The American Cancer Society estimates that approximately 16,600 new cases of myeloma are diagnosed each year in the United States. Bone pain is the most common early symptom of myeloma. Most patients feel pain in their back or ribs, but it can occur in any bone. The pain is usually made worse by movement.Patients fatigue more easily and often feel weak. They may also have a pale complexion from anemia which is a common medical problem for patients with myeloma and may contribute to the fatigue. If the disease progresses, the concentration of normal cells in the blood may also decrease. Headaches, bruising, nose bleeding, gastrointestinal bleeding, and tingling or numbness in extremities are all symptoms of myeloma.
Patients may have repeated infections because antibodies to invading viruses, bacteria or other disease agents are not made efficiently of in adequate amounts. Urinary tract, bronchial, lung, skin, or other sites of infection may be the first sign of the disease. In addition, recurrent infections may complicate the course of the disease.
Is your child unusually fatigued? Do they bruise easier than normal? Are they more irritable than normal? Not to set off major alarms for every mother that has a child that played hard one weekend and is now over-tired and irritable and has some bruises from the rough and tumble play -- but if this is becoming a pattern in your child -- these are symptoms of childhood leukemia. Other signs are fever, bone pain, bleeding easily and weakness. The lymph nodes, spleen and liver may become swollen. Children commonly lose their appetite. 
