In an emergency, go to the nearest emergency department or call 108.

Self-care, see a doctor, or emergency?

Most tummy troubles are harmless and settle with simple care. A few symptoms, though, should never wait. Here's how to tell the difference.

Emergency: go now or call 108

  • Vomiting blood or "coffee-ground" material
  • Black, tarry stools with dizziness or fainting
  • Heavy bleeding from the back passage
  • Severe, constant belly pain, or a hard, rigid belly
  • Chest pain with sweating or breathlessness
  • Yellow eyes with confusion or drowsiness, or with fever and shivering
  • Unable to keep any fluids down, passing very little urine
  • Swallowed a battery, magnet or sharp object
  • Food completely stuck, unable to swallow even saliva

See a doctor within days

  • Difficulty or pain swallowing
  • Unexplained weight loss
  • Persistent vomiting
  • New jaundice (yellow eyes) without fever
  • Blood in stools, at any age
  • Iron-deficiency anaemia
  • A change in bowel habit lasting 3–4 weeks
  • Diarrhoea for more than 4 weeks, or waking you at night
  • New digestive symptoms after 45–50
  • Family history of digestive cancer, with symptoms
  • Fever with belly pain

Try self-care for 2–4 weeks, then review

Heartburn or indigestion without warning signs, bloating, occasional constipation, mild piles, short-lived loose motions, gas and burping. Try the everyday habits; see a doctor if things don't improve, or sooner if any warning sign appears.

Self-care is enough

Occasional acidity after a heavy meal, a fuller belly by evening, passing gas, or a one-off upset stomach that settles in a day or two. Habits, ORS for loose motions, and patience.

Want to talk this through in person?

See OPD days and how to book at Manipal Hospitals Whitefield or Ashwini Hospital, Hoskote.