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Warning-sign checks

Hemolytic anemia: 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 symptoms need assessment but are not always an emergency.

    Call emergency services for:

    • Severe difficulty breathing at rest
    • Chest pain or pressure
    • Fainting, confusion, or difficulty waking
    • Blue or grey lips
    • Signs of shock, such as cold clammy skin with marked weakness
    • Severe symptoms beginning during a blood transfusion
    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

    Arrange routine or prompt follow-up if you develop increasing tiredness, mild breathlessness, yellowing of the eyes, dark urine, or reduced ability to manage normal activities.

    Seek urgent same-day medical care for rapidly worsening jaundice, new dark or red urine with weakness, a very fast heartbeat, fever during immune-suppressing treatment, or symptoms following a blood transfusion.

    If you do not have a functioning spleen, fever or feeling suddenly very unwell needs urgent assessment because serious infections can progress quickly.

The article also says

Do not drive yourself if you feel faint, confused, or severely short of breath.

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