Do you think you may have a problem with your nervous system?
The nervous system controls movement and balance, the five senses (sight, hearing, taste, smell, and touch), your thought processes, and how awake and aware you are. It includes the brain, the spinal cord, and all the nerves in the body.
Yes
Nervous system problem
No
Nervous system problem
How old are you?
Less than 4 years
Less than 4 years
4 years or older
4 years or older
Are you male or female?
- If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
- If your symptoms aren’t related to those organs, you can choose the gender you identify with.
- If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
Did the symptoms start after a head injury?
Yes
Symptoms began after a head injury
No
Symptoms began after a head injury
Have you been getting headaches?
Are you concerned about seizures?
Did you pass out completely (lose consciousness)?
If you are answering for someone else: Is the person unconscious now?
(If you are answering this question for yourself, say no.)
Are you back to your normal level of alertness?
After passing out, it's normal to feel a little confused, weak, or lightheaded when you first wake up or come to. But unless something else is wrong, these symptoms should pass pretty quickly and you should soon feel about as awake and alert as you normally do.
Yes
Has returned to normal after loss of consciousness
No
Has returned to normal after loss of consciousness
Did the loss of consciousness occur during the past 24 hours?
Yes
Loss of consciousness in past 24 hours
No
Loss of consciousness in past 24 hours
Has there been a decrease in how alert or aware you are or how well you can think and respond?
Yes
Decreased level of consciousness
No
Decreased level of consciousness
Is this something that is part of a medical problem you already have or that you have discussed with a doctor before?
Yes
Decreased level of consciousness is typical
No
Decreased level of consciousness is typical
Is the problem:
Quickly getting worse (over minutes to hours)?
Decreased level of consciousness is quickly getting worse
Slowly getting worse (over days)?
Decreased level of consciousness is slowly getting worse
Staying about the same (not better or worse)?
Decreased level of consciousness is unchanged
Getting better?
Decreased level of consciousness is improving
Are you back to your normal level of alertness?
Yes
Returned to normal after decreased level of consciousness
No
Returned to normal after decreased level of consciousness
Is the problem:
Getting worse?
Decreased level of consciousness is getting worse
Staying the same (not better or worse)?
Decreased level of consciousness is unchanged
Getting better?
Decreased level of consciousness is improving
Did you have
symptoms of a stroke that are now gone?
A transient ischemic attack (TIA) causes the same symptoms as a stroke except that they go away within a few minutes. A TIA is a warning sign that you may soon have a stroke.
Did these symptoms occur within the past 48 hours (2 days)?
Yes
Symptoms of TIA occurred within past 48 hours
No
Symptoms of TIA occurred within past 48 hours
Yes
Other symptoms that may be related to nervous system
No
Other symptoms that may be related to nervous system
Have these problems been:
Quickly getting worse (over minutes to hours)?
Nervous system problems are quickly getting worse
Slowly getting worse (over days to weeks)?
Nervous system problems are slowly getting worse
Staying about the same (not better or worse)?
Nervous system problems are unchanged
Getting better?
Nervous system problems are getting better
Do you think that a
medicine may be causing your symptoms?
Think about whether the symptoms started after you began using a new medicine or a higher dose of a medicine.
Yes
Medicine may be causing symptoms
No
Medicine may be causing symptoms
Have the symptoms lasted for more than 2 weeks?
Yes
Nervous system symptoms for more than 2 weeks
No
Nervous system symptoms for more than 2 weeks
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
- Your age. Babies and older adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
- Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
- Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
Try Home Treatment
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
- Try home treatment to relieve the symptoms.
- Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
Symptoms of a stroke may include:
- Sudden numbness, tingling, weakness, or paralysis in your face, arm, or leg, especially on only one side of your body.
- Sudden vision changes.
- Sudden trouble speaking.
- Sudden confusion or trouble understanding simple statements.
- Sudden problems with walking or balance.
- A sudden, severe headache that is different from past headaches.
Problems with the nervous system can cause a variety of symptoms almost anywhere in the body. A few examples of symptoms that may be caused by a nervous system problem include:
- Numbness or tingling.
- Weakness or a reduced ability to move any part of the body (not caused by pain).
- Tremors, tics, or other unusual movements, such as a walking (gait) change or mouth smacking.
- Coordination problems, such as dropping things, tripping, or falling more often.
- Vision changes.
- Changes in hearing, taste, or smell.
Many prescription and nonprescription medicines can cause symptoms related to the nervous system. A few examples are:
- Antipsychotic medicines.
- Pain medicines.
- Medicines taken to control nausea.
- Medicines used to treat Parkinson's disease, restless legs syndrome, and other nervous system problems.
Seek Care Now
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
- Call your doctor now to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care in the next hour.
- You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.
Seek Care Today
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
- Call your doctor today to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care today.
- If it is evening, watch the symptoms and seek care in the morning.
- If the symptoms get worse, seek care sooner.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Make an Appointment
Based on your answers, the problem may not improve without medical care.
- Make an appointment to see your doctor in the next 1 to 2 weeks.
- If appropriate, try home treatment while you are waiting for the appointment.
- If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.
Seizures
Head Injury, Age 4 and Older
Headaches
Head Injury, Age 3 and Younger