MGUS Symptoms: What symptoms did you experience?

Posted by scnana @scnana, Jan 29, 2024

I had extensive bloodwork with a hematologist in December 2023 resulting in dual diagnoses in MyChart of thrombocytopenia and MGUS. Because of timing issues my follow up is scheduled for 2/27/2024. Anyone else plagued with overwhelming fatigue? For example, today I got up around 7:30am. I’ve felt like I need a nap since around 9:30. I’ve done some research about MGUS. Some information has been helpful, I think. Some is contradictory. What should my expectations be from my body?

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@rlhare when they found the M protein in my blood doing routine blood test for something totally unrelated, my white count shot up sky high. Anxiety will do a number on you. I’m glad that your appointment is not too far in the future.

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I was diagnosed with MGUS after having severe back pain from a thoracic vertebral compression fracture and having tender spots over various bones. My light chain ratio is low. My Dexa Scan shows mild osteopenia, not osteoporosis. I have no osseous lesions on MRI. The radiologist said the rest of my vertebrae looked like someone much less than my age, which is 74. This is not a common presentation of MGUS. The compression fracture is worrisome. Anyone else experiencing vertebrae fractures in light of MGUS?

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Although my doctors have all told me my numbers, M-Spikes, etc., do not indicate malignancy and that I, most likely, will never progress to MM, I struggle with some seemingly unrelated symptoms they cannot tie to MGUS. Does anyone in a similar situation have any resources that have been published and/or proven, linking MGUS to physical symptoms?

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For years most of the doctors I've been to seem interested in only addressing the symptoms I've experienced, as unrelated. I honestly don't think they have been. They have come and gone, some only lasting for moments, yet others for days. I am almost 68 but have struggled with some of these when I was much younger so I doubt they can now be attributed to the aging process. I was first diagnosed with MGUS about 16 years ago. My mother died of MM when she was only 67. I've had 2 bone marrow biopsies, 6 Reclast infusions, seen hematologists and experts in MM. No cancer ever found, yet I am challenged with a wide range of some very strange, sometimes very painful symptoms. I can function pretty well, and have my low M-spikes checked every year for changes but get the proverbial "stink eye" from doctors, friends and family whenever I experience these strange jolts of pain that literally take my breath away or cause me to sway or stumble or stop me dead in my tracks. These things and a host of others have been going on for years. I, honestly, think most of this stuff is related to the MGUS, but trying to find anyone in the medical profession who will listen and tie any of this, directly, to MGUS is, I fear, hopeless. I am beyond reassured I don't have any sort of cancer; yet these things happen now and again. It would just be nice to have a cause determined and have an explanation for them. It's been noted that I have an undetermined connective tissue disorder but no one seems interested in finding out which one or tying the MGUS to it. Sooooooo frustrating!

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Profile picture for Suppiskey2surv @suppiskey2surv

For years most of the doctors I've been to seem interested in only addressing the symptoms I've experienced, as unrelated. I honestly don't think they have been. They have come and gone, some only lasting for moments, yet others for days. I am almost 68 but have struggled with some of these when I was much younger so I doubt they can now be attributed to the aging process. I was first diagnosed with MGUS about 16 years ago. My mother died of MM when she was only 67. I've had 2 bone marrow biopsies, 6 Reclast infusions, seen hematologists and experts in MM. No cancer ever found, yet I am challenged with a wide range of some very strange, sometimes very painful symptoms. I can function pretty well, and have my low M-spikes checked every year for changes but get the proverbial "stink eye" from doctors, friends and family whenever I experience these strange jolts of pain that literally take my breath away or cause me to sway or stumble or stop me dead in my tracks. These things and a host of others have been going on for years. I, honestly, think most of this stuff is related to the MGUS, but trying to find anyone in the medical profession who will listen and tie any of this, directly, to MGUS is, I fear, hopeless. I am beyond reassured I don't have any sort of cancer; yet these things happen now and again. It would just be nice to have a cause determined and have an explanation for them. It's been noted that I have an undetermined connective tissue disorder but no one seems interested in finding out which one or tying the MGUS to it. Sooooooo frustrating!

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@suppiskey2surv
I get those pains as well. Random and short-lived, fortunately. They will definitely take my breath away. My hem/onc doc is diligent with regular scans but has never connected those dots. It would be nice to get a reasoned explanation.
I get these pains in my feet. Do you get them other places?

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Profile picture for Suppiskey2surv @suppiskey2surv

For years most of the doctors I've been to seem interested in only addressing the symptoms I've experienced, as unrelated. I honestly don't think they have been. They have come and gone, some only lasting for moments, yet others for days. I am almost 68 but have struggled with some of these when I was much younger so I doubt they can now be attributed to the aging process. I was first diagnosed with MGUS about 16 years ago. My mother died of MM when she was only 67. I've had 2 bone marrow biopsies, 6 Reclast infusions, seen hematologists and experts in MM. No cancer ever found, yet I am challenged with a wide range of some very strange, sometimes very painful symptoms. I can function pretty well, and have my low M-spikes checked every year for changes but get the proverbial "stink eye" from doctors, friends and family whenever I experience these strange jolts of pain that literally take my breath away or cause me to sway or stumble or stop me dead in my tracks. These things and a host of others have been going on for years. I, honestly, think most of this stuff is related to the MGUS, but trying to find anyone in the medical profession who will listen and tie any of this, directly, to MGUS is, I fear, hopeless. I am beyond reassured I don't have any sort of cancer; yet these things happen now and again. It would just be nice to have a cause determined and have an explanation for them. It's been noted that I have an undetermined connective tissue disorder but no one seems interested in finding out which one or tying the MGUS to it. Sooooooo frustrating!

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A hematologist/oncologist is the person to see.The community doctors have a fairly decent population of MGUS cases and they are mostly well so they do not pay attention to subtle changes. I suggest at least an annual consultation with a Hem/Onc. They know the disease and tend to it properly. If you have a teaching or academic medical center near you I strongly suggest you call the Center and make an appointment with a hematologist/oncologist. Entirely different attitude and approach to MGUS. They take it more seriously but do not go overboard with treatment etc. THey understand the symptoms and how they relate to MGUS. THey will get a baseline on you and recommend timely treatment or watchful waiting, for you. IF early in process or low risk they will evaluate annually. If things change then it gets more frequent.

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Profile picture for Suppiskey2surv @suppiskey2surv

For years most of the doctors I've been to seem interested in only addressing the symptoms I've experienced, as unrelated. I honestly don't think they have been. They have come and gone, some only lasting for moments, yet others for days. I am almost 68 but have struggled with some of these when I was much younger so I doubt they can now be attributed to the aging process. I was first diagnosed with MGUS about 16 years ago. My mother died of MM when she was only 67. I've had 2 bone marrow biopsies, 6 Reclast infusions, seen hematologists and experts in MM. No cancer ever found, yet I am challenged with a wide range of some very strange, sometimes very painful symptoms. I can function pretty well, and have my low M-spikes checked every year for changes but get the proverbial "stink eye" from doctors, friends and family whenever I experience these strange jolts of pain that literally take my breath away or cause me to sway or stumble or stop me dead in my tracks. These things and a host of others have been going on for years. I, honestly, think most of this stuff is related to the MGUS, but trying to find anyone in the medical profession who will listen and tie any of this, directly, to MGUS is, I fear, hopeless. I am beyond reassured I don't have any sort of cancer; yet these things happen now and again. It would just be nice to have a cause determined and have an explanation for them. It's been noted that I have an undetermined connective tissue disorder but no one seems interested in finding out which one or tying the MGUS to it. Sooooooo frustrating!

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I recently feel like I have developed a slight case of Neuropathy. Is that part of MGUS does anyone know.?

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Profile picture for Patty, Volunteer Mentor @pmm

@suppiskey2surv
I get those pains as well. Random and short-lived, fortunately. They will definitely take my breath away. My hem/onc doc is diligent with regular scans but has never connected those dots. It would be nice to get a reasoned explanation.
I get these pains in my feet. Do you get them other places?

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@pmm

Mostly in my ankles but I also get what I can only describe as short bursts if lightning bolt, pricking, shooting pain, in my upper arms and neck. Feels like someone is taking a fork and jabbing and scraping my upper arms sometimes. I must sound like a hypochondriac or something. My knees and feet sometimes, too, will just give out for a few seconds for no reason. None of this lasts very long but it's so very unpredictable. I have other kinds of pain but this kind is probably the worst.

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Profile picture for sunsetchris @sunsetchris

A hematologist/oncologist is the person to see.The community doctors have a fairly decent population of MGUS cases and they are mostly well so they do not pay attention to subtle changes. I suggest at least an annual consultation with a Hem/Onc. They know the disease and tend to it properly. If you have a teaching or academic medical center near you I strongly suggest you call the Center and make an appointment with a hematologist/oncologist. Entirely different attitude and approach to MGUS. They take it more seriously but do not go overboard with treatment etc. THey understand the symptoms and how they relate to MGUS. THey will get a baseline on you and recommend timely treatment or watchful waiting, for you. IF early in process or low risk they will evaluate annually. If things change then it gets more frequent.

Jump to this post

@sunsetchris

Yes, I agree. I saw a hem/oncologist about 2 years ago, here, but I just felt I was wasting his time, as my MGUS was such a seemingly "innocent" condition and his waiting room was filled with cancer patients. Made me feel so guilty for being there, taking up space. We decided that my primary could monitor the M-spikes. The local specialists and primaries just don't seem to understand the symptoms I have that just come and go and because I seldom experience them when I'm there, it seems they just want to move on and send me home. I've seen rheumatologists, neurologists, orthopedists, podiatrists, cardiologists, hematologists/oncologists, you name it. They all note some sort of connective tissue disorder is likely but no one, so far, really ever seems to want to even try to find out which one. I've had 3 foot surgeries, stress tests, X-rays, PET scans, MRI's, CT scans, stress fracture of my left ankle, gall bladder removal last year, blah, blah, blah. Used to get chronic sinus infections and bronchitis all the time, (years ago), UTI's, basal cell carcinoma a few years ago, cyst and lesions up and down my spine, just all so weird. It may be time, I think though, to see if that last hem/onc would be willing to see me again and get serious about discussing my MGUS as the reason for some of this. THANK YOU for your helpful and supportive words! Meant sooooo much!

Dawn

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Profile picture for Suppiskey2surv @suppiskey2surv

@pmm

Mostly in my ankles but I also get what I can only describe as short bursts if lightning bolt, pricking, shooting pain, in my upper arms and neck. Feels like someone is taking a fork and jabbing and scraping my upper arms sometimes. I must sound like a hypochondriac or something. My knees and feet sometimes, too, will just give out for a few seconds for no reason. None of this lasts very long but it's so very unpredictable. I have other kinds of pain but this kind is probably the worst.

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@suppiskey2surv i’m really sorry to hear that. It must be awful.

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