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 feels tight, heavy or squeezing, or spreads to your arms, neck, jaw or back; a sudden, extremely painful headache, especially while straining; someone who faints while exercising; or palpitations that don't go away, or come with chest pain, breathlessness or feeling faint. Don't drive yourself to A&E.
Sources 45, 46
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.
Call 999 or go to A&E: back pain with chest pain, or back pain that started after a serious accident, such as a car crash.
Source 47
Ask for an urgent GP appointment or call NHS 111
Ask for an urgent GP appointment or get help from NHS 111 for a headache that's triggered or made worse by coughing, sneezing, bending down or exercising. In the US, contact your doctor or urgent care.
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 48, 49
See a GP
See a GP if:
- fat is building up on your neck, upper back, chest and tummy while your arms and legs look thin, with a red, round face, easy bruising, stretch marks or weak muscles: it could be Cushing's syndrome, especially if you take steroid medicine (don't stop steroids without talking to your doctor)
- you find a lump anywhere on your body, or a lump is painful, red or hot, hard and fixed, growing, or still there after 2 weeks: many soft lumps on the back are lipomas, which are harmless, but a GP should check
Sources 17, 18, 50
One hip sticking out
See a GP if you think you might have scoliosis: the NHS lists uneven shoulders, one shoulder or hip sticking out, and the ribs sticking out on one side among the signs.
Source 19
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 7
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 51, 52, 53