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Warning-sign checks

Raynaud phenomenon: 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

    Seek emergency care if a finger or toe turns black or dark grey, or if there is sudden severe pain with a cold, pale limb.

    These signs can mean that tissue is not receiving enough blood and need immediate assessment.

    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 if:

    • A finger or toe remains discoloured and painful after gentle warming
    • You develop a new ulcer, worsening wound, or signs of infection
    • Pain is severe or sensation does not return
    • Symptoms suddenly become much worse than usual
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you develop Raynaud symptoms for the first time, attacks are becoming more frequent, or they affect daily activities.

    Assessment is also important if symptoms begin later in adulthood, occur mainly on one side, or are accompanied by joint pain, skin tightening, rashes, muscle weakness, or swallowing problems.

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