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Warning-sign checks

Familial hypertriglyceridemia: 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

    Seek emergency care for severe or persistent upper abdominal pain, particularly if it spreads to the back or occurs with repeated vomiting, fever, faintness, or a swollen abdomen.

    These symptoms may indicate acute pancreatitis.

    Emergency help is also needed for possible heart attack or stroke symptoms, such as chest pressure, sudden shortness of breath, facial drooping, one-sided weakness, or sudden difficulty speaking.

    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

    Contact a healthcare service promptly if you are told that your triglycerides are extremely high, especially at or above 1,000 mg/dL, or about 11.3 mmol/L.

    Even without symptoms, prompt assessment can help reduce pancreatitis risk.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange routine follow-up if:

    • A lipid test shows raised triglycerides
    • High levels continue despite lifestyle changes or treatment
    • You are planning pregnancy or become pregnant
    • You start a medicine that may affect triglycerides
    • Close relatives have very high triglycerides or unexplained pancreatitis

The article also says

Do not stop prescribed medicine because of an abnormal result without discussing it with the prescribing service.

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