Hi Johnny1961, I’m sorry that you haven’t had any replies, I think that’s because none of us are doctors and as patients we haven’t got the expertise to answer your question.
The definitive way of detecting myeloma is by bone marrow biopsy, looking for cancer cells in the bone marrow. Whatever presentation of myeloma we have had, this is the only conclusive test, so you may want to ask the doctor for this, even though it is often painful. Diagnosis isn’t easy for drs as there are many different potential presenting problems,most of which could be indicative of minor health issues (eg back pain, fatigue). The key usual myeloma presentations are high calcium levels in the blood, renal problems, anaemia and/or bone lesions, which 80% of us have at diagnosis.
I hope that it turns out that you do not have myeloma to add to your health issues, but if you do, the myeloma community and Myeloma UK will be here for you.