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Warning-sign checks

Guillain-barre 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

    Call emergency services if you have:

    • Trouble breathing, shortness of breath, or a weak cough
    • Choking or inability to swallow saliva
    • Rapidly worsening weakness
    • Inability to stand or walk safely
    • Fainting, severe dizziness, or a very irregular heartbeat
    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

    Seek urgent same-day medical assessment for new weakness that is spreading, especially if it begins in both legs or follows a recent infection.

    New difficulty walking, repeated falls, facial weakness, or trouble swallowing also needs urgent assessment.

    If you are recovering at home, contact your healthcare team promptly if weakness returns, pain is not controlled, falls become more frequent, or eating and drinking become difficult.

  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up is appropriate for persistent fatigue, numbness, mild stable weakness, mobility concerns, or help returning to work and exercise.

    These issues are important but are not usually emergencies when they are stable.

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