for high blood pressure that you can take and continue with your Vitamin D supplements.
But if bone pain does not stop, I suggest you add tablet Etoricoxib 90 mg once when you have pain in the back or bone.
It is anti-inflammatory, and it will help in healing as well.
And please do not worry.
Get a thyroid function test and send me the reports.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
Hello,
Welcome back to icliniq.com.
You are welcome.
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Internal Medicine
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