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Warning-sign checks

Lumps: 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 a lump or swelling comes with:

    • Trouble breathing or swallowing, especially with mouth, tongue, face, or neck swelling
    • Sudden severe testicle pain or swelling
    • A pulsing abdominal lump with sudden severe abdominal or back pain, weakness, or fainting
    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 same-day medical care if a lump is red, hot, increasingly painful, or accompanied by fever.

    These signs may indicate an infection that needs treatment.

    A painful groin or abdominal lump that becomes firm, cannot be gently pushed back, or occurs with vomiting or severe abdominal pain also needs urgent assessment.

    This can happen when a hernia traps part of the bowel.

    Arrange follow-up sooner if you also have unexplained weight loss, drenching night sweats, ongoing fever, or unusual tiredness.

  3. 3

    Does any of this apply?

    Book an appointment

    Book a routine appointment if a lump:

    • Lasts longer than about two weeks
    • Is growing or keeps returning
    • Feels hard or does not move
    • Causes ongoing pain
    • Is in the breast, testicle, or neck
    • Appears without a clear explanation

    And for anyone, someone who:

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

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