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Warning-sign checks

Pica: 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 emergency help immediately for:

    • Choking, trouble breathing, collapse, a seizure, or severe confusion
    • Severe or worsening abdominal pain, repeated vomiting, or marked swelling
    • Blood in vomit or stool
    • Inability to pass stool or gas with abdominal pain
    • Swallowing a button battery, one or more magnets, or a sharp object
    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 urgent medical advice after possible exposure to lead, pesticides, cleaning products, large amounts of medication, or contaminated material.

    Contact your local poison information service if poisoning may have occurred.

    Do not cause vomiting unless a poison specialist specifically tells you to.

    Do not wait for symptoms after a battery or magnet has been swallowed.

    Serious internal injury can begin before the person appears unwell.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine medical appointment if you or someone you care for has repeatedly eaten non-food substances for a month or longer.

    An earlier appointment is appropriate during pregnancy, in a child, or when there are symptoms of anaemia, dental damage, constipation, or weight and growth concerns.

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