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Warning-sign checks

Cellulitis: 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 difficulty breathing, swelling of the tongue or throat, collapse, confusion, or other severe symptoms.

    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

    Contact the treating service promptly if the affected area continues to expand, pain is increasing, fever persists, new pus develops, or there is no improvement within two to three days of starting antibiotics.

    A clinician may need to reconsider the diagnosis, look for an abscess, or adjust treatment.

    Seek urgent advice if vomiting prevents you from taking antibiotics or if you develop hives, facial swelling, or other symptoms of a medication reaction.

    To reduce the chance of recurrence, care for cuts promptly, keep skin moisturized, treat athlete’s foot, avoid walking barefoot where injuries are likely, and inspect the feet regularly if you have reduced sensation.

    Work with a healthcare professional to manage chronic swelling, ulcers, eczema, diabetes, or circulation problems.

  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up may not be necessary when a mild infection is clearly improving, but some people need reassessment because of the infection’s location, severity, or underlying health conditions.

The article also says

Follow the review plan given by the treating clinician.

After recovery, skin discoloration or mild swelling may remain for a while.

This does not always mean the infection is still active.

Ask for review if the area starts becoming hotter, more painful, or larger again.

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