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Rhabdomyolysis

Rhabdomyolysis · Rabdomyolýza

What it is

Muscle breaks down and floods the blood with myoglobin, which poisons the kidneys.

Symptoms & signs

  • Severe muscle pain
  • weakness
  • dark cola-coloured urine
  • swelling
  • reduced urine output

🚩 Get help if…

  • call 112 / 911 now Dark brown, cola-coloured urine after hard exercise, a crush or a long lie
  • call 112 / 911 now Passing little or no urine
  • see a doctor soon Severe muscle pain and weakness far beyond normal soreness
  • see a doctor soon Muscle pain after starting a statin

Where it strikes

Medical treatment

  • Aggressive IV fluids
  • monitor potassium and kidney function
  • stop the trigger drug
  • dialysis if needed

Natural & lifestyle

  • Sensible exercise progression
  • hydration
  • avoid extreme heat sessions
  • statin interaction awareness

Emerging & experimental

  • Bicarbonate and mannitol protocols (debated)
  • haemoadsorption

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Antioxidant vitamins (C, E) — animal studies only early / small studies
  • Sports drinks instead of intravenous fluids — not enough in true rhabdomyolysis anecdotal / traditional

ICD codes