Call 999 (911 in the US)
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 65
Ask for an urgent GP appointment or call 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 65
A painful bulge: call NHS 111 or get an urgent GP appointment
For a bulge in your groin or tummy that is painful, or comes with a swollen tummy, being sick or constipation, as our guide to exercise for men explains. In the US, contact your doctor or urgent care.
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, whose symptoms include a swollen tummy or feeling bloated roughly 12 or more times a month. If you're losing weight without trying: it "can be a sign of stress or a serious illness. See a GP just in case." And if fat is building up on your tummy, neck and upper back while your arms and legs look thin, with a red, round face or stretch marks, especially on long-term steroid medicines: this can be Cushing's syndrome.
Sources 65, 66, 67, 68
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 69
Hips and legs that don't follow
If your bottom, thighs and lower legs (sometimes your arms) are out of proportion with the rest of your body, feel painful, tender or heavy, and bruise easily, ask your GP about lipoedema, as our weight-loss and thigh fat guides explain.
Our yoga for lipoedema guide explains what yoga can and can't do for it.
See a GP or pelvic health physiotherapist
For leaking, a dragging or bulging feeling in the vagina, pelvic pain or pain during sex. After a birth, follow our postpartum guide on when to see a GP about a tummy gap.
Signs of an eating disorder: see a GP
The NHS lists signs such as spending a lot of time worrying about your weight and body shape, eating very little food, exercising too much, and having very strict habits or routines around food. If you think you may have an eating disorder, see a GP as soon as you can. In the UK you can also talk in confidence to the eating disorder charity Beat: 0808 801 0677 (England), 0808 801 0432 (Scotland), 0808 801 0433 (Wales) or 0808 801 0434 (Northern Ireland), 3pm to 8pm, Monday to Friday.
Sources 70, 71
Yoga and Pilates don't protect against it
In a survey of 2,287 young adults, women who did yoga or Pilates had disordered eating as often as those who didn't, and men who did them reported more extreme weight-control behaviours (18.6% against 6.8%). Set goals for strength, control and how you feel, not calories burned.
Source 64
Chest pain or fainting while exercising: call 999
Call 999 if:
- You get sudden pain or discomfort in your chest that doesn't go away; it can feel like squeezing or pressure, burning or indigestion.
- The pain spreads to your left or right arm, or your neck, jaw, stomach or back.
- You have chest pain and feel sweaty, sick, light-headed or short of breath.
- Someone faints while exercising, can't be woken within 1 minute, or has chest pain or a pounding, fluttering or irregular heartbeat.
Sources 72, 73, 74
Unusual breathlessness
Call 999 or go to A&E (accident and emergency) straight away for severe difficulty breathing (gasping, choking or not able to get words out), a chest that feels tight or heavy, pain that spreads to your arms, back, neck and jaw, lips or skin turning very pale, blue or grey, or sudden confusion. If you're more short of breath than usual, or your heart is racing, fluttering or skipping beats, contact NHS 111.
Source 75
During yoga
A joint pain that is sharp, gets worse during a session, lingers into the next day or changes how you move is a reason to use an easier version, and to see a GP or physiotherapist if it keeps happening (the rule in our plans). Muscle soreness for a day or two after something new is normal. In a hot class, stop if you feel dizzy, sick or unwell; our hot yoga guide lists the signs of heat illness.
You can say no to any hands-on adjustment, and a teacher registered with Yoga Alliance must get your explicit consent each time.
Sources 76, 77, 40, 78
Head-down poses, bones and pregnancy
With glaucoma, or high blood pressure that isn't under control, skip headstands, shoulder stands and long head-down holds. With osteoporosis, swap deep forward folds for a flat-back hinge from the hips, and twist smoothly. In pregnancy, our yoga in pregnancy guide covers the changes. NCCIH advises beginners to avoid headstands, shoulder stands, the lotus position and forceful breathing.
Sources 79, 40
Check with your GP first
If you haven't exercised for some time, or you have a medical condition or concerns, speak to your GP before starting. If you take insulin or another medicine that can cause low blood sugar, our type 2 diabetes guide covers exercising safely.
Source 13
Medicines for diabetes or weight loss
If you take insulin or a sulfonylurea, exercise can bring on a hypo: see our type 2 diabetes guide. If you're on weight loss injections, see the exercise advice in our exercise for weight loss guide.
Before you start
The NHS advises getting advice from a healthcare professional first if you have a health problem, an injury or symptoms, or have recently had a heart attack or an operation.