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
Get emergency help for:
New confusion, extreme drowsiness, or reduced consciousness
Repeated vomiting with inability to keep fluids down
Severe weakness or signs of marked dehydration
A collapse, seizure, or new irregular or very rapid heartbeat
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 severe side or back pain that could be a kidney stone, especially with blood in the urine.
Fever or chills with stone symptoms, or being unable to pass urine, needs urgent assessment because infection or blockage may be present.
These symptoms do not automatically mean severe hypercalcaemia, but they need urgent evaluation.
3
Does any of this apply?
Book an appointment
Arrange routine medical review if you have a raised calcium result, repeated kidney stones, unexplained osteoporosis, or a family history of hyperparathyroidism.
Follow-up is also appropriate if known hyperparathyroidism is accompanied by new thirst, frequent urination, constipation, weakness, or worsening bone pain.
Every sign above is quoted from the sofidex article on Hyperparathyroidism. If you are not sure, err upward — it is always reasonable to be checked.