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
Is any of this happening now?
Call 911
Call emergency services if heavy bleeding is accompanied by fainting, confusion, severe breathlessness, clammy skin, or difficulty staying awake.
Sudden severe abdominal pain with persistent vomiting may also signal a bowel blockage or another emergency.
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
Is any of this happening?
Be seen today
Get urgent medical help for:
Black, tar-like stool or a substantial amount of red blood
Repeated vomiting with abdominal swelling
Severe or rapidly worsening abdominal pain
Inability to pass stool or gas with pain and bloating
Marked dizziness, weakness, or a racing heartbeat
3
Does any of this apply?
Book an appointment
Arrange a routine medical appointment if you have ongoing abdominal discomfort, repeated changes in bowel habits, unexplained tiredness, or possible blood in your stool.
These symptoms usually have causes other than leiomyoma, but they may need investigation.
If you have been diagnosed with an intestinal leiomyoma, seek earlier review if symptoms become more frequent, bleeding develops, or a planned follow-up has been missed.
Every sign above is quoted from the sofidex article on Intestinal leiomyoma. If you are not sure, err upward — it is always reasonable to be checked.