Experiencing severe neurological symptoms is frightening. Your mind can race to the worst-case scenario, and it’s hard to know who to turn to for help. Is this a B12 issue or something else? Getting the right help quickly is essential.
Here is a clear, tiered action plan to guide you. When in doubt, always err on the side of caution and seek medical attention.
The Most Important Communication Tip:
No matter who you contact, begin the conversation with this clear statement:
“I am a bariatric surgery patient, and I am experiencing new or worsening neurological symptoms. I am concerned about a severe vitamin B12 deficiency or another serious issue.”
This immediately gives healthcare providers the context they need to help you effectively.
Your Action Plan: Who to Call Based on Your Symptoms
Level 1: When to Contact Your Bariatric Team
These are concerning symptoms that require prompt attention but are not immediate emergencies. Your bariatric surgeon’s office or dietitian is your first and best resource.
- Symptoms:
- New or worsening fatigue that is impacting your daily life.
- Persistent “brain fog,” memory slips, or difficulty concentrating.
- The first appearance of mild, intermittent tingling (“pins and needles”) in your hands or feet.
- Action: Call your bariatric team during business hours. They are the experts in post-op complications and can order the right blood tests (like serum B12 and MMA) and make immediate adjustments to your supplement plan.
Level 2: When to Contact Your Primary Care Physician (PCP) or Go to Urgent Care
These symptoms are more alarming and warrant same-day medical evaluation.
- Symptoms:
- Noticeable problems with balance or feeling unsteady on your feet (ataxia).
- Constant or painful tingling/numbness in your hands or feet.
- Significant confusion, disorientation, or personality changes.
- Disturbances in your vision.
- Action: Call your PCP for a same-day appointment or go to an Urgent Care center. These symptoms could be from a severe B12 deficiency, but they need to rule out other acute neurological problems.
Level 3: When to Go to the Emergency Room (ER) or Call 911
These symptoms are signs of a potential medical emergency that requires immediate, life-saving intervention. Do not wait.
- Symptoms:
- Any signs of a stroke (use the F.A.S.T. acronym: Face drooping, Arm weakness, Speech difficulty).
- Time to call 911.
- Sudden, severe weakness or paralysis.
- Loss of consciousness.
- Sudden, severe headache or vision loss.
- Action: Call 911 or have someone take you to the nearest Emergency Room immediately.
You are the guardian of your health. Trust your instincts. If something feels seriously wrong, seek help without delay.