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Warning-sign checks

Pyogenic granuloma: 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 for severe uncontrolled bleeding, collapse, or difficulty breathing.

    These situations are uncommon.

    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 prompt medical advice if:

    • Bleeding keeps restarting or is becoming more frequent
    • The area develops increasing pain, swelling, pus, or spreading redness
    • A mouth lesion interferes with eating, swallowing, or dental care
    • The growth is beneath a nail or is changing the nail
    • You develop several similar growths, especially after starting a medicine

    Seek urgent medical care if bleeding does not stop with firm pressure, is heavy, or makes you feel faint or weak.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment for a new lump that grows quickly, bleeds easily, repeatedly crusts, or does not heal.

    Assessment is also important if a previously diagnosed growth changes significantly or returns after treatment.

The article also says

If the growth bleeds, apply firm, continuous pressure with clean gauze or cloth.

Avoid repeatedly lifting it to check, because this can disturb the forming clot.

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