[25M] With severe muscle pain, swelling, and dark urine post-exercise

Patient Description

A 25-year-old male reports severe muscle pain and swelling in the arms following an intense workout. The pain is described as dull and aching, significantly worsening over the past three days, and is exacerbated by movement. The patient also notes weakness in the arms due to the pain and swelling, which feels warm to the touch and is both soft and firm. Additionally, the patient has observed brown-colored urine and increased frequency of urination. There is no history of injury or unusual strain during the workout. The symptoms have persisted for the last two days.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—severe muscle pain, swelling, weakness, and brown urine—it's possible that you might be experiencing a condition called rhabdomyolysis. This condition occurs when muscle tissue breaks down and releases a protein called myoglobin into the bloodstream, which can cause kidney damage. The brown urine is a sign that your kidneys are trying to filter out this protein.

Rhabdomyolysis can be caused by intense physical activity, especially if your body isn't used to it. Given the severity of your symptoms, this is a medical emergency.

What you can do

  1. Seek Immediate Medical Attention: You need to go to the emergency room as soon as possible. Rhabdomyolysis can lead to serious complications, including kidney failure, if not treated promptly. If you are unable to get to the hospital yourself, please call 911 or have someone take you there immediately.

  2. Hydrate: While waiting for medical help, try to drink plenty of water. This can help flush out the myoglobin from your kidneys, but it is not a substitute for professional medical treatment.

  3. Avoid Further Physical Activity: Rest and avoid any further physical exertion until you have been evaluated by a healthcare professional.

  4. Monitor Symptoms: Keep an eye on your symptoms. If you notice any worsening of your condition, such as increased pain, swelling, or changes in urine output, inform the medical staff immediately.

Remember, I am not a doctor, and this advice is based on the symptoms you've described. It's crucial to seek care from a real health professional to receive a formal diagnosis and appropriate treatment.

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People Also Ask


What is rhabdomyolysis and what causes it?

Rhabdomyolysis is a condition where damaged muscle tissue breaks down rapidly, releasing proteins and electrolytes into the bloodstream. It can be caused by intense physical activity, trauma, drug use, or other factors that damage muscle tissue.


Why does rhabdomyolysis cause brown-colored urine?

Rhabdomyolysis causes brown-colored urine because the breakdown of muscle tissue releases myoglobin, a protein that can be filtered by the kidneys and excreted in urine, giving it a dark color.


What are the potential complications of rhabdomyolysis if left untreated?

If left untreated, rhabdomyolysis can lead to serious complications such as kidney failure, electrolyte imbalances, and in severe cases, death. It is important to seek medical attention promptly.


How is rhabdomyolysis typically treated in a medical setting?

Treatment for rhabdomyolysis typically involves intravenous fluids to help flush out myoglobin from the kidneys, monitoring and managing electrolyte imbalances, and addressing any underlying causes. In severe cases, dialysis may be necessary.


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