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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Shallow Breathing And Diagnosed With Epstein Barr Rhabdomyolysis. Creatinine Level Is High. Any Risk?

I am 23 years old and often have shallow breathing I am only roughly 165 lbs not obese but I have been diagnosed with at one time having epstein bar rhabdomyolisis twice and on the second hospitalization my muscle enzymes were over 7000 and I had triponin in my blood heart stopped for one second through out the night my t waves have always peeked on an ekg since birth lungs are clear heart appears very strong normal on sonograms my creatin levels usually a little high until a year ago I was very active but over exertion really screwed me up I do smoke but hate admitting so as every doc tries to use it as a scapegoat I plan on quitting trust me I will and am seeking help but do not think that is soley responsible or even has a majority of leverage in the factor what can this be If it was heart failure I think Id be feeling a little wrse its straight up breathing it annoys me all day I feel like I dont get enough oxygen and if it is my heart what can I do surgery stint cathiterization? please any and all advice welcome I have a 3 year old and want more energy to play with him and be here as long as possible can this be pdst from the no diagnosis of my last hospitalization and scary symptoms I was on workout supplements at that time when it happened but I feel crummy most days unless im vegging out being lazy Im a tough kid can take the most blunt news and am willing to undergo anything to get my life back no matter the risk
Fri, 22 Nov 2013
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General & Family Physician 's  Response
hello there!
Thank you for asking. Rhabdomyolysis is managable and its prognosis is not bad if managed well.
All you need to do is to look for renal functions and Prevention of Acute Kidney Injury and Renal Failure.
-Correction of electrolytes and have a strict observation of them.
-Use free-radical scavengers and antioxidants (eg, pentoxifylline, vitamin E, and vitamin C). they will help.
-Stay Hydrated and avoid myotoxic agents.
-Use glucose or fructose to decrease the pain and fatigue associated
-The muscle pain and myoglobinuria can be reduced with frequent meals and a low-fat, high-carbohydrate diet.
-Substitution of medium-chained triglycerides will also help.
-Avoid Strenuous activities (eg, competitive sports)
-Avoid hot and humid climates. have sharp assessment of your hydration and electrolytes.
-Alcohol should be avoided.
-Overdose of narcotics, sedative-hypnotics, or any other drugs known to cause immobilization and, hence,
- pressure necrosis should be avoided
-Avoid stimulants (eg, cocaine, amphetamines, or Ecstasy)
-And quit smoking. The effort you waste on trying quitting can be used for quitting actually. Be a man and quit.
-Avoid behaviors that results in trauma

you need a team of Rheumatologists, Nephrologists, neurologists, metabolism specialists and orthopedic surgeons for better assessment and care.

Take care of your self before it is too late

Cheers
dr S khan
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Have Shallow Breathing And Diagnosed With Epstein Barr Rhabdomyolysis. Creatinine Level Is High. Any Risk?

hello there! Thank you for asking. Rhabdomyolysis is managable and its prognosis is not bad if managed well. All you need to do is to look for renal functions and Prevention of Acute Kidney Injury and Renal Failure. -Correction of electrolytes and have a strict observation of them. -Use free-radical scavengers and antioxidants (eg, pentoxifylline, vitamin E, and vitamin C). they will help. -Stay Hydrated and avoid myotoxic agents. -Use glucose or fructose to decrease the pain and fatigue associated -The muscle pain and myoglobinuria can be reduced with frequent meals and a low-fat, high-carbohydrate diet. -Substitution of medium-chained triglycerides will also help. -Avoid Strenuous activities (eg, competitive sports) -Avoid hot and humid climates. have sharp assessment of your hydration and electrolytes. -Alcohol should be avoided. -Overdose of narcotics, sedative-hypnotics, or any other drugs known to cause immobilization and, hence, - pressure necrosis should be avoided -Avoid stimulants (eg, cocaine, amphetamines, or Ecstasy) -And quit smoking. The effort you waste on trying quitting can be used for quitting actually. Be a man and quit. -Avoid behaviors that results in trauma you need a team of Rheumatologists, Nephrologists, neurologists, metabolism specialists and orthopedic surgeons for better assessment and care. Take care of your self before it is too late Cheers dr S khan