After Grandpa fell, he exhibited many symptoms?
A few weeks ago, my grandfather fell and has been unable to bathe himself.
He has also become a bit forgetful and has experienced chest pain.
Later, he underwent blood tests, which showed an Immunoglobulin G level of 5870.00 mg/dL, an Immunoglobulin A level of <26.00 mg/dL, and an Immunoglobulin M level of <17.90 mg/dL.
Is there a problem with these results, and what should we do?
Miss Zeng, 20~29 year old female. Ask Date: 2016/01/24
Dr. Chen Yunfang reply Oncology
Hello: Your grandfather's IgG levels are elevated, which could indicate "multiple myeloma." However, since you have this lab report, the ordering physician likely has a suspicion.
It would be best to follow the recommendations of the physician who ordered the tests.
A "bone marrow biopsy" is necessary for diagnosis and treatment.
Thank you!
Reply Date: 2016/01/24
More Info
Understanding the symptoms and laboratory findings following your grandfather's fall is crucial, especially considering his age and the potential implications for his health. The symptoms you mentioned—difficulty bathing independently, memory issues, and chest pain—are concerning and warrant thorough evaluation.
Firstly, the fall itself could have multiple consequences, including physical injuries (like fractures or soft tissue injuries) and psychological effects (such as fear of falling again, which can lead to decreased activity and independence). The cognitive changes you noted, such as forgetfulness, could be related to several factors, including stress from the fall, underlying dementia, or even a reaction to pain or medication.
The laboratory results you provided show elevated levels of Immunoglobulin G (IgG) at 5870.00 mg/dL, which is significantly higher than the normal range (typically around 700-1600 mg/dL). Elevated IgG levels can indicate chronic inflammation, infection, or other immune system disorders. The low levels of Immunoglobulin A (IgA) and Immunoglobulin M (IgM) may suggest a specific type of immune deficiency, which can make your grandfather more susceptible to infections.
Given these findings, it is essential to consider the following steps:
1. Consult a Healthcare Provider: The first and most important step is to discuss these symptoms and lab results with your grandfather's healthcare provider. They can provide a comprehensive assessment, considering his medical history, current medications, and the context of his fall.
2. Further Evaluation: Depending on the initial assessment, the doctor may recommend further tests to investigate the cause of the elevated IgG levels. This could include imaging studies (like a chest X-ray or CT scan) to evaluate for any underlying infections or tumors, especially given the chest pain.
3. Monitor Symptoms: Keep a close eye on any changes in your grandfather's symptoms. If he experiences worsening chest pain, increased forgetfulness, or any new symptoms, seek medical attention promptly.
4. Consider Physical Therapy: If your grandfather is having difficulty with activities of daily living, such as bathing, a referral to physical therapy may be beneficial. A physical therapist can help him regain strength and mobility, which may improve his overall function and confidence.
5. Support Cognitive Health: Engage in activities that stimulate cognitive function, such as puzzles, reading, or memory games. Social interaction is also crucial for cognitive health, so encourage family visits or participation in community activities.
6. Evaluate Medication: If your grandfather is on medications, review them with his doctor to ensure that none are contributing to cognitive changes or other symptoms. Sometimes, medications can have side effects that impact mental clarity or physical function.
In summary, your grandfather's situation requires careful attention and a coordinated approach involving his healthcare team. Elevated IgG levels and the symptoms you described could indicate underlying health issues that need to be addressed. Early intervention can significantly improve outcomes, so do not hesitate to seek medical advice.
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