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 severe breathing difficulty, blue or grey lips, inability to wake normally, a prolonged seizure, or signs of a severe allergic reaction such as throat swelling or collapse.
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
Contact the specialist team promptly if an infusion causes hives, swelling, wheezing, vomiting, dizziness, or unusual breathing symptoms.
Follow the treatment centre’s instructions for reactions that begin after leaving.
Seek urgent medical help for:
New weakness, difficulty walking, or loss of bladder or bowel control
Markedly increased sleepiness with headache or repeated vomiting
Breathing that is becoming difficult or noisy at rest
Chest pain, fainting, or a new sustained racing heartbeat
3
Does any of this apply?
Book an appointment
Arrange a routine medical review for new or worsening snoring, hearing difficulty, reduced joint movement, hand numbness, pain, falls, changes in walking, or loss of skills.
Changes in behaviour, sleep, school performance, swallowing, or exercise tolerance also deserve assessment.
Every sign above is quoted from the sofidex article on Mucopolysaccharidosis type II. If you are not sure, err upward — it is always reasonable to be checked.