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 urgent or emergency help for:
Severe difficulty breathing, blue or grey lips, or inability to clear the airway
Choking that does not resolve
A seizure lasting longer than five minutes
Repeated seizures without recovery between them
Unresponsiveness or a major sudden change in awareness
A serious injury, especially involving the head
Follow an existing seizure or emergency plan if one has been provided.
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
Prompt assessment is important after repeated choking or chest infections because these can indicate swallowing or airway problems.
3
Does any of this apply?
Book an appointment
Arrange routine medical review for new or worsening symptoms such as:
Changes in sleep, behavior or alertness
Possible hearing loss
New staring spells, shaking or unexplained falls
Coughing during meals or taking much longer to eat
Weight loss, constipation or ongoing diarrhea
Reduced walking, stiffness or signs of pain
Increasing snoring or pauses in breathing during sleep
Every sign above is quoted from the sofidex article on Mucopolysaccharidosis type III. If you are not sure, err upward — it is always reasonable to be checked.