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Multiple myeloma, pain in back and chest - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3177 Questions
Doctor :   hi
Doctor :   Dr AAAAAAA here
Doctor :   how can I help you?
User :   Hi This is vibhor Vyas My mom is suffiring from multiple myleoma
User :   we have taken all the treatments but still she had sevier pain in her back and chest
User :   could you please suggest something
User :   ?
User :   u there?
Doctor :   yes, as I am chatting with some patients simultaneously. Please bear with me for a reply
User :   sure
Doctor :   please describe her symptoms in deatil.
Doctor :   what is teh stage of multiple myeloma detected?
Doctor :   what is the current treatment she is going through
User :   She had sevier back and chest pain... for almost 2-2.5 months.. then we admitted her to Hospital last wk. there we had blood test, chest x-ray and bone marrow biopsy.. there multiple myleoma detected...
Doctor :   ok
User :   she is having daily dose of THALIDOMIDE cap. and tab DECMAX 5 times a day for 4 days in every 7 days
Doctor :   ok. since when is she taking this treatment?
User :   this is from 15th of Nov.. Dr said that she will get some relief after 1 Wk but pain is same.. no improvement
User :   15th of Nov
Doctor :   sometimes, it takes longer time depending on extent and staging of the disease
Doctor :   is she on any pain relievers? or any other medications apart from these?
User :   yes some other are there but no pain relivers
User :   i will give you detail list of mad. tab ZYLORIC, ECOSPRIN, LAXON, MOOD ON, NEUROSAFE
Doctor :   then you should consider reporting back to her treating doctor about pain releif
Doctor :   it will help her to be better with pain
Doctor :   and since she has not had relief in the suggested time limit given by the doctor
Doctor :   she should consider getting a follow-up done
User :   ok so should we consullt Dr for pain relievers ?
Doctor :   yes, you should
User :   do you think the treatment is proper?
Doctor :   yes, treatment started is appropriate, and response takes time and bodys response to medications given
Doctor :   you can take a second opinion about her treatment
Doctor :   with an oncologist.
User :   can you suggest some one?
Doctor :   or an hematologist
Doctor :   WWW.WWWW.WW Doctor :   WWW.WWWW.WW Doctor :   go through these links to lean more on it
Doctor :   also you can take second opinion from our panel doctors
User :   ok.. one last question Dr.
Doctor :   we have specialists listed in our panel
Doctor :   yes please proceed
User :   how to determin the stage?
Doctor :   WWW.WWWW.WW Doctor :   please visit this link to see list of panel specialists
Doctor :   staging is based on bone marrow smear and the cells observed in them (type and number and changes in the cells)
Doctor :   is there anything else I can help you with?
User :   some no. i have with me if you can tell me what is the stage?
Doctor :   please send your reports at YYYY@YYYY
User :   "A Single sharp band of 3.22 GMS% was scanned in the gAMMA region. "
User :   this is electrophorosis report
Doctor :   ok. were microglobulin levels checked?
Doctor :   were calcium levels checked?
Doctor :   if yes, please provide the values
User :   Calc. level 14.8 Tot protine. 8.50 albumin 3.62 globulin 4.88 A/g ratio .74 Alpha 1 Globulin .33 Alpha 2 Globulin .72 Beta gloumulin .61
Doctor :   beta 2 microglobulin above 5.5 is considerd to be stage III
User :   so u mean to say she is in stage III
User :   ?
Doctor :   the blood tests, the bone marrow smear should be correlated.
Doctor :   it suggests stage III, but as i said the blood tests, the bone marrow smear should be correlated.
Doctor :   which can best be done by a hematologist or oncologist
User :   By operation it is done?
Doctor :   the treatment is with chemotherapy, radiotherapy, and immunotherapy
User :   ok..
Doctor :   and bone marrow transplant in severe cases
User :   in this case do you suggest transplant ? her age is 49
Doctor :   the treatment of choice can be either of them or a combination depending on individual patients and presentation of the problem
User :   ok..
Doctor :   let her continue on the present treatment for few days, have follow-up for better pain relief
User :   thanks Dr thanks a lot for your help...
Doctor :   and then proceed further
User :   sure ... will do the same way...
Doctor :   is there anything else I can help you with?
User :   thanks a lot againg
User :   *again
Doctor :   thanks for consulting me. bye for now.
User :   bye
User :   have a good day
Doctor :   wish you the same.
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