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 911
Molluscum itself almost never needs emergency care.
Seek emergency help if you become severely unwell, confused, faint, or develop rapidly spreading redness with fever, as these symptoms are not typical of uncomplicated molluscum.
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 today
Seek prompt medical advice if the skin becomes increasingly painful, hot, swollen, or covered with pus, especially if redness is spreading or you have a fever.
These changes may suggest a bacterial skin infection.
Prompt assessment is also appropriate for eye pain, sensitivity to light, persistent eye redness, or changes in vision.
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if:
You are unsure whether the bumps are molluscum
The bumps are on the eyelids or around the genitals
Itching or eczema is disturbing sleep or daily activities
The bumps are numerous, unusually large, or not improving over time
You or your child keeps developing skin infections
You have a condition or treatment that weakens the immune system
You want to discuss treatment benefits, discomfort, and scarring risks
Every sign above is quoted from the sofidex article on Molluscum contagiosum. If you are not sure, err upward — it is always reasonable to be checked.