Always run down with MGUS

Posted by dazlin @dazlin, Feb 13, 2020

Not really sure if its related, but I get super wiped out after a couple hours of chores, or just shopping, my entire body aches badly. I have so much drive, and love getting everything done, love cleaning, cooking, gardening, and simply enjoying everything in order and organized. Seems lately, more so than the last 2 years since I was diagnosed with MGUS, once I get tired doing whatever, I'll come down with cold sores by next day, usually in my nose, sometimes on my lips. I now have meds for it. Then I'm wiped out for a few days. I dont let it stop me, but I'll admit I'm uncomfortable doing my usual. Drs continue to monitor my labs, and nothing really has progressed. I'm not anemic, and most bloodwork is within normal range. My IGM'S are very low, said to be crowded out by the abnormal cells. The IGM'S are the main white blood cells to fight infection, so I'm at risk, but I never get sick, or run fever, thank God. Just ALWAYS run down. I'm disappointed, and I always feel like even a trip to see my new baby grandson about an hour and 20 minutes drive, will leave me very tired, and run down next day. I actually plan to keep my outings short. I had a bone marrow biopsy done last june...cells are 4% IGG KAPPA...no treatment at this level. Does anyone here experience anything similar to me, with MGUS, and if so, does anything help? I think I'm starting to feel bit disheartened because I'm so active and enjoy doing alot, but my body quits, how sad.

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@mguspixi25

That’s really lovely of you Patty ❤️🙂
Here, the staff - especially in emergency departments - have very little sense of urgency or patients as the priority, they spend much time socialising, on their phones, snacking on sandwiches and food that is supposed to be for patients who haven’t eaten for hours (sometimes you lay there for a whole day with no actual investigation..they’re wearing you down till you leave and go to another facility) and spend a lot of time telling you your delusional and symptoms you’re reporting aren’t there - being a squeaky wheel (especially in ER) has had me talking down the security staff and big male nurses wielding needles filled with sedatives who are threatening to put me in an involuntary psych hold for continuing to insist I have something wrong when I don’t (even though they never investigated symptoms). That was when I had a bad fall and damaged my knee replacement - I’m still awaiting surgery (I fell in January) for the repair - can’t weight bear on my leg for all these months (and it’s hurting). I escaped that hospital when I told them I needed a wheelchair to go toilet - I rolled outside with the sheet wrapped around my head and shoulders like a scarf, down the street, got a cab home, and after a couple of weeks I managed to get to a private surgeon who said it should’ve been operated on immediately. So, asking for a social worker in that instance was laughed at, because once they have it in for you, they do what they can to harm you. It’s very dangerous taking chances in some public hospitals here. Other times I’ve been withheld pain meds after orthopaedic surgery by nurses in the middle of the night, until I’m screaming in pain, then held down and strapped to the bed because the same nurse said I refused to take medication which resulted in a psychotic break (totally untrue). Again, in the public system. That same nurse refused to help me with a kinked catheter and I ended up laying in a puddle around my stitches for god only knows how many hours during the night. This was all at a major teaching hospital. There are major power imbalances here; major threatening behaviours from staff who are aggressive when patients don’t conform to what they want.. there are signs everywhere that threaten patients with non compliance they will be removed/denied treatment/charged. The staff take these policies to the nth degree - patients are clearly afraid a lot of the time. So I think there’s little concern from these institutions regarding actual patient welfare - hence why we never get to see a social worker. I’ve been thinking to reach out to former patients and catalogue experiences…at the moment, there’s an actual governmental enquiry into the traumatic experiences had by people in health services…that’s how bad it is.
Submissions are being taken, and passed on to the inquiry; stories from people, and the families of those who didn’t make it (those who had families).
I’ve written a submission, and have offered to appear anonymously in front of the inquiry panel (I’m afraid of bias against me if I identify myself and need to go back to a public hospital), but I want the govt to know what a festering pool of corruption that is what is called the health system.
We do our best to laugh it off, sure; but beneath the not quite comfortable grin is fear and trauma, unfortunately.
My degree is occupational therapy, and I always tried to do my best in a corrupt system - seeing many things that made me not able to sleep at night in the short time I was exposed to the system and the staff as a worker (I just never went back). I wish squeaking was a safe endeavour, and I appreciate the prima facie approach but it’s not safe to assume that that kind of approach will work amongst such corruption and dare I say abusive institutional environments. However, I do squeak from a distance, as a systemic advocate, from the safety of behind my computer screen 🙂🙌🏻

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Good grief that’s horrendous. Yes by all means do document your experience. How awful.
Reminds me of the book One Flew Over the Cuckoo’s Nest.
I guess I’ll have to step back from that recommendation… Just be safe!
Patty

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Same
Same
Same

Ridiculous fatigue.
Cannot even keep up with the mundane anymore.
Pain problems.
Recovery days look like 12-18 hours of continual sleep for me.
It’s unimaginable.
And it’s invisible unless you live with me.
But it is very very REAL.
I run fevers, lose my voice, go through stretches of nightsweats (no rhyme or reason-autoimmune disorder “flares” ?
I really don’t know.
BUT there is no doubt that I am run down and by body reacts strongly to all exertion and that once was “normal” is no longer even possible.
I love the “GOOD” days!
They are, however, unpredictable.
My body is no longer reliable enough for me to take on employment.
(I did not experience the onset of fatigue while employed, so it was not “measured” in that sort of official manner related to sick leave. I was a homemaker, educating our three children at home, and growing as much of our food supply as possible from gardens to animal husbandry. Dx with MGUS at 42 was a weird surprise and for me it has had consequences but doctors do not make those connections.)

I have lost my lifestyle and the meaningful work that I loved as well as many relationships and the richness of community life. I have become isolated in my rural setting as driving distances became a greater challenge with the fatigue and pain and unexplained neuropathies.
Frustrating to say the least.
I walk the tightrope of
tension between hope and contentment each day.)

Bless you!
I wish you all MORE “good days.”

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@JustinMcClanahan

Hello @dazlin. I'd like to invite @gingerw, @gmajudy, @stuckonu, @susangs, and @canderson12 (from this conversation, https://connect.mayoclinic.org/discussion/mgus-2d464e/) to this conversation to talk specifically about their experience, if they have any, with feeling fatigued with their diagnosis of MGUS. While it is good that you are still in a status that does not need treatment, it certainly sounds frustrating that you are experiencing increased levels of fatigue that are preventing you from doing things you enjoy. When you are feeling run down, does taking a day to recoup typically help, or does it just get you back to a still fatigued state? Any activity in particular drain you, or is it just being active in general?

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I am chronically fatigued to the point where I cannot function. My vision has been affected, I get wiped out from even a gentle yoga class; my muscles and bones hurt and I’m even more exhausted. I often feel out of breath. I am now very depressed because I was a health and fitness trainer and I can’t do the things I enjoy! Are there any drugs to help with my energy level? This is not living!

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@teralinda1

I am chronically fatigued to the point where I cannot function. My vision has been affected, I get wiped out from even a gentle yoga class; my muscles and bones hurt and I’m even more exhausted. I often feel out of breath. I am now very depressed because I was a health and fitness trainer and I can’t do the things I enjoy! Are there any drugs to help with my energy level? This is not living!

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@teralinda1 Welcome to Mayo Clinic Connect! I am quite sure you will find many of us nodding our collective heads in agreement and sympathy with your post.

The first thing I would suggest is to check with your primary care doctor, and get some baseline tests done, making sure there is nothing else going on. Then check with your hematologist oncologist to see what they might recommend. Many of us find we need to reconfigure our lives and understand our energy levels might be affected. Checking to see what medications you are on, and possible side effects, may give you some insight also.

Moderate exercise, healthy eating and stress reduction can go a long way to helping us on a day-to-day basis when we are dealing with MGUS. If we have been a very active person, it is disheartening to get older/not feeling as energetic. Sometimes talk therapy is in order. I wish I could do half of what I did 5 years ago!
Ginger

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@gingerw

@JustinMcClanahan Thank you for tagging me in to this conversation, Justin.
I was diagnosed with MGUS in Nov 2017, and have had issues with fatigue since 2015 or so. Like you, @dazlin there are days when I feel full of energy. Up and at 'em early, accomplish things on my list, then collapse in early afternoon, unable to even think about fixing an evening meal. It is always in the back of my mind when planning something, if the energy will be there when I ask for it. Sometimes I push on through it, knowing I will be pretty tired the next day, sometimes not getting good rest at night. I try to plan "down time" to recharge my batteries, even during the day. There are a couple of things that I would suggest. First, a complete set of bloodwork done, to make sure there are no other things going on. Have a open and honest talk with your oncologist about your fatigue. [I have a comorbitidty of kidney disease] Take stock of your diet and lifestyle. Eat as healthily as you can, eliminate those foods which may be harmful to you. Take a multi-vitamin and/or supplements as you and your dr see fit. Finally, honor yourself, and do not beat yourself up for having to slow down.
Ginger

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Ginger, thank you for your reply. I have just been diagnosed with MGUS in November this year. I have unbelievable fatigue. I am a very active 75 year old Nonnie that is busy every single day with house and yard and grandchildren and church and dance club and book club and supper club it goes on and on. I stay very busy. I just don’t even know how to adjust myself down to this pace. I’m so fatigued all the time I get up feeling OK and then do as much as I can but in two hours, I’m ready to take a rest. That’s not me. I don’t like it. This is really early for me and not much going on. They made this diagnosis and said come in six months to repeat Scan annd blood work. and if your spleen has enlarged more ( that was the only thing they found) They would do a bone marrow biopsy. This leaves me in the dark and concerned and probably worrying about things. I don’t need to be worrying about. I do eat a healthy diet. I have a good BMI and I walk every day a couple of miles and enjoy being outdoors. this is just a slap in the face for a woman who hasn’t even taken a prescription yet.!

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@4kleo

Ginger, thank you for your reply. I have just been diagnosed with MGUS in November this year. I have unbelievable fatigue. I am a very active 75 year old Nonnie that is busy every single day with house and yard and grandchildren and church and dance club and book club and supper club it goes on and on. I stay very busy. I just don’t even know how to adjust myself down to this pace. I’m so fatigued all the time I get up feeling OK and then do as much as I can but in two hours, I’m ready to take a rest. That’s not me. I don’t like it. This is really early for me and not much going on. They made this diagnosis and said come in six months to repeat Scan annd blood work. and if your spleen has enlarged more ( that was the only thing they found) They would do a bone marrow biopsy. This leaves me in the dark and concerned and probably worrying about things. I don’t need to be worrying about. I do eat a healthy diet. I have a good BMI and I walk every day a couple of miles and enjoy being outdoors. this is just a slap in the face for a woman who hasn’t even taken a prescription yet.!

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@4kleo I don't recall if I have welcomed you to Mayo Clinic Connect. If not, here it is!

When we are so used to having seemingly unlimited energy, to have a sense of fatigue can really throw us for a loop. Take some minutes to fix a cuppa tea, sit down and think through how you might be able to approach this now with a different outlook. Perhaps you have been always "doing for others", well, now "do for yourself". It's okay to revamp your schedule. And in the long run, you just might find that the newer, more relaxed version of you is a good thing. Does it take getting used to? Will you question it, or might your family and friends wonder? Oh, my yes!

Continue to eat healthy, get good rest, perhaps change your priorities a bit. MGUS is not a death sentence. And frankly, at 75 we have the right to listen to our bodies and back off a bit! I am 72 now, myself. The post you referred to is 4 years old. Since then, I have been on active treatment for multiple myeloma since August 2021, and on daily peritoneal dialysis since Sept 2022. Is my energy level where I would like to to be? No, but I have forgiven myself for that and learned to be gentle on myself, doing what fits each day. You'll get into the swing of things in a short time, I have no doubt.

It's a learning curve. Be gentle on yourself! Continue to keep in touch with me!
Ginger

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Ginger, thank you for your response. And for sharing your update that’s very personal and thank you very much. I just tried to do rearranging of a shelf in my closet. It was 15 minutes and I am now resting with that cup of tea. I really hate this slowing down, but I see through your graceful attitude that I can do it too. Thank you so much for being here for me. Best wishes for a happy holiday season for you, Karen.

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I have MGUS too - but was told it does not affect me now or anything to really worry about. I had VERY low IGg which DID effect me greatly and now I am on monthly IV - for rest of life (78) and feeling much better. I too have less energy but my RA and muscular atrophy is causing that …. Am I missing something about MGUS??? Best to all!

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Consider having your doctors check for other potential ailments. It is handy to keep a food log and document any symptoms that you have. I've had MGUS for 8 years (I'm 70) and asymptomatic so far (kappa is ~300 and kappa/lambda 29). I do have a few autoimmune diseases and newly diagnosed chronic kidney disease that can result in fatigue if I get stressed. My celiac or MGUS associated polyneuropathy hasn't worsened in the last decade. I exercise, get enough sleep, and try to do something fun every day. If you don't have the energy for aerobic workouts, resistance training (weights) can increase muscle mass. Because of celiac and colitis my diet is very restricted, no gluten, legumes, NSAIDs or some other meds.

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