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 difficulty breathing, blue or grey lips, crushing or persistent chest pain, fainting, new confusion, heavy bleeding, or sudden severe abdominal pain.
Also use emergency services for any rapidly worsening symptom that may represent organ failure.
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 your transplant team promptly if you develop a new symptom that could reflect rejection, infection, or a medication problem.
This includes:
Fever or chills
New pain or tenderness over the transplant
Vomiting or diarrhea that prevents you keeping medicines down
Reduced urine, new swelling, or rapid fluid-related weight gain
Yellow skin or eyes
New cough, breathlessness, or lower home lung readings
Rising blood glucose after a pancreas transplant
An abnormal home measurement your team told you to report
A missed anti-rejection dose or uncertainty about how to take it
These concerns usually need same-day advice rather than waiting for a routine appointment.
Do not wait for several symptoms to appear.
3
Does any of this apply?
Book an appointment
Keep attending routine follow-up when you feel well.
Monitoring is designed to find silent rejection before it causes major symptoms.
Every sign above is quoted from the sofidex article on Transplant rejection. If you are not sure, err upward — it is always reasonable to be checked.