We analyse spectroscopic observations of the B[e] star HD 50138 (MWC 158, V743 Mon, or IRAS 06491-0654), a member of the FS CMa group, obtained over the last twenty years. Four different epochs are identified in the observational data, where the variability of the spectral features is substantially different. Additionally, two long periods of (3 000 +/- 500) and (5 000 +/- 1000) days are found in the variations of the equivalent widths of the H alpha and [OI] 6300 A lines and radial velocities of the H alpha line violet peak. Modest signatures of a regular period of ~34 days in the radial velocities of the H alpha red peak and H beta central depression are found in the season 2013/2014. The H alpha V/R changes indicate a periodicity of ~50 days. The correlations between individual spectral features significantly restricts the model of the object and suggest that it is most likely a binary system with a highly distorted disc with spiral arms around the primary component. At the same time, no obvious signs of the secondary component has been found in the objects spectrum.