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
Call emergency services for signs of a stroke or serious heart problem, including:
Sudden facial drooping, arm weakness, or trouble speaking
Sudden loss of vision, severe imbalance, or one-sided numbness
New chest pressure or pain, especially with sweating or nausea
Severe breathlessness, collapse, or fainting with a racing heartbeat
These symptoms need emergency assessment whether or not Fabry disease is the cause.
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
Seek urgent medical advice for sudden hearing loss, sustained palpitations, rapidly worsening breathlessness, new leg swelling, or a major reduction in urine.
A severe or unusual pain episode that does not settle also needs prompt assessment.
Do not wait for a routine appointment if symptoms are new, sudden, or worsening quickly.
3
Does any of this apply?
Book an appointment
Routine follow-up is appropriate for slowly changing symptoms, medication or infusion concerns, and questions about testing relatives or planning a pregnancy.
Every sign above is quoted from the sofidex article on Fabry disease. If you are not sure, err upward — it is always reasonable to be checked.