What is the most common complaint of multiple myeloma?

A common characteristic of multiple myeloma is low blood cell count. This happens due to the interference of cancerous cells in the production of normal blood cells. Low blood cell count contributes to a wide range of multiple myeloma complications: Low blood count of the red blood cells usually results in anemia.
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What is the most prominent symptom of multiple myeloma?

Bone pain is a common symptom. Myeloma cells grow in the bone marrow and cortical bone, causing local bone damage or generalized thinning of the bone, which is called osteoporosis. This makes the bone more likely to break. The back or ribs are the most common sites of bone pain, but any bone can be affected.
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What is the hallmark symptom of multiple myeloma?

The hallmark symptom of multiple myeloma is bone pain. It often occurs in the back, the hips, and sometimes the skull. Some patients may experience pain that is worse at night, which disrupts their sleep. When you have multiple myeloma, your bones may easily break.
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What are the three major presenting findings of multiple myeloma?

Major symptoms of multiple myeloma may include bone pain, especially in the back and the ribs; low levels of circulating red blood cells (anemia) resulting in weakness, fatigue, and lack of color (pallor); and kidney (renal) abnormalities.
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What are the chief complaints of multiple myeloma?

Implications for practice: Patients with multiple myeloma often present with vague, common symptoms such as back pain, bony pain, fatigue, and anemia. These symptoms may be treated as separate medical conditions if NPs fail to include multiple myeloma in their differential diagnosis.
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What Are The Stages Of Multiple Myeloma?



What are the red flags for multiple myeloma?

High blood levels of calcium

Extreme thirst, leading to drinking a lot. Urinating (peeing) a lot. Dehydration. Kidney problems and even kidney failure.
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What was your first symptom of multiple myeloma?

Signs and symptoms of multiple myeloma can vary and, early in the disease, there may be none. When signs and symptoms do occur, they can include: Bone pain, especially in your spine or chest. Nausea.
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What test confirms multiple myeloma?

A bone marrow biopsy is usually needed to confirm multiple myeloma. A needle is used to take a small sample of bone marrow (where all the blood cells are made) from one of your bones, usually the pelvis. A small sample of bone may also be removed.
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What confirms diagnosis of multiple myeloma?

Bone marrow biopsy

This test is required to confirm the diagnosis of multiple myeloma. A needle is inserted into the bone marrow space to remove a small sliver of bone marrow. Our hematopathologists examine the tissue under a microscope to determine if there are myeloma cells in the bone marrow.
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What organs does multiple myeloma affect?

Multiple myeloma, also known as myeloma, is a type of bone marrow cancer. Bone marrow is the spongy tissue found at the centre of some bones. It produces the body's blood cells. Multiple myeloma affects the plasma cells (a type of blood cell) inside the bone marrow.
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Where does myeloma pain start?

Multiple myeloma can cause pain in affected bones – usually the back, ribs or hips. The pain is frequently a persistent dull ache, which may be made worse by movement.
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When should you suspect multiple myeloma?

Your Doctor May Suspect Multiple Myeloma Before You Do

Low red blood cell counts, white blood cell counts, and platelet counts, which are common in multiple myeloma. High levels of calcium in your blood, called hypercalcemia. Abnormal proteins in your blood or urine.
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Does multiple myeloma affect walking?

Because multiple myeloma can affect your mobility, it puts you at a higher risk for injury or falling. This can make physical activity more challenging.
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Where does myeloma spread to first?

At first, the cells reproduce in the bone marrow of the spine. From there, they enter the bloodstream and travel to bone marrow in other parts of the body. They collect in the bone marrow and the hard, outer part of the bones. As this progression happens, the plasma cells can cause multiple tumors.
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What labs are abnormal with multiple myeloma?

Laboratory analysis of your blood may reveal the M proteins produced by myeloma cells. Another abnormal protein produced by myeloma cells — called beta-2-microglobulin — may be detected in your blood and give your doctor clues about the aggressiveness of your myeloma.
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Does multiple myeloma affect the bowels?

Multiple myeloma is a type of bone marrow cancer, but a small portion of people with this cancer also experience gastrointestinal (GI) involvement, leading to symptoms such as diarrhea, cramping, and constipation.
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What is the gold standard test for multiple myeloma?

Plain radiography remains the gold standard imaging procedure for staging newly diagnosed and relapsed myeloma, according to an International Myeloma Working Group consensus statement.
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What is the most important blood test for multiple myeloma?

Complete Blood Count (CBC)

It is one of the most important blood tests used for diagnosing and monitoring myeloma patients. The CBC quantifies all the cells that make up the solid parts of blood. The liquid part of blood that is colorless is called serum.
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What triggers myeloma?

What Are Its Causes? Exposure to toxic chemicals, atomic radiation, anything that interferes with the immune system, or infection with cancer-causing viruses, may potentially be linked to the developing myeloma.
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Will a CT scan detect multiple myeloma?

Computed Tomography (CT) CT is a sensitive imaging modality in detecting the osteolytic effects of multiple myeloma and has a higher sensitivity than plain radiography at detecting small lytic lesions [16].
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Does MRI show multiple myeloma?

MRI is useful for imaging multiple myeloma because of its superior soft-tissue contrast resolution. The typical appearance of a myeloma deposit is a round, low signal intensity (relative to muscle) focus on T1-weighted images, which becomes high in signal intensity on T2-weighted sequences.
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Would a CBC show multiple myeloma?

If symptoms suggest that a person might have multiple myeloma, more tests are done. The complete blood count1 (CBC) is a test that measures the levels of red cells, white cells, and platelets in the blood. If there are too many myeloma cells in the bone marrow, some of these blood cell levels can be low.
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What bones does multiple myeloma affect first?

The bones most commonly affected are the spine, pelvis, ribs, skull, and the long bones of the arms and legs.
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Do you sleep a lot with myeloma?

People living with multiple myeloma can feel extremely tired even if they're getting enough sleep. This condition is called fatigue. It's important to recognize the symptoms of fatigue and to report those symptoms to your healthcare team.
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Can you have myeloma for years without knowing?

Some people have multiple myeloma for months or years before they even know they're sick. This earliest phase is called smoldering multiple myeloma. When you have it, you won't have any symptoms, but your test results will show: At least 10% to 59% of your bone marrow is made up of cancerous plasma cells.
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