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Warning-sign checks

Pectus carinatum: 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 severe difficulty breathing, fainting, blue or grey lips, crushing or sudden severe chest pain, or chest symptoms after a major injury.

    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

    Get prompt medical advice if you develop ongoing breathlessness, faintness during exercise, repeated palpitations, or a clear decline in stamina.

    These symptoms may need evaluation for causes unrelated to pectus carinatum.

    These are not expected features of uncomplicated pectus carinatum and need urgent assessment.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you notice a new or increasing outward chest projection, especially during a growth spurt.

    Assessment is also appropriate if the shape causes pain, exercise difficulty, sleep problems, skin pressure, or distress about appearance.

    Seek routine follow-up during bracing if the brace no longer fits, leaves persistent marks, causes worsening pain, or seems less effective as you grow.

    Do not try to increase brace pressure on your own unless the brace team has shown you how.

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