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
Do not stop a prescribed medicine without discussing the next step unless emergency care is needed.
Call emergency services for chest pressure, severe breathing difficulty, fainting, or signs of stroke such as sudden facial drooping, weakness on one side, or trouble speaking.
These symptoms are uncommon in children and often have causes other than cholesterol, but they still need emergency assessment.
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 care team promptly if a child taking medicine develops new, unexplained muscle pain or weakness.
Seek urgent same-day care for severe, persistent upper abdominal pain with vomiting, especially if the child is known to have very high triglycerides.
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if your child:
Has an abnormal cholesterol result
Has a parent or sibling with FH or very high LDL
Has close relatives who had early heart attacks, strokes, or artery procedures
Develops unexplained yellow skin deposits or firm tendon lumps
Has diabetes, kidney disease, an underactive thyroid, or another condition that can affect lipids
Is taking cholesterol medicine and develops a possible side effect
Every sign above is quoted from the sofidex article on High cholesterol - children. If you are not sure, err upward — it is always reasonable to be checked.