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What is the best test to take after getting diagnosed with myeloma?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have a high WBC count, elevated CRP level, muscle wasting, leg swelling, DM, gastritis, and myeloma, which was normal two years back. Now again, I have to go for a myeloma test or protein electrophoresis, or immunofixation. Please guide me.

Hello,

Welcome to icliniq.com.

For gastritis, a Rabeprazole-like drug can be prescribed. But as per the mentioned history, globulin is elevated, and your kappa-to-lambda ratio is high. So it is better to investigate further to rule out plasma cell dyscrasias. For that, investigations like immunofixation electrophoresis, serum calcium, creatinine, and bone marrow aspiration studies need to be done.

I hope this will help you.

Consult a physician for examination and discuss these investigations. Get back with more queries if you still have doubts.

Medically reviewed byiCliniq medical review team

Published At November 3, 2022
Reviewed AtFebruary 20, 2026

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