What are the symptoms of muscle dissolution syndrome from eating small lobsters?
Sep 14, 2023
Source: Cainiu Health
Dr. Yang Shuwen
Introduction
Rhabdomyolysis, commonly known as muscle dissolution syndrome, refers to a group of clinical conditions caused by damage to striated muscle cells, resulting in loss of integrity of the cell membrane and subsequent release of intracellular contents into the extracellular fluid and bloodstream. Developing rhabdomyolysis after consuming crawfish may lead to symptoms such as muscle pain, fever, changes in urine color, nausea, vomiting, and acute kidney injury.
Rhabdomyolysis generally refers to rhabdomyolysis syndrome, a condition that occurs when skeletal muscle cells are damaged, leading to disruption of the cell membrane's integrity and the release of intracellular muscle contents into the extracellular fluid and bloodstream, resulting in a series of clinical syndromes. In general, developing rhabdomyolysis after consuming crawfish may present symptoms such as muscle pain, fever, changes in urine color, nausea and vomiting, and acute kidney injury. Patients are advised to maintain a light diet and seek timely medical treatment if discomfort arises. Specific analyses are as follows:
1. Muscle Pain
Crawfish are rich in protein. Excessive consumption may lead to elevated protein levels in muscles, potentially triggering rhabdomyolysis and causing muscle pain. Patients can relieve pain by massage to promote local blood circulation. Additionally, pain relief medications such as ibuprofen sustained-release capsules or celecoxib capsules may be used under medical guidance.
2. Fever
If a patient has a weak constitution or is allergic to proteins in crawfish, an allergic reaction may be triggered, which could also induce rhabdomyolysis, leading to fever. Treatment may include antihistamines such as loratadine capsules or ebastine tablets, as directed by a physician.
3. Changes in Urine Color
Excessive consumption of crawfish may elevate uric acid levels in the body, causing darker urine and increased uric acid concentration in the urine. Under medical supervision, patients may take medications such as febuxostat tablets or celecoxib capsules for treatment.
4. Nausea and Vomiting
Overeating crawfish may irritate the gastrointestinal organs, causing gastrointestinal dysfunction and symptoms such as nausea and vomiting. Patients may use vitamin B6 tablets or metoclopramide tablets as adjunctive treatments under medical advice.
5. Acute Kidney Injury
Consuming crawfish may lead to myoglobin blocking the renal tubules, resulting in elevated serum creatinine, oliguria, or anuria. Some individuals may also experience significant abdominal discomfort, nausea, vomiting, or dizziness. If these symptoms persist, prompt medical attention is recommended. Medications such as fosinopril sodium tablets or telmisartan tablets may be prescribed for treatment.
In addition, rhabdomyolysis following crawfish consumption may also cause symptoms such as frequent urination and urgency. If any discomfort occurs, patients should seek medical care promptly. During treatment, it is advisable to consume mild foods such as millet porridge or noodles, and avoid spicy and irritating foods like chili peppers and Sichuan peppercorns.
