HomeAnswersNephrologycpk valueMy husband's CPK level is high. Should we get IV therapy or will it decrease over time?

What is the treatment to reduce CPK level?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Nithila. A

Published At September 30, 2019
Reviewed AtOctober 4, 2019

Patient's Query

Hello doctor,

My husband is a 30-year-old. Last week, he went to the gym the first time after a year and did heavy biceps exercise with high repetitions. After two days, his arms were swollen, and he was not able to make his arms straight. Yesterday we consulted with a nephrologist, and he told to do tests for CPK and serum creatinine. The CPK level was 15850 which is very scary to us, and when the doctor saw reports, he said that it is a muscle breakdown but did not tell us to have an IV therapy and asked to drink lot and lot of water.

We are quite worried about the kidney failure thing and wanted to know that is there really no need to admit in the hospital? Symptoms,

1. After a day of rough biceps exercise, arms were stiff and swelling, which has resolved 40 % by now.

2. Urine is clear, and the color is almost like water. The average urinate time is 10 to 15 seconds.

3. No other symptoms of pain other than both hands which have a dull ache.

His report says,

Yesterday CPK was 15850 and creatinine was .96. Today it was 15400 and Creatinine was .86

My question is, should we get IV, or it will it decrease over time? How is his kidney doing?

Answered by Dr. Tarek Algamal

Hello,

Welcome to icliniq.com.

My opinion is that he should be admitted to the hospital. Good that he has enough urine output so far. But it can decrease any time, and kidney functions will start to drop. The best is to admit him for close intravenous hydration and daily monitoring of kidney functions and CPK (creatine phosphokinase). Also to guard against high potassium hazards.

The Probable causes

Rhabdomyolysis.

Investigations to be done

CPK, kidney functions, electrolytes.

Treatment plan

Admission, IV hydration, close monitoring.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Tarek Algamal
Dr. Tarek Algamal

Nephrology

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