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Nephrology Ask the Experts
UKidney answers your nephrology questions! Feel free to search our previous submissions or create your own today.
3 days after an intense work-out I noticed my urine turned darker. I ran into ER and after some test they diagnosed me with rhabdomyolysis ( CPK over 50.000 )and hospitalized me for 3 days under intravenous (IV) fluids. During those days I was constantly drinking and urinating. When my values doped they let me go home. I repeated the tests after few weeks and the values were normal. Has been over 5 weeks since, and I have notices and increase in my urination. I drink almost 2 L every day however I urinate around 3 (based on my 5 days evaluation measuring my intake and urinate). I have not noticed any decrease in my body weight (actually I have gained 1 Kilo during this month). Shall I be worried?
Hello,
It is possible that the myoglobin released from muscle caused some tubular injury, leading to salt wasting aftwards. This would be even more likely if, while hospitalized, you had signs of kidney injury such as elevated creatinine. This should resolve in time but it would be worth ensuring your kidney function tests were checked as well (I suspect they were if you were hospitalized).
Dr. Jordan Weinstein
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