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.
Call 999 (911 in the US)
For chest pain that comes on suddenly and doesn't go away, feels tight or like squeezing, spreads to your arms, neck, jaw, stomach or back, or comes with sweating, feeling sick, light-headedness or breathlessness; severe difficulty breathing; someone who faints while exercising; palpitations that don't go away, or come with chest pain, shortness of breath or feeling faint; or a headache that starts suddenly and is extremely painful, especially while lifting or straining, or comes with numbness or weakness, difficulty speaking or loss of vision. The NHS says a bleed on the brain may be more likely when lifting something heavy. Don't drive yourself to A&E.
Sources 41, 42, 43, 44
Bloating: call 999
If you have bloating with a swollen stomach and a stomach ache that is severe and came on very suddenly, you're vomiting blood or your vomit looks like ground coffee, or you have severe difficulty breathing. Don't drive yourself to A&E. During exercise, stop and get help for chest pain or pressure, unusual breathlessness, dizziness or fainting, as our plans advise.
Source 26
Bloating: urgent GP appointment or NHS 111
If you have bloating with being sick, diarrhoea or constipation, or with a stomach ache; a high temperature, or you feel hot, cold or shivery; a swelling or lump in your tummy; a burning feeling in your chest caused by stomach acid travelling up towards your throat (acid reflux); or you can't pee, poo or fart. In the US, contact your doctor or urgent care.
Source 26
Bloating: see a GP
If you feel bloated regularly, or have bloating with weight loss you can't explain or blood in your poo: the NHS says bloating that doesn't go away can sometimes be a sign of something more serious, such as ovarian cancer.
Source 26
Heartburn
See a GP if lifestyle changes and pharmacy medicines aren't helping, you have heartburn most days, or you also have food getting stuck in your throat, are often sick or are losing weight for no reason (our suggestion, from the NHS).
Source 17
Waist trainers and tight garments
Take it off, and don't wear it again, if it brings on more reflux than usual, food coming back up after eating, difficulty breathing or swelling in your legs (the signs the hospital article lists), sore or broken skin, or leg pain, coldness or numbness (from a case report). These are our suggestions.
Sources 15, 36
Back pain that needs 999 or A&E
Call 999 or go to A&E: 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.
Source 45
Hernia
See a GP if you think you have a hernia, a bulge or lump that may get bigger when you strain and smaller when you lie down. Get help from NHS 111 if you have a hernia and pain in or around it, a bloated tummy, you feel or are sick, you're vomiting blood or your vomit looks like coffee grounds, you're constipated, you have a high temperature or feel hot, cold or shivery, or you've suddenly become confused. Call 999 or go to A&E for a femoral hernia (a small lump at the top of your thigh, in your groin) with very bad tummy pain, sickness, being unable to fart or poo, a high temperature or sudden confusion.
Sources 46, 47
Help to lose weight
The NHS suggests seeing a GP if your BMI is in the overweight or obese range and you want help to lose weight, your waist is more than half your height, or you have conditions such as diabetes, high blood pressure or sleep apnoea.
Source 4
When eating, training or your body becomes a worry
The NHS lists spending a lot of time worrying about your weight and body shape, eating very little food, exercising too much, and having very strict routines around food among the signs of an eating disorder, and says to see a GP as soon as you can. Worrying a lot about one area of your body can be body dysmorphic disorder. Beat's helpline in England is 0808 801 0677, and our eating disorders guide has the other numbers.
Sources 48, 49, 50