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:
Sudden loss of vision or a sudden severe headache with weakness or confusion
Fainting, severe weakness, repeated vomiting, or confusion if cortisol deficiency is known or suspected
Clear, watery fluid leaking from one side of the nose with severe headache, fever, neck stiffness, or marked light sensitivity
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
Seek urgent medical assessment for new or worsening vision changes, especially brief episodes of dimming, double vision, or loss of part of your visual field.
A persistent one-sided watery leak, particularly after pituitary surgery or a head injury, needs prompt assessment for a possible spinal-fluid leak.
3
Does any of this apply?
Book an appointment
Arrange a routine medical appointment if you develop persistent headaches, unexplained fatigue, menstrual changes, sexual difficulties, fertility concerns, unusual thirst and urination, or symptoms of low thyroid function.
These symptoms are usually not emergencies, but they may justify hormone testing or a review of existing results.
The article also says
A clear nasal discharge is often caused by allergies or infection.
Every sign above is quoted from the sofidex article on Empty sella syndrome. If you are not sure, err upward — it is always reasonable to be checked.