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When You Visit Your Doctor - Multiple Myeloma
Questions to Discuss with Your Doctor:
- Have you had any recent infections?
- Do you know when to call your doctor with symptoms of infection?
- Do you have pain in any of your bones? If so, is it constant, or does it occur only when you move?
- Have you had any recent fractures?
- Do you have pain in your spine? Does it radiate to another part of your body?
- Have you noticed a decrease in sensation or strength in your hands or feet?
- Have you had loss of bladder or bowel control?
- Do you know when to seek medical attention for back pain?
- Have you been fatigued?
- Have you been lightheaded?
- Have you been short of breath with minimal exertion?
- Do your gums bleed when you brush your teeth?
- Do you bruise easily, or get nosebleeds?
- Have you been weak, nauseated, constipated, or confused?
- Have you had a headache or a change in your vision?
- Can you feel any lumps or masses under your skin?
- Are you aware of the possible complications that can develop from multiple myeloma?
- Do you know which symptoms should cause you to call your doctor?
Your Doctor Might Examine the Following Body Structures or Functions:
- Arms and legs
- Neurology examination (to check for strength and sensation in your hands and feet)
- Lymph nodes (neck, axilla, and groin)
Your Doctor Might Order the Following Lab Tests or Studies:
- Blood tests for complete blood count, electrolytes, kidney function, uric acid, calcium, and beta-2 microglobulin
- Serum protein electrophoresis or SPEP
- Urine protein electrophoresis or UPEP
- Quantitative immunoglobulin levels in the urine and blood
- 24-hour urine collection for protein
- Bone marrow biopsy
- Skeletal radiographs
- CT scan
- MRI scan