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Warning-sign checks

Stridor: 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 or go to an emergency department now if stridor occurs with:

    • Severe or rapidly worsening trouble breathing
    • Blue, grey, or unusually pale lips or skin
    • Pauses in breathing, collapse, confusion, or unusual sleepiness
    • Drooling or inability to swallow
    • Sudden onset after choking or possible object inhalation
    • Swelling of the lips, tongue, face, or throat
    • Skin pulling deeply around the ribs or neck with each breath
    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 for new stridor even if breathing seems comfortable.

    This is particularly important for a baby, after airway surgery or removal of a breathing tube, or when there is fever, neck swelling, feeding difficulty, or a changed voice.

  3. 3

    Does any of this apply?

    Book an appointment

    Book a routine appointment if an episode has fully stopped but keeps returning, or if there is ongoing mild noisy breathing, hoarseness, poor feeding, or disturbed sleep.

    A previously diagnosed condition may also need follow-up if its usual pattern changes.

The article also says

Keep the person upright and as calm as possible while waiting for help.

Do not put fingers or objects into the throat.

If breathing is severely affected, do not drive yourself.

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