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Warning-sign checks

Autonomic 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 emergency care for:

    • Fainting with chest pain, severe shortness of breath, a major injury, or an irregular or pounding heartbeat
    • New facial drooping, one-sided weakness, trouble speaking, or other possible stroke symptoms
    • Confusion, severe weakness, or very little urination with ongoing vomiting or diarrhea
    • Inability to urinate accompanied by severe lower abdominal pain
    • Symptoms of dangerously low blood glucose that do not improve with the person’s established emergency plan

    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 your healthcare team promptly for new fainting, repeated falls, worsening vomiting, unexplained weight loss, inability to keep fluids down, new difficulty emptying the bladder, or signs of a urinary infection.

    People with diabetes should also report frequent or unrecognized low blood glucose.

    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

    Routine follow-up depends on the cause, symptoms, and treatments being used.

    Visits may include a review of falls or near-falls, lying and standing blood pressure, hydration, weight, nutrition, bladder function, bowel habits, skin and foot health, and medicine side effects.

The article also says

Keeping a symptom record can help.

Note when dizziness occurs, what and when you ate, bowel or bladder changes, blood pressure readings if requested, and any relationship to medicines.

Bring the record and a current medication list to appointments.

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