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 very heavy bleeding, fainting, severe weakness, chest pain, difficulty breathing, coughing up blood, a seizure, or a sudden severe headache with weakness or visual changes.
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 prompt medical advice if you develop:
Bleeding that is increasing rather than settling
Fever, chills, or foul-smelling vaginal discharge
Worsening pelvic or abdominal pain
Repeated vomiting or difficulty keeping fluids down
A racing heartbeat, shaking, or feeling unusually hot
A new positive pregnancy test during follow-up
If you are currently pregnant and pass grape-like sacs or tissue, contact urgent pregnancy care.
Keep the tissue only if the service advises you to do so.
3
Does any of this apply?
Book an appointment
Keep all routine hCG appointments and contact your treatment service if you cannot attend.
Routine monitoring is essential but is not usually an emergency.
And for anyone, someone who:
has noticed a lump, a mole that has changed, or unexplained weight loss
Every sign above is quoted from the sofidex article on Hydatidiform mole. If you are not sure, err upward — it is always reasonable to be checked.