Elevated IgM Levels
At 30 years old, I have observed that my IgM levels have remained elevated for the past five years. My immunologist has informed me that there are no signs of monoclonal disease present. I inquired about the possibility of my condition resulting from polyclonal IgM and requested a liver examination, which is scheduled to take place. Additionally, I expressed concerns regarding other potential causes for the raised IgM, such as inflammation related to my ankylosing spondylitis or other autoimmune disorders, especially since I have been experiencing symptoms similar to lupus. Unfortunately, my inquiries regarding inflammation and autoimmune factors were not addressed by my doctor through MyChart. I am sharing my experience here to find individuals who have encountered similar situations with elevated IgM levels without any indication of monoclonal disease. If you have gone through this, what kind of further evaluations did you undergo and what were the results? I am not seeking medical guidance, but rather hoping to connect with others who can relate to this experience.
Answers (1)

6/21/2025, 1:50:38 AM
OpenHealth AI
It sounds like you’ve been navigating a complex situation with your elevated IgM levels and the symptoms you've been experiencing. This can be a challenging experience, especially when seeking clarity about autoimmune conditions.
Key Points:
- Elevated IgM levels can be related to various conditions, including infections, liver issues, and inflammatory or autoimmune processes.
- Other factors, such as your existing ankylosing spondylitis, may contribute to fluctuations in IgM levels.
Understanding IgM Levels: Immunoglobulin M (IgM) is an antibody that plays a crucial role in your immune response. Elevated IgM can suggest that your body is responding to something, like an infection or inflammation. Since your immunologist ruled out monoclonal disease, investigating causes associated with polyclonal IgM - like autoimmune disorders - is a reasonable direction.
Next Steps:
-
Follow Up on Liver Examination: It's excellent that you have a liver examination scheduled. Ensure to discuss any specific concerns with your doctor, such as how liver function might relate to IgM levels.
-
Symptom Tracking: Keep a detailed record of your symptoms, including when they occur and any associated triggers. This will be a helpful tool for future discussions with your healthcare provider.
-
Dive Deep into Autoimmune Symptoms: Since you mentioned symptoms similar to lupus, consider investigating these further. You might explore tests specific for autoimmune conditions such as antinuclear antibody (ANA) tests or anti-dsDNA antibodies if advised by a healthcare provider.
-
Seek a Second Opinion: If your concerns regarding inflammation and autoimmune factors remain unaddressed, consider seeking a second opinion from another specialist. A rheumatologist, experienced in autoimmune disorders, could provide additional insights.
-
Connect with Supportive Communities: Engage with support groups or online forums for individuals with similar experiences. Sharing and connecting can provide emotional support and practical advice.
Your experience and the questions you have are important, and connecting with others can provide comfort and new perspectives. Remember to prioritize your health and stay proactive in managing your conditions!
Related Questions
Request for Expert Evaluation: Possible K-Wire Migration in Fifth Metacarpal?
Hello everyone, I am a 34-year-old male standing 6 feet 1 inch tall and weighing 75 kilograms. I am reaching out to seek additional opinions from any healthcare professionals, radiologists, or individuals with orthopedic insights. Recently, I suffered a fracture in my fifth metacarpal, commonly referred to as a boxer’s fracture, and underwent surgical intervention that involved the placement of a single K-wire. I have access to three X-ray images: one taken before the surgery, one immediately after the operation, and another from a follow-up appointment a couple of weeks later. A friend, who is employed at a different medical facility, consulted a radiologist regarding my follow-up X-ray and suggested that the K-wire might have shifted. In contrast, during my follow-up at the hospital where the initial procedure was conducted, there was no mention of this observation. Unfortunately, I wasn’t able to view my X-ray at that time, as I had a brief discussion with the surgeon while the nurse was removing my stitches, and I later requested a copy of the X-ray about a week after my visit. From my non-expert perspective, it does seem like there might be truth to my friend's assessment since the wire appears to be protruding more prominently from the bone in the follow-up image compared to the one taken right after the surgery. Additionally, the alignment of the bone looks less straight, although the positioning of my hand might have varied, as they had asked me to remove the support during the follow-up imaging. Currently, I have some concerns: - Has the K-wire shifted to an extent that could hinder the healing process? I’m anxious about the potential loss of mobility and functionality, as well as any visible deformities. - Does this situation indicate the need for another surgery, possibly replacing the K-wire with a plate and screws? I understand that the latter is a more invasive approach, yet it could provide superior outcomes with a reduced risk of complications. - How frequently do such occurrences happen, and what are the typical approaches taken in these cases? I am still receiving follow-up care, but I would greatly appreciate any professional perspectives and advice before my next appointment, as I have additional queries I intend to raise.
Persistent Headaches and Facial Discomfort
Hello everyone! I’ve been dealing with an issue that has been troubling me for approximately three years, and I hope to share my experience in the hopes that someone out there might have encountered something similar (I’m located in Poland). For the past three years, I’ve experienced near-constant headaches, characterized as a dull ache that just won’t seem to go away. While it’s manageable to function daily, the incessant discomfort can be quite bothersome. More concerning is the pain that also affects my left eye, the adjacent area of my left cheek, and even the left maxillary sinus. I sometimes feel intense pain that radiates to my teeth in that region, making it feel like everything around my cheek is uncomfortable. Initially, I suspected dental issues, and I underwent treatment which resolved my concerns. I’ve also explored some relaxation therapies aimed at reducing facial tension due to stress. A visit to a laryngologist revealed the presence of a small polyp in my left maxillary sinus, though I was informed that it isn’t severe enough to require surgical intervention and is not likely the cause of my pain. However, the dentists have noted the same polyp, and I can’t shake the feeling that it might be contributing to my discomfort. This situation is exhausting. I would appreciate any insights or shared experiences if anyone has faced a similar struggle. Thank you in advance for your responses!
Could My Erythema Nodosum Have Progressed to Cellulitis?
I’ve posted about my situation a few times, but my previous messages may have been too lengthy, causing readers to lose interest. To keep it concise: I’m a 27-year-old woman, weighing 170 pounds, and I am four and a half months post-delivery. I visited my doctor, where I was diagnosed with Erythema Nodosum based solely on visual examination, with no biopsy conducted. A chest x-ray ruled out sarcoidosis, and I subsequently had a lab test that revealed some abnormalities: - MCH: Low at 26.8 pg - EDW: Low at 35.1 fL - C-reactive protein: Elevated at 49.5 mg/L Although I was diagnosed with Mononucleosis, I haven’t experienced any symptoms related to it. Given that I’ve barely left my home since giving birth, I found it hard to believe but I accepted the diagnosis for the time being. Now, four weeks later, there are still no signs of mono, yet the nodules on my legs have increased significantly. Almost all of my lower legs from the knees down are hot, inflamed, and swollen. There’s noticeable fluid retention, resulting in deep indentations when pressure is applied, which can take 2-3 minutes to subside. Along with this, I am experiencing persistent sharp pain and tenderness in my shins and calves. My main worry is that these symptoms began as small, circular red nodules. Now, over a month later, about 75% of my leg's surface area is entirely reddened and inflamed, accompanied by newly formed severe hives. I can’t see a doctor until mid-July, and the hospitals are currently overwhelmed. Should I consider a trip to the emergency room, or could this be a normal development stemming from Erythema Nodosum? Is there a chance I might have cellulitis? I’m also aware that conditions like lupus, leukemia, lymphoma, and other cancers could lead to a false positive for mono. Therefore, should I pursue further testing, or is this expected with chronic cases of EN? As an additional note, I've recently observed that my legs experience pain and tingling when I exhale. I'm uncertain if this is related. Thank you for your insight!
Interpreting My Recent Test Results
At 27 years old, I stand 5 feet 3 inches and weigh 219 pounds, having recently given birth to my third child. Currently, I am taking only one medication for weight management—phentermine. During my latest check-up at the OBGYN, the doctor inquired whether experiencing discharge during my pap smear is typical for me. I recounted that in my previous relationship, I had issues with bacterial vaginosis (BV), but I haven't faced this problem since marrying my current husband. Previously, I dealt with chlamydia, contracted from my ex-partner who was unfaithful, which required treatment on two occasions due to reoccurrence; however, that was several months ago, and I haven't had any problems since then. Now, I've received test results indicating an abnormal finding on the white blood cell (WBC) wet prep and a rare result for bacterial wet prep. Tests for conditions like syphilis, bacterial vaginosis, trichomoniasis, and yeast infections returned negative results. I'm quite puzzled about what these findings could signify. Can anyone provide clarity on this?
Struggling with Prednisone and Inflammation: Seeking Solutions
At 43 years old, I find myself grappling with the effects of prednisone, which I’ve been prescribed intermittently for six months and continuously for the past month. The dosage began at 40 mg, and it’s left me in a state of turmoil. I’m caught in this emotional whirlwind where I oscillate between wanting to cry and feeling an urge of aggression towards others. Now, I’m facing an increase to 60 mg, and I'm anxious about how that will affect me. Unfortunately, I have no alternative but to continue this medication. I’ve been battling a lung infection for the past half year, and my doctor has recommended a bronchoscopy. However, he advised that my airways are too inflamed for the procedure to be carried out safely. I've been relying on various antibiotics during this time, but it’s become impossible to sustain a regimen without a clear understanding of what I truly need. My recent lab results indicated the presence of Candida albicans, complicating matters further. I’m reaching out to inquire if there are any strategies or remedies to mitigate the side effects of prednisone. Additionally, I would appreciate any advice on how to reduce the inflammation in my airways so that I can finally undergo the necessary tests and put an end to this relentless infection.