A member asked:

I have history of elevated blood protein(8.3-8.7 since 09). recently did spep with elevated gamma globulin. why would pcp refer me to hematologist?

4 doctors weighed in across 3 answers
Dr. Liawaty Ho answered

Specializes in Hematology and Oncology

Elevated gamma glob: Do you have an m-spike detected on your serum protein electrophoresis? Do you have an imimmunofixation electrophoresis? If you do have m-spike detected- your pcp refers you to see hematologist to make sure you don't have plasma cell disorder etc. Elevated gamma glob alone without m-spike or abnormal ife- could be caused by inflammation, infection etc. Ask this question to your pcp.

Answered 7/28/2018

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Additional studies: These studies suggest that your plasma cells are producing too much gamma globulin. Additional studies and physical examination by a hematologist is good advice.

Answered 12/30/2015

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Further evaluation: There are many reasons for elevation of the serum protein. The hematologist is the best person to guide the work-up to determine if you have something like myeloma or other plasma cell dyscrasia or a non-malignant cause of the elevated protein level.

Answered 9/13/2013

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