Experienced health workers typically gauge envenomation in stages ranging from 0, when there is no evident venom, to 5, when there is a life-threatening amount of venom present. The stages reflect the amount of bruising and swelling around the fang marks and the speed with which that bruising and swelling progresses. In more severe envenomation cases (stage 4 or 5) there may also be proximal symptoms, such as lip-tingling, dizziness, bleeding, vomiting, or shock. Difficulty breathing, paralysis, drooling, and massive haemorrhaging are also common symptoms.