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 collapse, severe breathing difficulty, chest pain, a seizure, or loss of consciousness.
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 care team promptly if you already have a vipoma and your diarrhea becomes more frequent, your medicine stops controlling symptoms, or you develop new swelling, pain, flushing, or weight loss.
Seek urgent medical care for signs of major fluid or potassium loss, including:
Very little urine, severe thirst, or inability to keep fluids down
Increasing weakness, severe muscle cramps, or difficulty standing
A fast, pounding, or irregular heartbeat
Marked dizziness, fainting, unusual drowsiness, or confusion
3
Does any of this apply?
Book an appointment
Arrange a routine medical appointment if you have watery diarrhea that keeps returning, continues overnight, or persists despite usual care.
You should also seek assessment for unexplained weight loss, repeated dehydration, ongoing muscle cramps, or diarrhea that continues while fasting.
Every sign above is quoted from the sofidex article on Vipoma. If you are not sure, err upward — it is always reasonable to be checked.