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Warning-sign checks

Shigellosis: 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

    Get urgent or emergency help for:

    • Fainting, confusion or difficulty waking
    • Little or no urine
    • Severe or rapidly worsening abdominal pain
    • Heavy rectal bleeding
    • Trouble breathing or signs of shock, such as cold, clammy skin
    • Unusual bruising, marked paleness and reduced urination
    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 you have bloody diarrhoea, a high or continuing fever, worsening stomach pain, or diarrhoea that is not improving.

    Medical review is also important if you are pregnant, have a weakened immune system, or care for a young child or older adult with symptoms.

    Contact a healthcare professional promptly if you cannot keep fluids down or have signs of dehydration, such as a very dry mouth, dizziness, dark urine or urinating much less than usual.

    These symptoms do not prove that a complication is present, but they need urgent assessment.

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