His Back Pain, Turned Out To Be Cancer - Patient Stories | Dr Anuj Pachhel

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[DrAnujPachhel]

Multiple myeloma is a type of blood cancer that affects plasma cells, a kind of white blood cell responsible for producing antibodies.

Prevalence & Incidence in India
- The incidence rate of multiple myeloma in India is approximately 1–1.5 cases per 100, 000 people annually.
- It accounts for about 1% of all cancers and around 10% of hematological malignancies.

Symptoms:
1. Bone pain, especially in the spine and ribs.
2. Fatigue due to anemia.
3. Frequent infections due to immune suppression.
4. Weight loss.
5. Excessive thirst and urination due to high calcium levels.
6. Nausea or constipation.

Signs:
1. Anemia.
2. High calcium levels (hypercalcemia).
3. Kidney dysfunction.
4. Increased susceptibility to infections.
5. Bone lesions or fractures.

Investigations:
1. Blood Tests:
- Complete blood count (CBC).
- Serum calcium levels.
- Serum protein electrophoresis (SPEP) and immunofixation electrophoresis.
- Serum free light chain assay.
2. Urine Tests:
- 24-hour urine protein electrophoresis.
3. Bone Marrow Biopsy:
- Examination of bone marrow samples for plasma cell infiltration.
4. Imaging Studies:
- X-rays, MRI, or CT scans to detect bone lesions.

Diagnostic Criteria:
- Presence of 10% or more clonal plasma cells in the bone marrow.
- Presence of a monoclonal protein in the serum or urine.
- Evidence of end-organ damage (hypercalcemia, renal insufficiency, anemia, or bone lesions), commonly referred to as CRAB criteria.

What to Look Out For:
1. Persistent bone pain, particularly in the spine or ribs.
2. Recurrent infections or prolonged fever.
3. Symptoms of anemia like fatigue and weakness.
4. Signs of hypercalcemia like excessive thirst, frequent urination, nausea, or constipation.
5. Unexplained weight loss or kidney problems.

Early detection and diagnosis are crucial for better management and prognosis. If you experience any of the symptoms mentioned, consult a healthcare professional for appropriate investigations and management.

[jigyasa]

Proof that never ignore small symptoms too !! And get a check up by a doctor :-)

[iamhritikpawar]

Bro is hitting my every fear nerve, I slightest of sneeze and I will go in depression thinking what could possibly go wrong with me now. 😂

[prokritisaha]

My father was diagnosed with multiple myeloma two years ago. He went in with the complaint of severe back pain. He's still under treatment. More power to everyone dealing with this❤

[suklabasaksinha]

My father recently diagonised with multiple myeloma. He was suffering from heavy pain bones. He had pains in chest, backbone, waist etc . He thought it was a normal bone fractures . So he went to Bangalore for right treatment, but diagonised with it . Luckily his kidneys are all ok. It was 1 month before of my neet 2024, we all were devastated that time.

[unkownMN]

My mom thought my back pain was because of using mobile 😊

[justAnotherGeeek]

Where to find doctors like you! Most doctors just ignore patients complains

[phoenixpersonified]

I lost my 54 year old husband to multiple myeloma 6+ years back. We were never aware of him having this disease. The only visible symptoms were fatigue and fracture of one rib, which was wrongly diagnosed as low vitamin D by an orthopedic surgeon and he was prescribed supplement. When his condition worsened and the required tests were done and he was admitted, it was too late. I was working as a medical transcriptionist and researched quite a bit as his demise was a sudden jolt, he had stage 3. He kept complaining of pain, specifically in his legs, which I i found out later, is bone pain, as despite medicines and pain relief balms, he never had relief. How does one identify bone pain or differentiate it from muscle pain? Btw, I was told that this cancer affects the bones of the chest and spine and there are no remarkable symptoms and that through random tests, it is identified. I personally feel that these kind of diagnoses are done only by docs who are totally involved and immersed in patient care with a very sharp and alert state of mind. Fortunately, for this patient, you happen to be one of them 😊❤. God bless you!

[brindams]

U r really giving awareness to the God bless u beta.

[Sandhya.-yadav]

You are helping a lot of people like us by making aware through these videos
May u live long healthy and happy ❤❤

[f.sjoyce]

To have a healthy lifestyle we should be healthy in thinking, act and learn to be happy and to avoid all this, staying around good people is important. Isn't that true doctor? But thanks to you people who save people in this critical situations 🙏

[Nand_ita]

Thanku for making these honestly....even as a med student learning about real life cases and seeing how u guys handle it is always amazing

[deepalinigalye]

When u say.. he eventually got better... I feel so much happy

[bskm]

We need this type of content especially on health

[myartarena]

I use to watch all of your shorts mostly.it is really informative to the society.thank you so much sir. May God bless you❤❤❤

[bharsanta]

You are doing a great job by talking abt real life symptoms and situations and making us all aware of any serious conditions or situations. Thank you so much for that.👍🙏🙏

[Thebatman]

Sir you motivate me a lot i mean a lot LOT

[XCGAMING_YT]

Bruhhh ! I'm watching this while having Lower Back pain for more than 1.5 months 😭

[sweta]

Can you please make a detailed video on this topic as my mother was diagnosed with it recently... Please it would be very helpful 🙏❤

[KarishmaPrajapat-lkgi]

Ye sare symptoms mere body se kyu match kr rhe h..😬😅
"Mummyyy hospital chlo jldi" 🚑