Being quite the "professional" forum user
, I must admit that I have never seen such a helpful, knowledgeable, and amazing bunch of people as I see here, it must be very encouraging for many to meet you all here.I am Alex, 42 years old from Canada.
For the last 4 years, I was suffering from thoracic (mid back) pain, and some gastro-related issues. I have had many tests done, such as abdominal CAT scan, abdominal MRI, HIDA, and even gallium scan. All tests were negative. All blood tests were also negative with CBC on the low side of normal.
About a year ago had pretty bad back pain with fever, went to my GP and she ordered an x-ray of the thoracic spine that showed slight wedging of T8 and T9 as well some generative spurring.
As a result, I was referred to have a bone density scan that diagnosed significant osteopenia.
I was referred to an endocrinologist who ran a bunch of blood tests and all the results were in the normal range except Anion Gap that was 4 with normal range of 8-16 mmol/L and also low vitamin D. Total protein, albumin, creatinine, calcium were in normal range. The endocrinologist said that he cannot see anything wrong.
About a month ago, I started to feel weird "carpal tunnel syndrome" sensations, tingling and restless legs, looks like something related to the neuropathic domain. At the same time about a few months ago, I went to see a naturopath, had a very long discussion with her and sent her all lab results I had from all last years. A few days ago, she asked to follow up with my GP and suggested to exclude multiple myeloma.
So I went back to my GP and asked for the tests.
Today I got the results but not sure if they show anything related to multiple myeloma.
Test Rslt Ref & Units
WBC 5.0 4.0-11.0 x E9/L
RBC 4.88 4.50-6.00 x E12/L
Hemoglobin 150 135-175 g/L
Hematocrit 0.432 0.400-0.500 L/L
MCV 89 80-100 fL
MCH 30.7 27.5-33.0 pg
MCHC 347 305-360 g/L
Platelets 259 150-400 x E9/L
RDW 13.1 11.5-14.5 %
Differential
Neutrophils 2.9 2.0-7.5 x E9/L
Lymphocytes 1.6 1.0-3.5 x E9/L
Monocytes 0.4 0.2-1.0 x E9/L
Eosinophils 0.0 0.0-0.5 x E9/L
Basophils 0.0 0.0-0.2 x E9/L
ESR 2 2-30 millimeter/hr
General Chemistry
Creatinine 74 67-117 umol/L
eGFR 108 >90 ml/min/1.73 m2
Calcium 2.39 2.15-2.60 mmol/L
Urate 241 230-480 umol/L
Magnesium 0.81 0.70-1.00 mmol/L
Random Urine Chemistry
Protein Electrophoresis Urine
PROTEIN-RANDOM URINE 0.11 <0.15 g/L
Immunofixation Urine
Protein (Urine) 0.11 <0.15 g/L
Serum Proteins
IgG 12.11 6.00-16.00 g/L
IgA 2.71 0.54-4.17 g/L
IgM 0.51 0.30-2.30 g/L
Total Protein 77 60-80 g/L
Since all these tests are in the normal range, is there anything else I should ask my GP to test, or that would be enough to rule out MGUS or multiple myeloma?
Thank you so much.
Alex
