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
Seek emergency care for vomiting or regurgitating blood, black material resembling coffee grounds, black tar-like stools, severe breathing difficulty, fainting, confusion or an inability to keep down fluids.
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
Seek prompt medical advice if you have:
Ongoing weight loss or poor growth
Trouble swallowing or food becoming stuck
Frequent coughing, choking or breathing symptoms during episodes
Signs of dehydration, such as very dark urine or urinating much less
New pain, fever, persistent vomiting or symptoms that no longer fit your usual pattern
These are not typical features of uncomplicated rumination disorder and may indicate bleeding, severe dehydration or another urgent problem.
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if food repeatedly returns after meals, even if it is painless.
Assessment is particularly important if symptoms are affecting eating, weight, growth, teeth or social activities.
Every sign above is quoted from the sofidex article on Rumination disorder. If you are not sure, err upward — it is always reasonable to be checked.