Top 10 Reasons to Go to the ER

Healthcare today gives you more choices than ever before. You can go to the doctor’s office, urgent care clinic, telehealth visit or emergency room. Even with all these choices, some choose to stay home and tough it out. But there are times when the emergency room is absolutely the right choice. The board-certified physicians at Medco ER in Plano, TX, have compiled ten reasons when going to the ER is your only option.
“If you’re wondering whether or not to go to the ER, ask yourself if it is not getting better over time, if pain has you sidelined, or if there is one of the warning signs of a serious condition,” said Medco ER’s Medical Director, Dr. Nasir Khan. “If you answer yes to any of those points, it’s best to come immediately and let us examine you.”
Blood Loss
Whenever the body is losing blood, a trip to the ER is the right thing to do. This could include any of the following:
- Coughing blood
- Vomiting blood
- Passing blood in the stool
- Excessive bleeding from a laceration
- Bleeding from a fracture
- Uncontrolled bloody nose
Fracture or Tear
If you have an injury and you’re not sure whether it is broken, fractured, torn or just bruised, your doctor at Medco ER can help. We can X-ray the area, apply a brace, or refer you to a specialist when needed.
Warning signs include: numbness or cold in the extremity that is injured, pain when moving the limb, bleeding accompanying the fracture, bone protruding, or misalignment of the limb. For any of these symptoms, go to Medco ER immediately.
Breathing Difficulties
If you or someone you love is struggling to breathe, pulling hard at each breath, making a wheezing sound with a breath, showing blueish discoloration around the mouth or fingertips, or has chest tightness, go to the nearest ER immediately. Whether it is a complication of COVID-19, an asthma attack, COPD or another cause, breathing difficulties must be addressed as an emergency.1
Chest Pain
Sudden or growing pain in the chest, jaw, neck, arm or back could indicate a heart problem that is an emergency. Other symptoms could include:2
- Tightness in chest
- Uncomfortable fullness feeling
- Heartburn
- Squeezing feeing in chest
- Pain in one or both arms
- Cold sweat
- Nausea
- Dizziness
- Shortness of breath
Stroke Symptoms
Symptoms of a stroke can come on suddenly and unexpectedly. If someone exhibits these symptoms, call 911 immediately.2 Every minute counts.
- Confusion or disorientation
- Arm weakness
- Partial paralysis or difficulty moving
- Unexplained drowsiness
- Difficulty speaking
- Change in vision
- Face drooping
Loss of Consciousness
Any time someone has lost consciousness, whether for a short time or is unresponsive, take them to the nearest ER or call 911. Loss of consciousness accompanied by seizures should also be seen by a physician immediately.
Head Injury
If you have fallen and hit your head, been hit in the head by an object, or had a severe shaking of the head, you might sustain a head injury or a concussion. Here are some warning signs3 that require a visit to the ER:
- Pain from the injury
- Confusion or disorientation
- Loss of consciousness
- Ringing of the ears
- Sudden drowsiness or fatigue
- Vision changes
- Nausea or vomiting
- Slurred speech
Burns
If you are suffering from a burn, consider the severity. Just going by pain level alone isn’t enough since minor burns often hurt worse than major burns.4 If it covers a large area, has penetrated deep, has discolored the skin, has swollen the area or has caused blisters, a trip to Medco ER is a good idea.
Abdominal Pain
Pain in the abdomen can indicate one of several conditions. All of them require immediate medical intervention. “If you’ve experienced abdominal pain for any length of time, it’s a good idea to come in and let us check you out,” said Dr. Khan. “It could be anything from a bleeding ulcer to gallbladder stones to a cyst. With a thorough examination and imaging scan, we should be able to diagnose the problem.”
Extreme Pain
If you’re experiencing extreme pain that isn’t responding to over-the-counter medication and isn’t getting better with time and rest, your body is trying to tell you something. It’s time to go to Medco ER.
- Migraine or headache
- Back pain
- Shooting pain
- Chest pain
- Pain when eating
- Pain that takes away your appetite
- Throbbing pain
- Eye pain
- Toothache
- Stomach pain
What to Expect at Medco ER
When you go to Medco ER, you can expect to receive fast, quality healthcare with little-to-no wait time. Open 24/7 every day of the year, Medco ER gives you fast access to a board-certified physician and much of the same imaging equipment found in a hospital emergency department. Our in-house pharmacy carries rapid results labs and medications needed to treat many conditions. Try one of our two convenient locations for rapid response healthcare.
- Plano: 3960 Legacy Drive, Plano, TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-747-0370
- Carrollton: 2745 E Belt Line Road, Carrollton, TX 75006
Call us @ 469-840-4600
1 https://www.mayoclinic.org/symptoms/shortness-of-breath/basics/definition/sym-20050890
2 https://www.heart.org/en/about-us/heart-attack-and-stroke-symptoms
3 https://www.mayoclinic.org/diseases-conditions/concussion/symptoms-causes/syc-20355594
4 https://my.clevelandclinic.org/health/diseases/12063-burns
Burns – Types & Treatments

A burn can occur in a split second. Burns can be caused by scalding water, hot burner, open flame, electrical connection, chemical spill, radiation, or even too much time in the sun that results in painful or even debilitating burns. Each year, 1.1 million people are treated for burn injuries.1 At Medco ER & Urgent Care in Plano, TX, our board-certified physicians are here all day and night to provide quality care for burns and other injuries.
“Burns are especially painful and can be hard to judge the severity at home,” said Medco ER & Urgent Care’s Medical Director, Dr. Nasir Khan. “That’s why we recommend you come in and have us evaluate the injury and provide rapid treatment to try to help reduce the pain and speed recovery.”
Types of Burns
First degree burns are the least severe and involve only the outer layer of skin, or epidermis and will cause redness and possibly minor blisters. Sunburns, grease spatters and coffee spills are examples of causes of first degree burns. They can be very painful but usually heal within several days without going to the doctor. If these burns cover more than 3 inches, consult with a physician.
Second degree burns involve both the epidermis and the next layer, the dermis. These burns swell rapidly and have more blistering and redness than first degree burns. They also can look glossy or weep fluid. Seek immediate medical attention for these burns.
Third degree burns are serious burns that require immediate medical attention. They involve the epidermis, dermis and fat layer. The burn area can look dry and leathery and tan, white, red or black in color. The skin may look charred. These burns are so deep that the patient may not feel how serious it is. Take the person to the nearest ER for emergency treatment.
Treatment of Burns
At home: Clothing and jewelry should be immediately removed from the injured area since burns swell quickly and circulation or breathing could be restricted. Cool water or compresses can give some pain relief. Elevate the wound.
At the ER: your physician will treat the burn with antibiotics and follow protocol to keep the body supplied with hydration and concentrated nutrients needed for healing. Your physician may discuss how to start the process of receiving skin grafts and a splint may be added to keep the area from moving during early treatment. Later, hyperbaric oxygen therapy and other therapies may be recommended to encourage healing.
Burn Safety
Prevention is key when considering injuries as painful and serious as burns. Children and older adults are at greater risk for being injured by burns or scalds. That’s why it’s important to spend some time considering how to best use safety precautions in your home. Practice safety measures when cooking, carrying hot liquids, filling bathtubs and serving food to children. Adjust the hot water heater to safe temperatures. Keep matches and lighters out of reach and be careful with candles and cigarettes.3
Teach children fire safety basics, such as Stop-Drop-and Roll, and practice your evacuation plan. Most fire stations have workshops for children to learn fire safety practices.
Keep hot irons, hair straighteners, etc., out of the reach of children. Cover outlets and put away electrical cords not in use. Keep children away from grills, outdoor fires, radiators and space heaters.
Enjoy taking the family to city fireworks and avoid doing fireworks at home. Install working fire alarms and fire extinguishers.
Get fast help at Medco ER & Urgent Care
Even with the best precautions in place, burns still happen. When someone receives a burn injury, come immediately to Medco ER & Urgent Care for quality care. We’re always open and ready to help when you need it.
- Plano location:
3960 Legacy Drive, Plano TX 75023 (on the corner of Legacy and Coit Road)
Call us @ 469-392-4000
1 https://www.cdc.gov/masstrauma/factsheets/public/burns.pdf
2 https://www.mayoclinic.org/first-aid/first-aid-burns/basics/art-20056649