High protein in urine, unsure of the results

@mandm4evers Welcome to Mayo Clinic Connect! I see by looking at your profile, that you have been a member for a few years, and this is your first post!

I can certainly understand your nervousness. The unknown can be scary. My first advice is to not do a "Dr. Google" search, okay? Instead, write down the results you have seen, and then start writing down your questions. No question is too silly or small, remember. Not only will it help calm you down, it will help you focus. There will possibly be more tests in your near future, as your team narrows down what is going on, and may refer you to a hematologist. If you can take a family member or friend with you to have a second set of ears to listen, that is also helpful. Don't be afraid to ask to have something repeated if you are unsure what you heard.

Take a deep breath, get a cuppa tea or coffee, and pull up a chair with me. We can talk about anything that might be bothering you right now. Next week will be here before you know it. Take some walks outside, play in the dirt, or whatever hobby fills your soul. Many of us have been in your shoes. What questions do you have for me?
Ginger

Thank you, you are very kind.
I agree about not doing google search, but not so easy:)
I have had Kidney cancer, so the thought of cancer does not scare me just not knowing and no plan:) thank you again

I got in early! You were absolutely right, being sent to a hematologist. What are normal tests would the hematologist would order? I do not have a appointment yet 😉 hopefully soon!

@mandm4evers Yeah! I'm happy to read you will get in to see a hematologist. From my experience, a primary set of labwork then additional tests based on what the values come back at. There could be ultrasounds, a bone marrow biopsy, but please don't quote me on that!

I hope your appointment comes soon, and please let me know how I can help with concerns/ questions, okay?
Ginger

Thank you, I just do not know what to ask? Haha

Ok I have a question:)
2019 no protein in blood
May 4th 2022 .07 iga lambda monoclonal
May 23rd 2022 .1 iga lambda
Monoclonal
Saw the hematologist/oncologist she said because of type I am high risk. So would like to do bone marrow biopsy.
What would a bone biopsy prove so early when levels are low? Thank you

That’s a good question to ask your hematologist, @mandm4evers. Have you had the bone marrow biopsy? What did it show?

I have not had a bone marrow biopsy, kind of nervous about that one.
The hematologist suggested to get one, how many have you had?
Thanks Debbie

Good morning, Debbie. I see your hematologist has suggested a bone marrow biopsy after finding elevated protein in your blood. Since the bone marrow is the factory in the body for manufacturing blood, they want to go right to the source to discover the reason. ☺️

Bone marrow biopsies remove a core of bone to allow physicians to evaluate the structure and cellularity of the tissue with a microscope. These biopsies may reveal abnormalities of bone structure and any associated abnormal cells, protein deposits, or inflammatory processes.

Bone marrow biopsy and exam (BMBX) is one of the most common and valuable tests a hematologist can use to determine what’s up if anything is out of the norm in our bloodwork. It’s fairly easy and doesn’t take very long. However, it can be a little uncomfortable for just a few moments.
Being a veteran of over 13 of these procedures, my preferred way is to have mild sedation. It’s generally offered with or without. It’s much easier with…you are in a very twilight sleep with a sedative similar to what’s used in a colonoscopy. When you wake up 10 minutes later, you’ve felt nothing and you get up and go home. Where I have mine done at Mayo, I wake up to Lorna Doone’s and juice! The child in me feels like it’s a reward for being a good girl. LOL.
https://www.mayoclinic.org/tests-procedures/bone-marrow-biopsy/about/pac-20393117
It sounds much scarier than it is in reality. I’d encourage you to have this done so your hematologist can determine what’s what. ☺️
Does this help ease your mind a little?

@mandm4evers Hi, Debbie. @loribmt gave you a great education on bone marrow biopsies. I myself have had 4 of them, all without any sedation. For me, there was a lot to be said about the person doing the biopsy itself. The first one left a lot to be desired, and was uncomfortable, but I realize it was the technique used by that hematologist. The last three were by my current hematologist oncologist, and it was a walk-in-the-park. Since I was driving 2 hours each way, by myself, there was no chance for sedation, and it turns out it wasn't needed. Except for the pressure bandage, I wouldn't have known the procedure had been done!

Don't be nervous, know that the procedure will help in figuring out what is going on.
Ginger