Fever
π’ Routine: A short fever with mild cold-like symptoms that is improving can often be observed with fluids and rest.
π‘ Soon: Arrange review if fever persists, repeatedly returns, or is accompanied by localized symptoms such as painful urination, persistent cough or significant weakness.
π΄ Urgent: Seek urgent care for confusion, breathing difficulty, seizure, severe dehydration, stiff neck, unusual bleeding/rash, very low BP or rapid deterioration.
Headache
π’ Routine: A familiar mild tension-type headache that improves with rest, hydration or usual simple measures can often be monitored.
π‘ Soon: See a doctor for a new recurring pattern, increasing frequency, headache waking you from sleep, or headache with persistent vomiting or visual symptoms.
π΄ Urgent: Emergency assessment is needed for a sudden thunderclap/worst-ever headache, new weakness/speech difficulty, seizure, confusion, fever with neck stiffness, or severe headache in pregnancy/postpartum.
Chest pain
π’ Routine: Brief, clearly movement-related chest-wall discomfort without breathlessness or cardiovascular warning features may be assessed routinely if it settles.
π‘ Soon: New or recurrent unexplained chest discomfort, especially with exertion or cardiovascular risk factors, deserves prompt medical assessment.
π΄ Urgent: Call emergency services for ongoing pressure/heaviness, pain spreading to arm/jaw/back, sweating, severe breathlessness, fainting or collapse.
Breathlessness
π’ Routine: Mild breathlessness only with unusually heavy exertion that quickly settles may be monitored if it is normal for you.
π‘ Soon: New breathlessness, reduced exercise tolerance, wheeze, persistent cough or breathlessness when lying flat should be medically assessed.
π΄ Urgent: Urgent care is needed for severe breathlessness at rest, blue lips, inability to speak full sentences, chest pain, confusion, collapse or rapidly falling oxygen saturation.
Abdominal pain
π’ Routine: Mild short-lived discomfort related to a familiar dietary trigger and clearly improving can often be observed.
π‘ Soon: Persistent, recurrent or localized pain, weight loss, altered bowel habit, jaundice or pain repeatedly occurring after meals deserves evaluation.
π΄ Urgent: Seek urgent care for sudden severe pain, a rigid/swollen abdomen, repeated vomiting, vomiting blood, black/bloody stool, fainting, or pain with pregnancy.
Cough
π’ Routine: A mild cough during a common cold that is steadily improving usually needs supportive care rather than antibiotics.
π‘ Soon: Review is appropriate for cough lasting around 3 weeks or more, recurrent fever, wheeze, weight loss, night sweats or worsening breathlessness.
π΄ Urgent: Urgent assessment is needed for severe breathing difficulty, coughing significant blood, chest pain, confusion, cyanosis or low oxygen saturation.
Dizziness
π’ Routine: Brief light-headedness after standing that resolves quickly may improve with hydration and slow position changes, if no red flags are present.
π‘ Soon: Recurrent dizziness, true spinning vertigo, medication-related symptoms or episodes affecting walking and daily function should be assessed.
π΄ Urgent: Urgent care is needed when dizziness occurs with new weakness, facial droop, speech trouble, severe headache, chest pain, fainting, persistent vomiting or inability to walk.
Vomiting / diarrhoea
π’ Routine: Mild gastroenteritis with preserved drinking and urination can often be managed initially with oral fluids and appropriate food.
π‘ Soon: Seek review if symptoms persist, oral intake is difficult, fever is significant, or there are signs of dehydration.
π΄ Urgent: Urgent care is needed for blood in vomit/stool, severe abdominal pain, confusion, fainting, very little urine, persistent inability to keep fluids down, or severe dehydration.
High BP reading
π’ Routine: One mildly high reading without symptoms should be repeated correctly after sitting quietly; keep a record rather than panic.
π‘ Soon: Repeated home readings above your usual/target range should be discussed with your clinician for confirmation and treatment review.
π΄ Urgent: Very high BP with chest pain, breathlessness, new neurological symptoms, confusion, visual loss or severe acute illness requires urgent assessment rather than simply taking extra tablets yourself.
High blood sugar
π’ Routine: A modest isolated rise after food may reflect the meal, stress or missed routine and should be rechecked according to your diabetes plan.
π‘ Soon: Repeated high readings, increasing thirst/urination, unexplained weight loss or worsening glucose control should prompt medical review.
π΄ Urgent: Urgent care is needed for very high glucose with vomiting, abdominal pain, deep/rapid breathing, marked dehydration, drowsiness or confusionβpossible DKA/HHS.
Urinary symptoms
π’ Routine: Mild urinary frequency without pain or systemic symptoms can be discussed routinely, particularly if related to fluid/caffeine intake.
π‘ Soon: Burning, urgency, frequency, cloudy urine or recurrent symptoms should be assessed, especially in men, pregnancy or people with diabetes.
π΄ Urgent: Urgent assessment is needed for fever with flank pain, vomiting, severe weakness, inability to pass urine, visible heavy bleeding or signs of sepsis.
Leg swelling
π’ Routine: Mild swelling in both ankles after prolonged standing that resolves overnight may be observed while addressing salt intake and activity.
π‘ Soon: Persistent or increasing swelling, especially with kidney/heart/liver disease or new medicines, deserves clinical assessment.
π΄ Urgent: Urgent care is needed for sudden one-sided painful swelling (possible DVT), or swelling with chest pain, sudden breathlessness, coughing blood or severe respiratory distress.
Weakness
π’ Routine: General tiredness after poor sleep, overwork or a minor illness that improves with rest can often be monitored briefly.
π‘ Soon: Persistent unexplained weakness, weight loss, pallor, recurrent fever or reduced daily function should be evaluated for underlying causes.
π΄ Urgent: Sudden weakness of one side, facial droop, speech difficulty, inability to stand, collapse or severe confusion is an emergency and may indicate stroke or another acute illness.
Back pain
π’ Routine: Simple back strain after activity, without neurological symptoms, often improves with gentle movement and appropriate short-term pain relief.
π‘ Soon: See a doctor if pain persists, repeatedly returns, occurs at night, follows significant trauma, or is associated with fever, weight loss or cancer history.
π΄ Urgent: Urgent assessment is needed for new bladder/bowel dysfunction, saddle numbness, progressive leg weakness, major trauma, or severe back pain with systemic illness.