Brief Answer:
Possibility of polyclonal gammopathy. Advised urine culture and BP control

Detailed Answer:
Hello,
Thanks for posting your query on Ask a Doctor forum.
I have gone through all the lab results as well as serum electrophoresis graph.
The abnormal findings are raised Ig G, raised lambda and kappa light chains, however, the ratio of light chains is within range.
A normal kappa to lambda ratio rules out monoclonal disorder, and there is higher possibility of polyclonal disorder like chronic inflammation.
However, I suggest you to take up few more investigations namely - serum immunofixation and beta 2 microglobulin.
Urine findings show an increase in pus cells / white blood cells and elevated leukocyte esterase.
These findings are suggestive of urinary tract infection, thus an urine culture and antibiotic sensitivity needs to be done.
There is an increase in urine protein and creatinine.
Since, there is history of hypertension, there is a possibility that hypertension is affecting the kidney functions.
The blood pressure (BP) needs to be controlled by medication and life style modifications.
Urine protein, creatinine and ratio needs to be monitored regularly.

Thanks and take care
Dr Shailja Puri

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Brief Answer:
M band is not present on graph

Detailed Answer:
Hello and welcome again,
The comment in your report mentions a 'sharp suspicious band' in gamma region but it is not described as 'M band'.
M band is caused by elevated monoclonal protein or neoplastic protein.
To make picture more clear, I have advised immunofixation and beta microglobulin.
However, the results do not suggest Multiple Myeloma.

Thanks and take care
Dr Shailja Puri

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