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 speak or cry because of breathlessness, loss of consciousness, or a complete airway blockage from choking.
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
Morning headaches, difficulty breathing when lying flat, increasing daytime sleepiness, or a weaker cough can point to nighttime breathing problems and should be assessed promptly.
Seek urgent medical care for:
New or rapidly worsening shortness of breath
Choking or repeated coughing while eating or drinking
Signs of dehydration or inability to take enough food or fluid
A chest infection with increasing weakness or difficulty clearing mucus
Fainting, new palpitations, or significant chest discomfort
3
Does any of this apply?
Book an appointment
Arrange routine medical review if you notice a gradual change in muscle strength, walking, balance, swallowing, sleep, or stamina.
Contact the treatment team if infusion reactions occur or if established symptoms are worsening between planned appointments.
Every sign above is quoted from the sofidex article on Pompe disease. If you are not sure, err upward — it is always reasonable to be checked.