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Warning-sign checks

Hereditary fructose intolerance: 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

    Follow the person’s established emergency plan if one is available.

    Get urgent or emergency help for:

    • Severe sleepiness, confusion, or difficulty waking
    • A seizure, collapse, or loss of consciousness
    • Symptoms of severe low blood sugar
    • Repeated vomiting with inability to keep fluids down
    • Yellow skin or eyes, unusual bleeding, or a swollen abdomen
    • Signs of serious dehydration, such as very little urine
    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

    If HFI has been diagnosed, seek prompt advice after a meaningful accidental exposure, particularly if vomiting, abdominal pain, weakness, or unusual behaviour develops.

    And for anyone, someone who:

    • has a wound that is hot, spreading red, or leaking pus
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange routine medical review if you or your child has repeated vomiting, sweating, weakness, or unusual sleepiness after sweet foods.

    Poor growth, persistent food refusal, or a strong pattern of avoiding sweets also deserves assessment, especially when HFI is present in the family.

The article also says

Do not deliberately give fructose to test whether symptoms occur.

A suspected exposure should be managed based on symptoms and the person’s medical plan.

Every sign above is quoted from the sofidex article on Hereditary fructose intolerance. If you are not sure, err upward — it is always reasonable to be checked.