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 help for:
Severe or rapidly worsening difficulty breathing
Stridor or another new, harsh noise during breathing
Blue or grey lips
Inability to speak normally because of breathlessness
Heavy bleeding that does not stop
Fainting, confusion, or extreme drowsiness with breathing problems
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
If you have already been diagnosed, contact your care team promptly if symptoms return or gradually worsen.
3
Does any of this apply?
Book an appointment
Arrange a routine medical assessment if you have persistent nasal blockage, crusting, discharge, repeated nosebleeds, or hoarseness.
These symptoms have many possible causes and do not by themselves mean that you have scleroma.
New swallowing problems, increasing hoarseness, worsening nasal blockage, fever, facial swelling, or reduced exercise tolerance should be assessed rather than left until a distant follow-up visit.
The article also says
Do not drive yourself if you are struggling to breathe.
Every sign above is quoted from the sofidex article on Scleroma. If you are not sure, err upward — it is always reasonable to be checked.