Blood pressure

Doctors initially said Lottie Perks was just dehydrated and should rest at home

A mum says she was ‘dismissed’ as being ‘overly anxious’ by doctors until her daughter’s holiday stomach bug turned out to be her appendix bursting – and potentially fatal sepsis. Lottie Perks, now 20, began experiencing ‘crippling’ stomach pain, coupled with vomiting just days into a holiday.

24 hours later she was back to normal and the family got back to enjoying their holiday in Brazil, but on arriving home in London it was clear Lottie was unwell.

“She began shaking uncontrollably and I noticed her lips, hands and feet were freezing cold,” said mum Laura. “Her feet were white and her lips were blue. And her temperature was weirdly very low. Her face and limbs were swollen and flushed.

“I had been trying to trust the doctors before this and convince myself they were right. But, at this point, it was clear something was very wrong. I was terrified.

“And then, she collapsed in my arms as her eyes rolled back in her head. Her blood pressure plummeted and her heart rate raced dangerously high. I thought this was the end.”

Laura had also experienced a bout of sickness after returning from the trip in April 2025, so the family assumed Lottie had contracted the same bug. But just hours after coming home, the stomach pain and vomiting started again, coupled with bleeding and diarrhoea.

They went to A&E but nothing was found to be wrong. Laura said: “She was very pale, weak and physically could not stop vomiting even though there was nothing left in her. Lottie was placed on an IV drip for three hours while being observed, but was ultimately discharged with a gastro bug, as her blood tests showed normal levels of inflammation.

“That night, and the next day, she didn’t improve and became much weaker. I called the hospital and asked if it could be appendicitis, but they said everything was fine.”

Laura rushed her daughter back to hospital and begged for her to be seen again. Doctors allegedly claimed she was simply dehydrated and that they needed to leave the hospital – until an unusual rash was spotted.

After further checks, Lottie’s legs had started to turn a mottled purple and her body was severely swollen. A CT scan was ordered and it was found that her appendix had burst, causing sepsis.

Laura said: “I knew something was clearly wrong and before they took me seriously, I felt powerless. She had emergency surgery, but it was too late, the sepsis had spread. When she collapsed in my arms, that was her going into septic shock.

“And the start of her organs ceasing to work. I thought she’d be OK after the operation But the look on the surgeon’s face afterwards told me otherwise.

“When they explained about the sepsis and septic shock, and said they’d done all they could do, I felt powerless.”

Doctors rushed to give Lottie antibiotics, as there was a one hour window before her organs would start to fail completely. As nothing else could be done, it was a waiting game for a week.

Luckily, the teen recovered and was slowly taken off medication, as well as machines, keeping her alive. And, despite her life being on the line, she managed to return to university and pass her first year with flying colours.

Now, she still suffers with bouts of sickness, stomach pain, dizziness, fatigue and difficulty keeping warm. The emotional toll is felt by not just Lottie, but her mum, too.

To help raise awareness, the pair are working with Sepsis Trust to warn others of the signs to look out for. And, to never dismiss whether worrying symptoms could be sepsis.

Laura added: “Sepsis doesn’t need a cut, injury or an appendix bursting. It can be from something as simple as a virus. The symptoms are so subtle and confusing; but can become fatal so quickly.

“Having that one question in your mind when advocating for a loved one could save their life. We both suffer from nightmares following the experience. It’s difficult to look at photos from that time.

“And it’s hard not to associate the trip with what happened. We’ve always enjoyed relatively adventurous holidays and discovering further away places.

“But this has definitely put on the radar the possibility of a medical emergency while we’re away. And so, as a family, we haven’t been away too far since. We’re trying not to let the worry and her vulnerability take over too much from enjoying life.

“It’s forever changed us, but we’re so incredibly lucky to have caught it just about in time. I was treated like an overly anxious mother – but that’s what saved my daughter’s life.”

Lottie added: “Initially, I was very scared. I tried to stay calm and thought it was probably a gastro bug or food poisoning. It quickly turned into frustration because I was in so much pain and it was clearly where my appendix was.

“There was a lot of fear; I was terrified. Genuinely feeling like you’re dying and can’t explain or get anyone to understand was [infuriating].

“I still don’t think I really understood what was happening while I was in the ICU. I remember being frustrated that I couldn’t go up to the normal ward. But this was obviously because my organs weren’t fully functioning on their own still.

“Another part of the recovery that was quite frustrating was the loss of all my muscle. I remember just doing one lap of the ICU when I was well enough and being completely exhausted and my legs feeling so tired.

”Going from being someone quite active, and having to come to terms with this new situation, was quite a shock. Looking back on it now, I just feel incredibly lucky and almost proud of my body for managing to push me through it.

“But that gratitude and appreciation also comes with a huge frustration that it could’ve been avoided or acted upon sooner. And I wouldn’t have had to have been in that position in the first place.

“But it taught me a lot and I’m obviously very grateful for all the doctors and nurses that helped me. I have learned to advocate for myself better and to speak out when something isn’t right.

“I also felt frustrated as just being young and female meant that so many things masked it – from doctors thinking I could be pregnant, toxic shock syndrome, period cramps. I wanted to explain that as women, we know what’s normal for us, and this clearly wasn’t normal.

“I understand that various possibilities needed to be ruled out; but I wish someone had considered rapidly progressing sepsis as one of those a little sooner. That said, I am well aware that I am one of the very lucky ones. I’ve been shocked to read all of the ways it could have ended differently.”

Jet2 has issued an important travel insurance alert for passengers that affects anyone with these common health conditions

Jet2 has issued a travel alert to passengers about an important declaration they must make, or they could face ‘rejection’. It comes as millions of flight seats are set to depart from UK airports during the six-week summer break as Brits make the most of the school holidays.

As exciting as it can be to go on holiday, plans could easily be ruined if certain documents aren’t filled out correctly – including travel insurance. Sorting travel insurance as soon as you book a holiday is crucial, as it is not just for medical emergencies abroad, but for protecting your upfront investment from day one.

It’s important to declare all health conditions when you’re buying travel insurance. This is because standard policies usually don’t cover pre-existing medical conditions, and if you don’t mention them, you could lose your coverage entirely.

Jet2 reiterated this point in a social media alert posted on X this week. The popular UK airline told passengers: “Going away this summer? Declare your medical conditions when you buy travel insurance – it could save you thousands. If your details aren’t up to date, your claim could be rejected.”

Medical conditions can include, but are not limited to:

• Heart conditions/stroke
• Diabetes
• High blood pressure
• Respiratory conditions (such as asthma)
• Mental health conditions
• Any form of cancer

For passengers with common health conditions, such as diabetes and high blood pressure, declaring them is vital as these conditions are major risk factors for heart and metabolic issues. Insurers typically see them as directly related to serious and expensive medical emergencies.

Even if your health is stable and controlled with medication, these conditions are still seen as serious warning signs for possible health problems. If you don’t disclose them, your emergency medical coverage could be completely void, and you would be responsible for hospital costs that could easily amount to tens of thousands of pounds.

A statement on the Gov.uk Travel Aware page explains: “You must declare all pre-existing medical conditions when buying travel insurance. If you already have cover, you should check that your list of medical conditions is updated before each trip abroad.

“Failure to do this could mean your claim is rejected if you have a medical emergency while travelling. You must be honest about any medical conditions you have, to avoid risking a big bill. Check your policy to see what you need to declare.”

It added: “A British national was hospitalised and admitted to intensive care following a stroke while abroad. The insurance provider refused to cover the medical costs after it emerged the individual had not declared a previous stroke. As a result, the family was left to meet significant medical expenses.”

What is a pre-existing medical condition?

According to Jet2, any of the following medical conditions from which you have suffered or received medical advice, treatment (including surgery, tests, investigations by your doctor/consultant /specialist) or prescribed drugs or medication in the last five years include:

1. Any cancer condition (including leukaemia, non-Hodgkin’s lymphoma and any type of skin cancer)
2. Any heart-related or blood circulatory condition (including high blood pressure and high cholesterol)
3. Any diabetic condition
4. Any neurological condition (including stroke, brain haemorrhage, multiple sclerosis, epilepsy, and dementia)
5. Any breathing condition (including asthma, bronchitis and chronic obstructive pulmonary disease)
6. Any renal, kidney or liver condition
7. Any psychiatric or psychological condition (including anxiety, stress and depression)
8. Any chronic condition that can be controlled but not cured (including back pain, Crohn’s, diverticular and coeliac disease and ulcerative colitis)

And/or any other medical condition for which you have been prescribed medication or which you have received or are waiting to receive treatment (including surgery, tests, or investigations) within the last 12 months.

Anyone trying to avoid the payment may face much higher fees

Millions of people face the prospect of having to pay an extra £1,000 if they want to take a holiday abroad in 2026.

One in five people on NHS waiting lists plan to holiday abroad without travel insurance, according to a recent survey, risking falling ill overseas and incurring hefty healthcare fees. There are currently more than 7.1million adults waiting for consultant-led treatment – and a further 1.7million waiting for a diagnosis – with many unable to take out insurance policies due to the high cost.

Of the 95% who are on, or have been on, a waiting list in the last three years and refuse to miss their holiday, 15% have paid up to £1,000 extra to ensure they’re protected. Many insurers keep their premiums low by not covering existing medical conditions, meaning patients on waiting lists with potentially serious conditions will need to take out specialist cover.

Those waiting for a condition to be diagnosed will find it particularly difficult to find appropriate travel insurance – and one in four plan to holiday without the correct cover. One in 20 currently waiting to be seen by the NHS have found accessing specialist travel insurance so difficult, or so expensive, they haven’t holidayed abroad because of it.

The poll of 2,034 adults commissioned by Wellsoon from Practice Plus Group found adults with hernias are the most likely to holiday without the correct cover, followed by those with cancer. The hardest conditions to find insurance for are heart or blood pressure issues followed by musculoskeletal issues including arthritis, hip or knee pain, back pain, neck or shoulder pain.

A spokesperson for Practice Plus Group said: “It’s a story we hear regularly from people who have a health issue they want to be addressed before they go on holiday, but they’re on a waiting list. They’re worried about going away when they’re in limbo, potentially needing to seek medical help a long way from home and not knowing how much it might cost.

In April 2021, the Financial Conduct Authority introduced new requirements to help consumers with more serious pre-existing medical conditions (PEMCs) better navigate the travel insurance market. Firms that sell travel insurance are required to signpost consumers to one of two directories of specialist firms that provide this type of insurance – one of which is the MoneyHelper directory, provided by the Money and Pensions Service.

A spokesperson from the Money and Pensions Service, which provides a directory of specialist firms that offer travel insurance for pre-existing conditions, said: “If you have a pre-existing health condition you must disclose this to your insurer. Otherwise, when you come to make a claim, it could be rejected.

“Depending on your circumstances, you may be asked to complete a medical exam. This will allow insurance providers to tailor your travel insurance policy to cover your needs. Taking specialist medical travel insurance will give you peace of mind that your medical condition is covered in the event of a claim.

“Our MoneyHelper service provides contact details of companies which specialise in this.”