Stop and get medical help
If you get chest pain or pressure, feel faint or dizzy, are unusually breathless, or your heart races or beats irregularly during exercise, as our plans advise. The American Heart Association says these need immediate medical evaluation.
Source 26
Call 999 (911 in the US)
For chest pain that feels tight, heavy or squeezing, or spreads to your arms, neck, jaw or back; arm pain that comes on suddenly with pressure, heaviness or squeezing across your chest; a headache that starts suddenly and is extremely painful, especially while lifting or straining; someone who faints while exercising; palpitations that don't go away, or come with chest pain, breathlessness or feeling faint; severe difficulty breathing; or angina pain that doesn't stop after rest and your medicine. Don't drive yourself to A&E.
Sources 27, 28, 29, 30, 31, 32, 33, 34, 35
Check before hard straining work
If you haven't exercised for some time or have a medical condition, speak to your GP first, as the NHS advises. Get advice before hard straining work if your blood pressure is uncontrolled, or you have heart disease or chest pain when you're active, a pacemaker or defibrillator, diabetic eye disease, glaucoma, a hernia, recent eye or tummy surgery, or you're pregnant, as our breathing guide lists.
Sources 36, 26
After a faint, or dizziness that keeps coming back
See a GP after any faint, and for dizziness that won't go away or keeps coming back.
Sources 32, 37
Call 999 or go to A&E: back pain with these signs
Loss of feeling or numbness around the genitals or bottom, new trouble peeing or controlling your bladder or bowels, changes in genital sensation during sex or problems with erections or orgasm, or pain, tingling, weakness or numbness in both legs. These are signs of cauda equina syndrome, which needs treating in hospital urgently. Don't drive yourself.
Sources 20, 38
Ask for an urgent GP appointment or call NHS 111: your back or shoulder
For back pain with a high temperature, or if you feel hot, cold, shivery or generally unwell, or the pain came on suddenly and is severe or getting worse quickly. For sudden or very bad shoulder pain; if you can't move your arm; if the shoulder has changed shape or is badly swollen; for pins and needles that don't go away or no feeling in the arm; if the arm is hot or cold to touch; for pain after an injury or in both shoulders; or if you feel feverish or unwell.
Sources 20, 21
A hernia
Call 999 or go to A&E if you have a femoral hernia (a small lump at the top of the thigh) and very bad tummy pain, you feel or are being sick, you can't fart or poo, you have a high temperature or feel hot, cold or shivery, or you've suddenly become confused. Get help from NHS 111 if you have a hernia and pain in or around it, a bloated tummy, sickness, vomiting blood or vomit that looks like coffee grounds, constipation, a high temperature or sudden confusion.
Sources 39, 25
See a GP: a new lump or bulge
If you think you have a hernia: a bulge or lump in your groin, upper thigh or tummy that may get bigger when you cough, sneeze or cry and smaller when you lie down. After an inguinal hernia repair, the NHS advises no heavy lifting or strenuous activity for at least 4 to 6 weeks.
Sources 25, 40
After a fall onto your face
Call 999 if someone has fallen and may have injured their head, back or neck, or can't get up, as the NHS advises.
Source 22