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Does anyone else have MGUS?

Blood Cancers & Disorders | Last Active: Sep 19 12:31pm | Replies (818)

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@mikxtr

Hello again. I have my first consultation with a hematologist coming up on Wed and I'm excited ... and nervous that I'll be brushed off again. For over a decade, I've had numbness in my septum, roof of my mouth and tongue. It's a curious case when 100% numbness may come in any of these areas for a short period of time, but a loss of sensation is present all of the time in my tongue. I saw a neurologist about this back then and he couldn't determine the cause (because it's symmetrical, smack dab in the center). I even had a spinal tap done to rule out MS. What's interesting is the spinal showed high IGG in my blood (>2000 mg/dL) and low albumin in my CSF (7.0 mg/dL). I wish I had been sent to a hematologist then. Instead, I was diagnosed with migraines (which I'm beginning to think is the neurological catch-all) and sent on my way.

Last year, an observant PCP noticed my slightly low HGb, which is how I landed here today. But the more I read, the more I think that my neurological issues (which are getting worse by the way) are tied to MGUS. Unfortunately, everything I read is focused on hands, feet, gait and not really any other areas. I want to discuss this with the hematologist on Wed, but I fear I will be dismissed, much like my PCP who stated "sometimes we just don't know".

Am I off my rocker? I plan to bring up the results from 10 years ago combined with today and hope that he'll also see a connection. But if he doesn't, do I let it go? Hard to let go when I think it sometimes impacts my swallowing. Did I mention that the numbness is extending to my throat? It's hard not to think that the function of my throat isn't impacted, that it won't cause more significant issues down the road, like eating, drinking and breathing. You know, minor things that keep you alive.

Uh ... not panicking,
mikxtr

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Replies to "Hello again. I have my first consultation with a hematologist coming up on Wed and I'm..."

Also, they tend to connect neurological issues with IgM and I have IgG.

@mikxtr I will be interested to hear about your appointment, what you think of this new doctor and all afterwards! May I suggest, if you haven't already, is to have a timeline written out of your symptoms, how it is affecting you, how to address it. Have one copy for you, one for the doctor. Let this person know you want to be part of the solution to your concerns, and want to be engaged, proactive, and ready to listen to what they have to say. I truly hope this will make a difference in how you are seen as a patient.
Ginger

I had similar experience. I have IgM MGUS, anti-MAG and WM but after almost two years of the peripheral neuropathy I quickly got numbness in my face. I told my neurologist, and he immediately ordered a brain MRI (small chance but my WM has possibility of Bing-Neel CNS involvement). Concerning but it was symmetrical, so after a clean scan it came down to just more neuropathy that is atypical. So, we can't just rely on what is typical.