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What Causes Pain In Ribs When Suffering From Anemia?

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Posted on Fri, 10 Oct 2014
Question: I have recently been diagnosed with Anemia. I also have experienced tooth decay and breakage for the last little while. The amount is unusual as I take care of my dental needs at least yearly. I also have a fractured L2 vertebrae. My ribs ache among other symptoms. I also have been told by to Multiple Myeloma survivors (in remission) that I probably should be tested fpr the Myeloma. YYYY@YYYY
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
yes , Get tested for MM.

Detailed Answer:
Hello and Welcome

I appreciate your concern.

Multiple myeloma is a cancer of the plasma cells in the bone marrow.

Generalized bone loss throughout the body and lytic bone lesions are commonly seen on imaging (eg x rays) in MM. Bone pain is a common finding in multiple myeloma, often from vertebral compression fractures.

So I would advise in favour of getting tested for Multiple Myeloma as your symptoms do warrant the workup.

About 60% of patients with Multiple Myeloma will have anemia at the time of diagnosis, as the RBCs can be overcrowded by the myeloma cells.

If multiple myeloma is suspected, the initial work-up should include:
 CBC
 Chemistry, including calcium, BUN, and creatinine
 Serum protein electrophoresis and immunofixation
 Quantitative immunoglobulin levels
 Serum free light chain
 24-hour urine protein electrophoresis and immunofixation
If a monoclonal protein is detected, a bone marrow aspirate and biopsy should be
performed and sent for pathological examination to assess the amount of plasma cells, as well as for conventional cytogenetics and molecular profiling.

Areas of bone abnormality, in particular spinal lesions, may need to be examined with magnetic resonance imaging (MRI).


Let me know if you have any query.

You may also upload the results that determined your diagnosis of Anemia i.e CBC ( complete blood count)


Wishing you best of health
Thanks
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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What Causes Pain In Ribs When Suffering From Anemia?

Brief Answer: yes , Get tested for MM. Detailed Answer: Hello and Welcome I appreciate your concern. Multiple myeloma is a cancer of the plasma cells in the bone marrow. Generalized bone loss throughout the body and lytic bone lesions are commonly seen on imaging (eg x rays) in MM. Bone pain is a common finding in multiple myeloma, often from vertebral compression fractures. So I would advise in favour of getting tested for Multiple Myeloma as your symptoms do warrant the workup. About 60% of patients with Multiple Myeloma will have anemia at the time of diagnosis, as the RBCs can be overcrowded by the myeloma cells. If multiple myeloma is suspected, the initial work-up should include:  CBC  Chemistry, including calcium, BUN, and creatinine  Serum protein electrophoresis and immunofixation  Quantitative immunoglobulin levels  Serum free light chain  24-hour urine protein electrophoresis and immunofixation If a monoclonal protein is detected, a bone marrow aspirate and biopsy should be performed and sent for pathological examination to assess the amount of plasma cells, as well as for conventional cytogenetics and molecular profiling. Areas of bone abnormality, in particular spinal lesions, may need to be examined with magnetic resonance imaging (MRI). Let me know if you have any query. You may also upload the results that determined your diagnosis of Anemia i.e CBC ( complete blood count) Wishing you best of health Thanks