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Warning-sign checks

Familial dysbetalipoproteinemia: when to get help

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. 1

    Is any of this happening now?

    Call 911

    These may indicate reduced circulation but are not always emergencies.

    Call emergency services for:

    • New chest pressure, squeezing, or pain, especially with sweating or nausea
    • Sudden facial drooping, arm weakness, speech difficulty, or loss of balance
    • A suddenly painful, pale, numb, or cold arm or leg
    • Severe upper abdominal pain with persistent vomiting

    These symptoms can indicate a heart attack, stroke, sudden loss of limb blood flow, or pancreatitis.

    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. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical advice for new leg pain while walking, a slow-healing foot wound, or a foot that is repeatedly colder or paler than the other.

    Do not wait for a routine appointment.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if blood tests repeatedly show both high cholesterol and high triglycerides, particularly if LDL cholesterol does not explain the total cholesterol level.

    Yellow-orange palm creases, unexplained xanthomas, or a family history of unusual mixed lipid results also need assessment.

Every sign above is quoted from the sofidex article on Familial dysbetalipoproteinemia. If you are not sure, err upward — it is always reasonable to be checked.