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Questions when you have a new symptom

How to describe a symptom so it is taken seriously, what to ask, and how to agree what happens if it does not settle.

When to use this list: Contacting your team or family doctor about something new.

After cancer, every symptom carries a second meaning, and it is easy either to minimise it or to arrive too anxious to explain it clearly. Describing it precisely is what gets the right response.

Questions are stored on this device only.

Describe it precisely

Have these five facts ready before you ring.

  • When did it start, and has it changed since?
  • How often does it happen, and how long does it last?
  • What makes it better or worse?
  • How bad is it, out of ten, and does it stop me doing anything?
  • Is there anything else new — weight, appetite, temperature, sweats, energy?

What to ask

  • What are the likely explanations for this?
  • Does this need investigating, and if so, when?
  • Is this related to my cancer or my treatment?
  • What would you expect to happen over the next two weeks?
  • If it has not settled by then, what should I do?
  • Should I be seen by you or by my family doctor?

Agreeing what happens next

  • Can we agree a review date so this does not get lost?
  • What specifically would make this urgent?
  • Who do I contact if it gets worse at the weekend?
  • Can this be written in my notes so I do not have to explain it again?

If you feel dismissed

This is uncomfortable and occasionally necessary.

  • I understand this is probably nothing, but given my history I would like it documented — can you note that I raised it?
  • What would need to change for you to investigate this?
  • Can I have a second opinion, or be referred back to my oncology team?

In the room

  • Keep a symptom note with dates — it is far more persuasive than a description from memory.
  • Say your cancer history in the first sentence: "I was treated for X in [year]."
  • Ask for a review date. Most missed problems are lost in the gap, not denied outright.
  • If you deteriorate, do not wait for the review date.

These questions are general prompts, not medical advice, and your team knows your situation. If something here does not apply to you, leave it out. Medical disclaimer.

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