Can You Be Discharged Within Hours After Rhabdomyolysis? - Internal Medicine

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Rhabdomyolysis


Is it possible to be discharged in just a few hours? Can one feel completely fine the next day? Is this feasible?

Wei, 20~29 year old female. Ask Date: 2017/04/07

Dr. Wang Weijie reply Internal Medicine


Hello, "rhabdomyolysis" refers to the rapid and excessive damage to our skeletal muscles (striated muscles), leading to the destruction and necrosis of muscle cells.
The affected muscles typically exhibit pain or tenderness, and there may be a decrease in muscle contraction strength.
The skin over the muscles may show signs of congestion and swelling.
Muscle damage results in the breakdown and necrosis of muscle cells, causing the leakage of certain proteins and myoglobin into the bloodstream, which subsequently appears in the urine.
Rhabdomyolysis can range from mild to severe, potentially leading to life-threatening complications.
It is recommended to drink plenty of water, and if symptoms do not improve, seek medical attention promptly.
Wishing you safety and health.
Sincerely, Dr.
Wang Wei-Jie, Nephrology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/04/07

More Info


Rhabdomyolysis is a serious medical condition that occurs when muscle tissue breaks down and releases its contents into the bloodstream, which can lead to kidney damage and other complications. The causes of rhabdomyolysis can vary widely, including trauma, excessive exercise, certain medications, and metabolic disorders. The symptoms often include muscle pain, weakness, swelling, and dark-colored urine.

Regarding your question about being discharged within hours after a diagnosis of rhabdomyolysis, it is essential to understand the nature of this condition and the standard medical protocols involved in its management. In most cases, the treatment for rhabdomyolysis involves hospitalization, where the patient can receive intravenous fluids to help flush out the toxins from the kidneys and monitor for any potential complications. The length of stay in the hospital can vary significantly depending on the severity of the condition, the underlying cause, and the patient's overall health.

In mild cases of rhabdomyolysis, if the patient is stable, has no significant kidney impairment, and their laboratory values (such as creatine kinase levels and kidney function tests) are improving, it is possible for them to be discharged within a few hours. However, this is not the norm. Most patients will require at least a day or two of observation and treatment to ensure that their condition is adequately managed and that they are not at risk for complications such as acute kidney injury.

It is also important to note that even if a patient feels better and appears to be recovering quickly, the underlying muscle damage and potential for complications may still be present. Therefore, medical professionals typically recommend follow-up appointments and monitoring after discharge to ensure that the patient continues to improve and that no late-onset complications arise.

In summary, while it is theoretically possible for someone with mild rhabdomyolysis to be discharged within hours, it is not common practice. Most patients will need more extended observation and treatment to ensure their safety and health. If you or someone you know is facing this situation, it is crucial to follow the advice of healthcare professionals and prioritize safety over a quick discharge. Always consult with your healthcare provider for personalized medical advice and treatment plans.

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