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:
Sudden severe weakness or inability to move normally
Fainting, severe palpitations, or chest pain
New confusion, a seizure, or unusual difficulty staying awake
Severe breathing difficulty
These symptoms can result from a major acid or potassium disturbance or another serious condition.
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
Ask for prompt medical advice if you have persistent vomiting or diarrhoea, cannot keep alkali treatment down, or notice a clear reduction in urination.
Flank pain with fever, chills, or painful urination needs urgent assessment because it may indicate a urinary infection or an obstructed, infected kidney.
3
Does any of this apply?
Book an appointment
Attend routine follow-up for blood tests, prescription reviews, growth checks, hearing monitoring, and kidney imaging.
Seek an earlier appointment if tiredness or muscle symptoms return, stones become more frequent, or treatment is difficult to take.
Every sign above is quoted from the sofidex article on Distal renal tubular acidosis. If you are not sure, err upward — it is always reasonable to be checked.