Hello, this is Dr. David. I have read your question and am ready to help.
the blood work is fine.
what is concerning is the M spike and the early kidney dysfunction.
you need a skeletal survey to look for any lytic lesions in any of your bones
and if you have any, there is a good chance that you could have multiple myeloma.
Here is the diagnostic criteria
so you will need a bone marrow biopsy to see if there are any plasma cells in the bone marrow
let me know if you have any questions