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Warning-sign checks

Alcoholic neuropathy: 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 urgent or emergency help for:

    • A seizure, hallucinations, severe confusion, or extreme agitation after reducing or stopping alcohol
    • Fainting, severe vomiting, chest pain, or breathing difficulty
    • Sudden weakness, speech trouble, facial drooping, or a sudden severe balance problem
    • Rapidly worsening weakness, inability to stand, or loss of bladder or bowel control
    • A foot wound with spreading redness, marked swelling, pus, fever, or darkened skin

    These problems may represent withdrawal, stroke, infection, spinal cord disease, or another condition requiring immediate care.

    And for anyone, someone who:

    • has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    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 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

    Contact a clinician sooner if weakness is progressing, walking becomes less safe, pain is poorly controlled, or a new foot injury develops.

    And for anyone, someone who:

    • has a new severe headache unlike any they have had before
  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up visits allow the clinician to track sensation, strength, balance, pain, nutrition, and alcohol use.

    Progress may also be measured by practical changes, such as fewer falls, improved sleep, safer walking, or better ability to complete daily tasks.

    Routine follow-up is appropriate for stable symptoms, medication reviews, nutritional monitoring, and referrals for rehabilitation or alcohol treatment.

The article also says

Nerves heal slowly.

Improvement, when it occurs, may take months or longer.

Pain and abnormal sensations can sometimes feel more noticeable during recovery, so symptom changes should be discussed rather than interpreted without medical advice.

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