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Warning-sign checks

Cancer: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Use emergency services for severe or sudden symptoms such as major breathing difficulty, heavy bleeding, seizure, or loss of consciousness.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact the care team sooner for fever during treatment, worsening pain, unusual bleeding, new neurologic symptoms, or difficulty eating or drinking.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up continues during treatment and after it ends.

    Visits may include a symptom review, physical examination, blood tests, or imaging.

    The schedule depends on the cancer, treatment, risk of recurrence, and the person's health.

    A survivorship care plan can summarize the diagnosis and treatment, possible late effects, follow-up schedule, and which clinician manages each part of care.

    Routine primary care remains important for vaccinations, heart health, bone health, mental health, and screening for other cancers.

    Report new or persistent symptoms rather than waiting for the next planned visit.

    This does not mean that every symptom is a recurrence.

    Treatment effects and unrelated health conditions can cause similar problems.

    Use routine appointments for stable symptoms, test review, and long-term planning.

    And for anyone, someone who:

    • has noticed a lump, a mole that has changed, or unexplained weight loss

The article also says

Emotional recovery can take time.

Fear of recurrence, changes in body image, financial stress, and difficulty returning to work are common concerns to discuss with the care team.

Counseling, social work, rehabilitation, support groups, and practical assistance may help.

Every sign above is quoted from the sofidex article on Cancer. If you are not sure, err upward — it is always reasonable to be checked.