Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Seek emergency care for:
Jaundice with fever, chills, or significant upper abdominal pain
Confusion, fainting, severe drowsiness, or unusual bleeding
Repeated vomiting with inability to keep fluids down
Rapid deterioration with known liver or bile duct disease
Reduced fetal movement during pregnancy
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Contact a clinician promptly for new jaundice, dark urine with pale stools, worsening itching, fever, abdominal pain, unexplained weight loss, or recurring symptoms after treatment.
Report significant itching during pregnancy promptly.
3
Does any of this apply?
Book an appointment
Follow-up depends on whether cholestasis was temporary, caused by a removable blockage, or related to chronic disease.
Monitoring may include liver blood tests, symptom and medication reviews, and imaging.
People with chronic cholestatic disease may also need vitamin assessment, bone-density testing, and surveillance tailored to their diagnosis.
Keep follow-up appointments even if jaundice or itching improves.
Abnormal tests or a remaining blockage can persist after symptoms lessen.
Every sign above is quoted from the sofidex article on Cholestasis. If you are not sure, err upward — it is always reasonable to be checked.