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Warning-sign checks

Lymphangitis: 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

    Seek emergency care if you have possible signs of sepsis or a rapidly progressing deep infection, including:

    • Confusion, fainting, severe drowsiness, or difficulty waking
    • Trouble breathing or very rapid breathing
    • Cold, clammy, mottled, or unusually pale skin
    • Severe weakness or a feeling that something is seriously wrong
    • Rapidly spreading swelling, severe pain, blisters, or dusky skin
    • Signs of a severe allergic reaction after medicine, such as facial swelling or breathing difficulty
    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 advice if you develop a tender red or dark streak extending from a wound, especially if it is spreading or you also have fever, chills, swollen lymph nodes, or increasing pain.

    Prompt assessment is also important if you have diabetes, lymphoedema, poor circulation, or weakened immune defences.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange routine follow-up if symptoms are not beginning to improve after the timeframe given by the treating healthcare professional, if they worsen at any point, or if lymphangitis keeps returning.

    New diarrhoea, rash, vomiting, or other possible antibiotic side effects should also be reported.

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