sofidexFor patientsAre you a clinician? Clinical site

Warning-sign checks

Galactose-1-phosphate uridyl transferase deficiency: when to get help

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. 1

    Is any of this happening now?

    Call 911

    Seek emergency care for a baby with possible or confirmed GALT deficiency who has:

    • Difficulty waking, unusual limpness, or reduced responsiveness
    • Poor feeding with repeated vomiting
    • Yellow skin or eyes with worsening illness
    • Fever, abnormal temperature, or concern for infection
    • Breathing difficulty
    • Seizures
    • Unusual bruising, bleeding, or a swollen abdomen

    These signs may indicate sepsis, liver dysfunction, low blood sugar, or another serious newborn illness.

    A small accidental exposure is not always an emergency, but the established care plan should be followed.

    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. 2

    Is any of this happening?

    Be seen today

    A newborn needs urgent same-day medical assessment if newborn screening suggests galactosemia.

    Follow the screening team's feeding instructions while confirmatory tests are arranged.

    For someone already diagnosed, contact the metabolic team promptly after a major accidental milk exposure, especially if vomiting or illness develops.

  3. 3

    Does any of this apply?

    Book an appointment

    Discuss concerns about growth, diet, speech, school progress, coordination, tremor, puberty, periods, bone health, fertility, or emotional wellbeing at routine appointments.

Every sign above is quoted from the sofidex article on Galactose-1-phosphate uridyl transferase deficiency. If you are not sure, err upward — it is always reasonable to be checked.