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Warning-sign checks

Gardner syndrome: 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

    Emergency care is appropriate for severe or sudden abdominal pain, vomiting with inability to pass stool or gas, heavy rectal bleeding, fainting, confusion, or signs of severe dehydration.

    These symptoms can have many causes, but they may indicate bowel obstruction, significant bleeding, or another complication needing immediate treatment.

    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

    New abdominal swelling, a persistent change in bowel habits, unexplained anemia, or blood in the stool should be reported promptly rather than waiting for the next scheduled visit.

    Seek urgent medical assessment for worsening abdominal pain, repeated vomiting, increasing abdominal swelling, fever after a procedure, or a painful and rapidly enlarging mass.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up continues throughout life, including after colon surgery.

    A personalized plan may include examinations of the remaining rectum or intestinal pouch, upper endoscopy, assessment for desmoid tumors, and evaluation of other APC-associated findings.

    The exact schedule depends on age, previous test results, the operation performed, and family history.

    Routine appointments are appropriate for reviewing surveillance results, discussing new but stable skin or bone lumps, assessing bowel function, and arranging family genetic testing.

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