Paul Gascoigne's agent believes the former England midfielder's life is in danger after he started drinking again.
Gascoigne, 45, appeared to be unwell and trembling at a charity appearance in Northampton on Thursday.
His agent Terry Baker told BBC Radio Five: "He won't thank me for saying but he needs to immediately get help.
"Whatever's happened to him in the five or six weeks since I saw him before Christmas, he is not as well as he has been.
"He's been absolutely fine, he really has, and now he isn't. But I think he knows that.
"His life is always in danger because he is an alcoholic. Maybe no-one can save him - I don't know. I really don't know."
More top news
Marks and Spencer will become the first UK retailer to add vitamin D to its entire packaged bread range.
An over-the-top 80's action movie parody featuring kung fu Hitler and a David Hasselhoff soundtrack gets almost four million views online.
The government is treating the fight against obesity as a priority, as a new report cautions that one in five cancer deaths is caused by it.