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
Get emergency help for:
Bleeding that is heavy or will not stop
Severe trouble breathing
Fainting, confusion, or difficulty waking
Sudden severe weakness
Signs of a serious allergic reaction
Do not delay emergency care while waiting to contact the specialist team.
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 the usual care team promptly for new tiredness, increasing bruising, repeated nosebleeds, bleeding gums, frequent infections, unexplained weight loss, persistent mouth sores, a new lump, or a sore throat or hoarse voice that does not settle.
These symptoms often have other causes but should not be ignored.
Seek urgent medical advice for a fever if you have low neutrophils, are receiving cancer treatment, or recently had a stem cell transplant.
Follow the fever plan provided by your specialist team.
3
Does any of this apply?
Book an appointment
Keep routine appointments even when you feel well.
Falling blood counts and early tissue changes may not cause obvious symptoms.
Every sign above is quoted from the sofidex article on Fanconi anemia. If you are not sure, err upward — it is always reasonable to be checked.