Warning-sign checks
granuloma inguinale: 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
Is any of this happening now?
Call 911Call emergency services for severe uncontrolled bleeding, fainting, confusion, breathing difficulty, or signs of severe illness.
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
Is any of this happening?
Be seen todayArrange a prompt, routine appointment with a sexual health clinic or other healthcare service if you notice a new genital, anal, or groin ulcer.
Seek assessment even if the sore is painless or seems to be improving.
Seek urgent medical care if bleeding continues despite firm, steady pressure, or if swelling makes it difficult to pass urine.
These are not typical features of uncomplicated granuloma inguinale and may point to significant blood loss or another urgent condition.
3
Does any of this apply?
Book an appointmentYou should also arrange follow-up if:
- An ulcer is not improving during treatment
- A healed ulcer returns
- You develop increasing swelling, pain, discharge, or a bad smell
- Scarring affects urination, bowel movements, or sexual activity
- A sexual partner has been diagnosed with granuloma inguinale
Every sign above is quoted from the sofidex article on granuloma inguinale. If you are not sure, err upward — it is always reasonable to be checked.