A Startling Emergency

A 41-year-old karate practitioner from Scotland faced a life-threatening medical issue after an intense workout. Gemma Underwood experienced alarming symptoms following a vigorous karate session in March, which resulted in her inability to rise from bed. Her arms swelled significantly, and she endured extreme muscle pain. Most concerning was the dramatic change in her urine color, which appeared dark brown, resembling “Coca-Cola.”

The Diagnosis of Rhabdomyolysis

Upon recognizing the seriousness of her condition, Underwood sought immediate medical attention at an emergency room. The attending physicians promptly diagnosed her with rhabdomyolysis—a condition characterized by muscle tissue breakdown and death. This serious ailment can lead to kidney failure and, in extreme cases, can be fatal.

What is Rhabdomyolysis?

Rhabdomyolysis, often referred to as “rhabdo,” occurs when muscle fibers break down due to excessive strain. The breakdown releases toxic substances into the bloodstream, which can be detrimental to kidney function. Early indicators of this condition include:

• Muscle swelling
• Muscle weakness
• Pain or soreness
• Dark-colored urine—brown, red, or tea-like in appearance

Symptoms may arise one to three days post-exertion, although some individuals might not exhibit noticeable soreness.

Hydration and Muscle Health

In Underwood’s case, dehydration was identified as a contributing factor to her muscle breakdown. She stated, “Doctors said I wasn’t hydrated enough while doing an intense workout. I should have been drinking more water before,” highlighting the importance of hydration in preventing such health issues.

Following this health scare, she required five days in the hospital for recovery, where she received fluids and medical care, including a catheter.

Lessons Learned

As Underwood recuperates, she emphasizes the critical lessons learned from her experience. She now advises others to avoid pushing their limits without adequate hydration and rest. “It’s something that can happen to anyone. I was very scared knowing I could have died. Make sure you’re hydrated before any workout, it doesn’t matter how intense it is,” she cautions.