First, this condition is suspected of rhabdomyolysis.
Striated muscle is the muscle part responsible for exercise. Under normal circumstances, striated muscle cells exist intact in the body like the yolk of a raw egg.
However, when the human body exerts too much force, suffers from trauma or oppression, thromboembolism, electric shock, high temperature, etc., some "striated muscle" yolk will turn yellow (rhabdomyolysis), and the substances in striated muscle cells will enter the blood.
One of the ingredients is called "myoglobin", which, with the blood coming to the kidney, blocks the kidney (blocks the renal tubules) and makes it toxic (the direct cytotoxicity of myoerythrocytes), resulting in myoglobin urine, that is, soy sauce urine, and even acute renal failure.
The subject mentioned that the 26-year-old boy recently joined the fitness ranks of his companions after a long period of inactivity. It is suspected that he exercised too hard and didn't get too much, which led to rhabdomyolysis and soy sauce urine in his urine.
Second, is this serious?
For patients with rhabdomyolysis, if the disease is caused by external pressure, the compressed muscle tissue will swell locally, and osteofascial compartment syndrome may occur, and amputation is necessary in severe cases.
Soy sauce urine is just one of the manifestations of the disease. Whether you can recover depends on the severity of the disease itself.
If there is only transient soy sauce urine without acute renal failure, electrolyte disorder, multiple organ injury, system involvement and other serious consequences, most patients can recover after symptomatic treatment and removal of pathogenic factors. These patients only need to drink proper amount of water, pay attention to rest and observe the changes of urine during the course of the disease.
However, if the above serious consequences are combined, or the disease itself can't be controlled, special medical means such as blood transfusion, hemodialysis and plasma exchange may be needed. These patients need to follow the doctor's advice and actively cooperate with the doctor for treatment.
Expert: Yin Heng, nephrologist, excellent author of Doctor Clove; Editor: Li Huai