Can working out too much kill you?

What you need to know.

The day after finally returning to the gym you may “feel like you’re dying.” Achy, burning muscles can be a sign that you are getting stronger. But taken to an extreme, that feeling may be your body telling you that you are in danger.

Here's what you need to know:

What is rhabdomyolysis?

How does a doctor detect rhabdomyolysis?

Blood and urine tests can measure the muscle breakdown products that alert a doctor to consider the diagnosis, especially if someone says they’ve just completed a rigorous workout.

What is the treatment?

Fluids. While treatment depends on how extreme the disease is (it may involve being hospitalized), one of the most important aspects is hydration. The body needs to flush the materials from the muscle cells out, and rhabdomyolysis can change the salt-to-water ratios in your body. In severe cases, you may need to be connected to a dialysis machine to help your kidneys work.

Can I avoid rhabdomyolysis?

Avoid it the same way you treat it -- fluids, fluids, fluids. Staying well hydrated allows your body to flush out the byproducts of working muscles. When you feel sore, especially if you are trying to jump into a workout routine, start something new at the gym or increase the intensity of your workouts, it is important to slow down. If your body is sore throughout the day, you are unable to loosen your stiffness, you notice the color of your urine is darker, you feel nauseous, you have stomach pain, dizziness or fatigue, start drinking water and see a doctor.

I like to work out, what does this mean for me?

Eric M. Ascher, DO, is a third-year family medicine resident from New York working in the ABC News Medical Unit.