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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

to go to A+E with this?

24 replies

firefly0 · 01/10/2026 15:36

i appreciate how ridiculous it might sound but this is a relatively new diagnosis for me and its taking a bit of getting used to!

i have a cardiac device to pace and shock when necessary. I was told if i feel unwell or am unsure if the device has shocked or basically any queries to call my physiology team and failing that if im unwell, go to A+E. Longterm i wont need to go to A+E for a single shock but for now until my next check up i was told to. I was told if it happens during the night or when asleep then I might not actually feel the pain of the shock itself but could just wake up suddenly or have a really jolted wake up

Im at home today with some annoying mild flu. Im fine, very slight fever just feel tired and my nose is clogged. I fell asleep on the couch and woke up with a sudden huge jolt- like when you wake up from a nightmare or one of those falling back dreams but it was extreme (but not painful) I think i was having a nightmare but icant really remember. When i woke up i realised i had had an accident and wet myself

The reason I’m overthinking it is that something similar happened in hospital. I was sleeping when my heart went into a serious rhythm, which was picked up on telemetry. Staff sort of shook me awake, and I’d wet myself then too (they said it can happen sometimes when your body goes into shock from the rhythm). I was cardioverted and everything was fine (this was pre device)

So i dont know was the same but just with my device shocking me, or whether it was simply a nightmare/flu related thing. My heart felt fast when I woke up but settled quickly and that could just be stress. The only real parallel with the hospital episode is the accident, which obviously doesn’t necessarily mean it was the same thing and could easily be flu fever/nightmare/too hot/too sweaty/ coughed too hard etc

I tried to call my cardiology and physiology team to ask if the device shocked or not but nobody is answering and they take AGES to return a call. The entire department is pretty dysfunctional and im currently transferring my care to a different hospital due to it but thats a separate story

im probably just being a bit anxious and letting my previous history cloud my judgement a bit, but i was thinking of going to A+E just to get my heart double checked. But realistically it'll take hours, i dont want to spread this flu/virus, and my only real symptom is the fact i had an accident and woke up suddenly. But i know in previous episodes ive gone into a storm (im sure thats what they called it) where i had multiple episodes across a 24/48 hour period so im just naturally a bit more nervous with it than i probably need to be. They said to attend A+E if i feel it shock but i just dont know if it did or not and now im overthinking it and the last thing i want to do is waste resources in A+E by turning up with what could just have been a nightmare!

OP posts:
Seashorewaves · 01/10/2026 15:39

Can you phone 111 for advice?

Spaniels4Eva · 01/10/2026 15:39

I'd phone 111 and get their advice. Your GP may also be a good call if they can refer you to same day emergency care if you have that?

You really need it checking but I'm not sure A & E is a good place to sit if you've got a flu type virus.

FWIW DH has got atrial fibrilation and his cardiologist told him not to bother with A & E - they're unable to really help.

gettingolderbutcooler · 01/10/2026 15:40

Hmm, I would call 111. They may suggest A&E.

bannabead · 01/10/2026 15:41

I would go to A&E as they said to be safe

BillieWiper · 01/10/2026 15:42

The way you describe the feeling you had when it shocked in hospital and the recent one sound exactly the same. You wouldn't pee yourself just from having a nightmare or from jolting awake. And the feeling of pee would wake you while it was coming out. If it was an 'urgency to wee dream'.

So it does sound like you should go to a&e.

labourisnowdivisive · 01/10/2026 15:43

Given you’ve been told to go to a&e I would definitely do this. 111 will probably tell you to go to be on the safe side too. As it’s your heart it doesn’t seem worth the risk not to go

nocoolnamesleft · 01/10/2026 15:45

111 will tell you to go to A&E. Your cardiology team told you to go if your device shocked you, and it sounds like it probably did. So makes sense to go.

violetcuriosity · 01/10/2026 15:45

Yes you should

AppropriateAdult · 01/10/2026 15:47

It’s quite unusual for a young or middle-aged adult to wet themselves during sleep, so unless that’s something that happens frequently to you I would take it that you have been shocked and attend A&E. I’m not sure 111 will be much help with this, it’s a somewhat specialised area. You’ve been given specific advice by your Cardiology team, so just follow it.

PinkWaffleMaker · 01/10/2026 15:48

OP I don’t think anyone would think you are wasting resources for going to A&E with this.

I don’t think a GP would have enough specific knowledge to help.

5289843DM · 01/10/2026 15:51

It sound like you were unconscious, hence the incontinence. Unless this is common for you from a dream or you have a UTI, then I'd go straight to A&E and not faff with NHS 111.

I'd go these soon, because anyone in the physiology dept that has the equipment to check your pacer might finish at 5:30! Don't drive there though! can someone take you?

W0tnow · 01/10/2026 15:54

You wet yourself. You’ve done that once before and it was due to your condition. Go to A&E.

firefly0 · 01/10/2026 15:56

i actually did consider 111 but i figured they would probably just tell me to go to A+E, same with GP!

Im just going to pack a bag and go. i really wanted to avoid it if at all possible because frankly ive seen enough hospital in the last year to last a lifetime, and i dont want to spread this flu either. If i knew for sure it had shocked me i would have gone without question (since that was their advice) but its just because i wasnt sure if it had shocked at all that i was questioning it!

ill pack a bag with my charger and a book and hope the wait isnt too long. thanks x

OP posts:
Lucyintheskywithnoidea · 01/10/2026 15:56

It sounds very much like it has worked as it should and that as advised you should go to an and e.

Hope that you feel better soon.

5289843DM · 01/10/2026 15:56

Wear an FFP3 mask if you have one too. Let us know how you go.

Sirzy · 01/10/2026 16:00

I think you’re doing the right thing getting checked. Hope the wait isn’t too long

firefly0 · 01/10/2026 16:03

5289843DM · 01/10/2026 15:51

It sound like you were unconscious, hence the incontinence. Unless this is common for you from a dream or you have a UTI, then I'd go straight to A&E and not faff with NHS 111.

I'd go these soon, because anyone in the physiology dept that has the equipment to check your pacer might finish at 5:30! Don't drive there though! can someone take you?

Yeah I’m starting to wonder if I went from sleeping to unconscious without realising it.

I don’t think I have a UTI as I have no symptoms of it, and no having an accident from a dream is definitely not common for me- the only other time in my life it’s happened was that time in hospital.

I actually can’t drive at the moment anyway because of my heart so I’m just getting Ubers and lifts everywhere so I’m going to get a lift over to the hospital!

oh good point about physiology finishing at 5.30! Hopefully I get there before that and there will be someone who can interrogate it and check it (and then hopefully it’ll be a simple, no, the device didn’t shock you, you just had a bad nightmare, and then I can get straight back home!)

OP posts:
Happyjoe · 01/10/2026 16:34

Tbh honest, good call with A&E. Even a common cold can play havoc with the heart rhythm, can make it race etc. So as you've already a weakness, I would go to A&E and get yourself checked up. At best they will help you (at least put your mind to rest!) and worst you've wasted a few hours sitting there. Good luck OP.

amylou8 · 01/10/2026 18:10

My ex has Brugada and an ICD that shocks him out of arrhythmia every now and again. He's always unaware it's happened, and was only finding out when the hospital plugged him in every 6 months. He's now got a box in the house which monitors and then transmits the data to the hospital.
I think a&e is a good call and it's a new device and that's what they advised you to do. Hopefully you'll be in and out quickly.

urghhh47 · 01/10/2026 18:13

Definitely the right thing to go to A&E.

fsfdl · 01/10/2026 18:20

Go to A+E.

5289843DM · 01/10/2026 18:24

oh good point about physiology finishing at 5.30!

I only mentioned that, because I used to work in A&E myself. Although A&E is 24hrs, the cardiology/physiology techs and their clinics were often mon-fri, office hours! I hope you are getting seen x

Noshadowsinthedarkness · 01/10/2026 18:25

I hope you’re ok and not waiting too long OP.

EricTheHalfASleeve · 01/10/2026 18:26

ED absolutely. With the incontinence I would assume you'd gone into a dangerous heart rhythm & been shocked.

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