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Kappa Light Chain Free Serum Is H 20.6, XXXXXXX Light

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Posted on Fri, 27 Dec 2019
Question: kappa light chain free serum is H 20.6, XXXXXXX light is Normal 7.3, kappa light chain ratio is H 2.82, immunoglobulin A Normal 123, G High 1863, M Low 37, abnormal protein band 1 is High 1.3, glucose High 178, I have lower back pain, skin rash, fatigue, constipation, bone pane in mid back and hip, nerve damage and foot pain. This was my first glucose of being in the diabetic range. Six month earlier it was good. Do I have myeloma?
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Answered by Dr. dr. Jawahar Ticku (10 hours later)
Brief Answer:
Monoclonal gamopathy

Detailed Answer:
Dear MK,
Thanks for your query. There is no specific treatment for MGUS . To rule out myeloma, We need lot of investigations which includes immuno electrophoresis and bone marrow examination and complete skeletal survey. Also we need to see all other investigations you have done to rule out myeloma like Complete blood count with peripheral smear examination, kidney function tests and beta2 microglobin assay. For your pain continue with symptomatic tratment and adequete hydration for kidney care as per your doctors advice.
Thanks .
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. dr. Jawahar Ticku

Oncologist

Practicing since :1979

Answered : 489 Questions

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Kappa Light Chain Free Serum Is H 20.6, XXXXXXX Light

Brief Answer: Monoclonal gamopathy Detailed Answer: Dear MK, Thanks for your query. There is no specific treatment for MGUS . To rule out myeloma, We need lot of investigations which includes immuno electrophoresis and bone marrow examination and complete skeletal survey. Also we need to see all other investigations you have done to rule out myeloma like Complete blood count with peripheral smear examination, kidney function tests and beta2 microglobin assay. For your pain continue with symptomatic tratment and adequete hydration for kidney care as per your doctors advice. Thanks .