Anyone else have Symptomatic MGUS?
Hi, I just joined. Had MGUS diagnosis since august 2021, however I had elevated paraproteins for years beforehand (docs then just refused to refer me to haematology). I have many of the symptoms that have been mentioned by other members and declined to be attributable to MGUS by doctors, including peripheral neuropathy, blood viscosity changes/inflammatory marker changes, protein in urine (BenceJones), memory decline, cognitive slowing, tinnitus, vision changes, constant drenching night sweats (nothing to do with menopause - proven by labs) with chills, and bone pain that has been on a consistent increase this last 8 months. I also have dizzy spells unlike ‘feeling dizzy’; they correspond with burning bone pain in my spine and ribs, and a sharp increase in tinnitus.
I have IgG Lambda MGUS, low IgA (I’m guessing due to crowding by monoclonal IgG plasma cells), and the light free chain ratio is outside of accepted range (0.09). I’m classified as intermediate high risk, due to level of proteins. My bone marrow biopsy/aspirate said 8%, however I do not ‘feel’ the same as I did when that was done back in august of 2021 - I have significant advancement of symptoms since then, including an ENT urgently removing tonsils due to thinking I might have lymphoma because I have two mystery ‘growths’ in my mediastinum that may or may not be lymphoma (the thought was, if I don’t have lymphoma in my tonsils, then it’s unlikely to be in my chest in these two growths, however I have found no evidence to support this, and doctors have not wanted to take a sample of what is in my chest).
The fatigue came on around 8 months ago with the bone pain, and it’s debilitating some days (I am a former fitness model into my late 40’s) despite the desire to exercise (which is often very painful in bones despite fatigue). I’m now 50, and my entire body has changed from strong to relatively weak, especially considering the impact of peripheral neuropathy on hand and foot function/coordination.
I don’t have diabetes, my blood pressure is consistently slightly low, my cholesterol is and always has been great, and I make all of my own food (including breads, yogurt, and cheeses) from scratch. I have zero cardiac atherosclerosis/calcification, however I have had spontaneous pericarditis twice recently.
I just think that the plasma cells are slowly on the increase, and the more there are, the more they’ll make, so it feels like I’m at a stage where it’s turning into SMM.
But all the haematologist says is “Nah, it’s not related - I’m waiting for CRAB”. I have consistently high serum calcium, and consistent anaemia.
I’ve had symptoms since I was in my mid thirties, so my gut says I’ve had MGUS for around 15 years now.
Besides that, I have lung and bowel disease that developed alongside recent worsening symptoms of MGUS (at least, I attribute them to MGUS considering so many other people seem to have similar progression).
It would be great to speak with others who have MGUS and if you have any particularly interesting research articles to share (I’m a former allied health professional and love scholarly research papers) I would love to read them (I’ve found quite a few, however it’s always a treat to read what other people have found too).
Looking forward to hearing from you my fellow MGUS people 🙂
Interested in more discussions like this? Go to the Blood Cancers & Disorders Support Group.
What was your heart rate...I was started on metropol 25mg for elevated pulse 105-112..now it runs 90....
Olivia, I think you’ll appreciate the experiences shared in this related discussion:
- Anyone else have Symptomatic MGUS? https://connect.mayoclinic.org/discussion/symptomatic-mgus-little-interest-from-medical-community
My heart rate goes up to 148 just picking up dog poo. It makes it hard to work out at all. My resting heart rate is now around 85-90. I was before all this resting heart rate was sitting at 48. Just for reference.
It ran anywhere between 102-104 resting.
Now it runs low 80s
Olivia, welcome. I read through your post a couple of times, and I was a little overwhelmed, just reading it so I can only imagine how you feel. That’s a lot to deal with. When you have a condition such as MGUS, that is supposed to be benign, yet you have all these symptoms, it is, indeed, disheartening. You understandably wonder if they are related to the MGUS or something else is going on as well.
I have neuropathy in my feet but otherwise I am unburdened by symptoms that I attribute to MGUS . I have yet to see a neurologist because I’m having a hard time getting in to see one. My hematologist/oncologist believes that the neuropathy is due to my well-controlled, type two diabetes. It’s very well controlled through diet and medication, so he and I disagree on this.
For most MGUS patients, it is a watch and wait situation. They watch for your numbers to indicate that your condition has advanced to smoldering or multiple myeloma. Hopefully this will never happen.
The sociopolitical aspects of healthcare and the health of the citizens of the United States is a worthy topic for discussion. Oh if we ruled the world.
I have little of value to offer except to welcome you. I hope that in the next few weeks you will get more clarity about your health and your healthcare team can connect some dots for you. Some with MGUS do receive treatment if they meet that threshold.
Have you considered getting a workup at a facility such as the Mayo Clinic where all the specialists live under one roof and actually communicate with one another? If my disease advances, I am certainly going to do that and had a very good experience with my husband 20+ years ago at the mayo clinic when he was struggling with cancer.
Best wishes for the very best outcome.
Patty
Thank you for your support. My local hematologist/oncologist sent me to Mayo. So I was there over a week ago for 8 days of testing. They are looking for Amyloidois in my GI track and nervous system now. So I go back in early Nov.
I am starting to understand the healthcare system more and more…if you don’t fit into the box they don’t do much in regards to treatment. I just want one doctor to look at my symptoms, labs, bone marrow results, Bence Jones in urine, etc and fight for me. I have been so fit and the epitome of health all my life. Coached CrossFit and competed. Then all this started.
I am, I believe, am way too young to be feeling like this.
I greatly appreciate your support!
I wholeheartedly agree with you on all counts. You are way too young and the healthcare system is not user-friendly. Hang in there and I hope you get some answers to all of your questions soon.
Patty
Sorry to hear what you’re going through - your situation seems really similar to mine (however I’m IgG Lambda, low IgA per the BMB/A in august 2021, which was 8%), with very similar symptoms that I initially went to the doc for.
Once they found MGUS, they stopped proactive searching for treatments and said MGUS doesn’t give symptoms so these aren’t attributable to it.
Now, I have chronic brain inflammation (per mri), chronic kidney disease (eGFR 49), and I’ve started to lose feeling and muscle strength in my legs (neurologist yesterday told me he won’t discuss it till the next appointment - but this is totally normal in the Au public system..he’s been the neurologist in charge since early this year, and it’s now September, I have significantly advancing symptoms, and he asked me yesterday: who is your neurologist?? I said “you are - have you had a dementia assessment to confirm you can practice ethically? I have seen you multiple times, and each time you simply log that you’ve seen me, for claiming the expenses, and now you again ask me who my neurologist is and tell me you’ll start investigating at the next appointment in another 6 months?”. He responded with “I don’t remember you - I will need to review your file before I start”. So, like the cruelest Groundhog Day, this is my esteemed neurologist at his finest, courtesy my taxes and the taxes of the rest of the country. Never mind the gaslighting of: you could’ve done something to yourself - we don’t know what you do to yourself at home, maybe you do things that caused these symptoms.
As you can imagine, it’s like paying for emotional trauma from a person in a position of power, using illness to punish people. And when I mentioned (again) I’m alone, having multiple falls per week, and have zero support, I was ridiculed by his assistant “surely nobody has nobody!” with a snort of laughter, so of course there’s zero point in trying to put forward a case of urgency for help to either figure out what’s wrong, or ask them to sign off on community support.
So, I’m back at square one, while I progressively lose strength and feeling in my legs.
We have nowhere like Mayo that is accessible publicly (it’s thousands to have private consultations and investigations), so I’m having advancement of symptoms - I used to have a really high heart rate, now, it sits around 25-40 bpm. I had an echo, showing the heart muscle still looks normal with an acceptable ejection fraction, however I’m now on a heart drug to facilitate pulse rate/electrical activity so it doesn’t just stop unexpectedly.
I’m now on long term penecillin V and trimethoprim because the night sweats and fevers were waking me with what I thought I’d symptoms of seizures (unable to move/tremors, visual disturbance, and unable to speak for an hour or so after one of these events which were happening several times per night), because that’s all I could get out of the doctor; and now, they’re even questioning if I have MGUS (despite the bone marrow objective evidence), and telling me I just have some kind of long term ‘infection’. My take on that is: being low in both functional IgG and IgA, it’s feasible that due to MGUS I do have long term infection, but that doesn’t mean I don’t have MGUS, kidney failure/ckd from MGUS, or that it isn’t potentially active and moving toward SMM considering the symptoms. I’m saying that, the reply is “stop blowing things out of proportion - you’re always ‘FIXATED’ on your illness! I’m sure if you relaxed you wouldn’t have half the problems you have!”
Wow, is all I can ever say.
That’s what you get for trying to seek help for functional and systemic deterioration.
Ranting, I know, but who wouldn’t when you’re treated like trash.
I don’t know if you’ve heard the recent handing down of findings Disability Royal Commission in Au, where the appalling conditions for people with severe disability have had their situations discussed by the Commission, however that doesn’t take into account all the rest of us living with disability and how the system does not support us (just want to acknowledge the loss and suffering of all those at the hands of the system, I hope the DRC findings are in fact acted upon - there’s no mandate to do so, and unfortunately as with most royal commissions into public affairs/systems in Au, they cost millions and nothing at all is implemented after it is ‘discussed’ by govt).
So presently, I’m getting worse, more loss of function, and lots of my time being taken up by visiting people with medical degrees who operate outside of their specialty in their proficiency to reject, deflect, and ignore illnesses for the purpose of perpetuating appointment after appointment to keep their job relevant and the salary rolling in (the pay is exceptionally good).
Oh, different topic, but good news: I’ve been having bleeding from my intestines/stomach (tests confirmed), and I have finally won the battle to have a colonoscopy in the public system. I had been rejected by the NSW local health district for the procedure because I have no next of kin, and their policy is that people without next of kin are not permitted to have sedation or anaesthesia because they mandate a next of kin to be available once the patient wakes up. Because of this, I was told by senior administration that I am to be immediately removed from access to the procedure. I argued from three points: discrimination, human rights, and neglect (you can’t discriminate against a person from accessing medical care because of their marital or family status (Disability Discrimination Act 1992), the UN Universal Declaration of Human Rights (Articles 5, 7, 16, 25), and neglect with reference to AHPRA regulations), and after some consideration, as well as asking the doctor to say the procedure was medically necessary (not sure how administrators could interpret bleeding in intestines as non-necessary, but i digress), I have finally confirmed I will be able to have a colonoscopy.
This is why so many people don’t have appropriate care: much of your circumstance is used against you to exclude you from the ‘policies and procedures of the hospital to keep the hospital safe’ aka: minimise their insurance policy premiums by excluding perceived risks (which, by the way, are people needing care).
🌺
It is maddening just to read about it. I’m so sorry. At least in our system in the US (which is woefully lacking I might add), we can shop around until we find the right physician. I have never seen a physician who treated me with such disrespect twice.
You have educated yourself well on your symptoms so at least you know which demons you are combatting. I’m so sorry you have to be such a fierce self-advocate but so glad you have the grit to do so.
Patty