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Warning-sign checks

Iron deficiency anemia: 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

    Get urgent or emergency help for:

    • Chest pain
    • Severe difficulty breathing, especially at rest
    • Fainting or new confusion
    • Vomiting blood
    • Heavy bleeding that will not stop
    • Black, tar-like stool with weakness, dizziness, or abdominal pain
    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 prompt medical advice if you notice blood in your stool, ongoing black or tar-like stool when you are not taking iron, blood in your urine, unexplained weight loss, difficulty swallowing, or a clear change in bowel habits.

    These symptoms have several possible causes, but they should not be ignored.

    A fast heartbeat or worsening shortness of breath also needs prompt assessment, particularly if you have heart or lung problems.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine medical appointment if you have ongoing tiredness, reduced exercise tolerance, frequent headaches, pica, or other possible symptoms of anemia.

    Testing is also appropriate if you have heavy periods, repeated blood donation, persistent digestive symptoms, or a history of low iron.

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