Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health

I am a 30 year old, 6'2", 233lb male. I decided to go to the

Customer Question
Hello, I am a 30...
Hello, I am a 30 year old, 6'2", 233lb male. I decided to go to the gym on Sat 9-26-10 and work out on one of the bicycle machines. I have not been to the gym or worked out in about 12 years. I worked out aggressively on the bike for about 45 minutes. Afterwards I was sore so I drank some water from the water fountain and went home. On Monday I noticed my quad muscles were really sore and stiff, and that my urine was dark brown. I went to the doctor and was admitted into the hospital with cpk levels over 20,000. It is now Fri 10-1-10 and I am still in the hospital with cpk levels still over 20,000. Blood test indicate that my kidneys and liver are functioning properly, ultrasound test indicate that my liver and other internal organs are fine, my urine is now the normal color and my quad muscles are no longer sore. So why are my cpk levels still over 20,000??????? What else could be wrong!! The doctor said that if cpk levels are over 20,000 the lab will only report it as being over 20,000 and not give an exact level. Is there a way to determine what my exact level is????
Submitted: 7 years ago.Category: Health
Show More
Show Less
Ask Your Own Health Question
Answered in 4 hours by:
10/1/2010
Health Professional: Dr. Singh, Doctor replied 7 years ago
Dr. Singh
Dr. Singh, Doctor
Category: Health
Satisfied Customers: 6,496
Experience: MBBS. General Practitioner, experienced in hospital care and primary care.
Verified
Hello,
CPK or Creatine Phosphokinase is an enzyme that is normally present in large quantities in muscle cells. Whenever there is injury to muscle cells, CPK is released into the blood circulation from the injured muscle cells, and causes high levels in tests.

Since you had excessive exertion after a gap of many years, you may have had extensive injury to muscle cells in the limbs causing breakdown of muscle fibers (also called Rhabdomyolysis). This process also releases the protein myoglobin into the circulation causing dark urine.

The main concern with this condition is damage to kidneys due to excessive myoglobin. In your case, kidney function appears to be adequate and clearing of urine is a very good sign. So your prognosis is quite good. High CPK levels will not do any damage, but will return to baseline within few days. So CPK itself is not a major concern and there is no need to measure exact level of CPK. However your kidney function should be regularly monitored and you should be getting plenty of fluids.

You can read more here:
http://www.nlm.nih.gov/medlineplus/ency/article/000473.htm

Regards.
Ask Your Own Health Question
Customer reply replied 7 years ago

Should I be worried that the enzyme will damage the internal structure of my kidney? I was informed that the enzyme's molecules are quite large in comparision to the tube like structures in the kidney. I see that you said the levels would come down in a few days, I was in the hospital for five and my CPK levels are still above 20,000, the same as they were the day I arrived. Do you think that this is anything to worry about? Will I need to wait a few days longer?

Health Professional: Dr. Singh, Doctor replied 7 years ago
CPK molecules are not large and would not damage the kidney tubules. Its the myoglobin molecules that can damage the kidneys, and cause dark urine at the same time. I think your condition has improved a lot and chances of any complications are low. So I would not worry too much about these levels.
Regards.
Dr. Singh
Dr. Singh, Doctor
Category: Health
Satisfied Customers: 6,496
Experience: MBBS. General Practitioner, experienced in hospital care and primary care.
Verified
Dr. Singh and 87 other Health Specialists are ready to help you
Ask your own question now
Customer reply replied 7 years ago

Thank you for your time. The hospital doctors were giving me rushed answers. At times it seemed as though I might have to tie them down to get detailed answers. Again thank you

Health Professional: Dr. Singh, Doctor replied 7 years ago
I can understand it can be difficult to get information while in hospital.
Let us know if you have any further questions.
All the best!
Ask Your Own Health Question
Ask Dr. Singh Your Own Question
Dr. Singh
Dr. Singh
Dr. Singh, Doctor
Category: Health
Satisfied Customers: 6,496
6,496 Satisfied Customers
Experience: MBBS. General Practitioner, experienced in hospital care and primary care.

Dr. Singh is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,095 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

19,749 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

14,036 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
I have had anal itching for about 2 months and it is getting
I have had anal itching for about 2 months and it is getting worse. I have been to the dr and he Gave me a vagus last cream bc he said i have yeast in my vagina and anus.. the cream is making it worse… read more
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar
Consultant Gynecologist
MBBS. MD (Obstetrics and Gynecology
3,688 satisfied customers
My partner and I have been trying for a baby for a few
My partner and I have been trying for a baby for a few months now, not having sex each and everyday though but a few times a week. She missed her period for 3 weeks and we thought she must be pregnant… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,219 satisfied customers
I started on 5 mg of escitalopram 7 months ago, 6 weeks
I started on 5 mg of escitalopram 7 months ago, 6 weeks later my cholesterol level was muc … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I sneezed today and my right side below my rib cage. Right
I sneezed today and my right side below my rib cage. Right below hurt like a knife went into my side. It took my breath away … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,062 satisfied customers
This morning I had an episode of irregular heartbeat with
This morning I had an episode of irregular heartbeat with blood pressure 109/70. I am 61 years old take 50mg atenolol for high bp. 80mg pravachol for cholesterol. I took .25mg Xanax after 30 minutes o… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,219 satisfied customers
Is there a charge for your services? If so how much? Is
Is there a charge for your services? If so how much? … read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
1,772 satisfied customers
I just blew my nose really hard and my ear drum hurts it's
I just blew my nose really hard and my ear drum hurts it's loud and my ear slightly hurts … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,219 satisfied customers
I am experiencing pain across my forehead and my nose feels
I am experiencing pain across my forehead and my nose feels clogged. My ear also feels stopped and my sinuses drainsdown my throat. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
When i started my period monday, I had really bad vomitting
When i started my period monday, I had really bad vomitting and yellow diarrhea. The vomitting stopped but I am passing waste like 2-3 times a day and its still watery and yellow. Am I sick? … read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,722 satisfied customers
I have been on my menstrual cycle for 12 days. The first 5
Hi, I have been on my menstrual cycle for 12 days. The first 5 days were normal but since then it has been very dark in colour, quite clotty and my abdomen feels bloated and when my.period started I h… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,219 satisfied customers
I am taking Merrill 4 mg pack for a cold and have nasal
I am taking Merrill 4 mg pack for a cold and have nasal congestion and would like to know what OTC sinus medicine to take that will not interact with the steroid pack. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I have a question about supplemental Vitamin K-2 (MK-7
Hi there,I have a question about supplemental Vitamin K-2 (MK-7 derived from Natto) and blood clotting, though it requires some background info (sorry for the long-windedness).I'm a 37 year old male. … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,219 satisfied customers
I have an IUI procedure done on Jan 6 2018 and ever since
Hi. I have an IUI procedure done on Jan 6 2018 and ever since then I have had brown discharge only when I wipe. Sometimes it goes away but then comes back. Could this be a sign of early pregnancy? I'm… read more
Dr. J
Dr. J
Physician, Partner
Doctoral Degree
350 satisfied customers
I had unprotected sex with a not so great girl 9 weeks ago.
I had unprotected sex with a not so great girl 9 weeks ago. I haven't had any symptoms but i have been freaking out. So i got the OraQuick test and had a sip of water 25 min prior and the test came ou… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
518 satisfied customers
Dr I noticed my penis hanging to the left when erect and
Dr I noticed my penis hanging to the left when erect and not. It Doesn't hurt or anything. I have a mild pain in my urethra that goes on and off, but it's from over ejaculation, masturbation and inter… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
Ive had achy pain under my left armpit/side of breast for
ive had achy pain under my left armpit/side of breast for around 3months. It isn't constant but felt at least a few times a day and is not excruciating. I can not feel any lumps though. Very occasiona… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I recently had severe Balanitis following an allergic
I recently had severe Balanitis following an allergic reaction to antibiotics. A doctor recommended I treat it with Hydrocortisone, which only made things worse by thinning the skin. The Balanitis is … read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,978 satisfied customers
I skipped a period in October, got it in November and now I
I skipped a period in October, got it in November and now I see brown spotting when I wipe. I don't know if it's a urinary infection or period problem … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,219 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x