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Warning-sign checks

Hypercalcemia: 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

    Call emergency services if you are difficult to wake, faint, have a seizure, develop severe confusion, or have chest pain or a fast or irregular heartbeat.

    These signs can occur when hypercalcemia is severely affecting the brain, circulation, or heart, although they can also have other causes.

    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 urgent same-day medical advice if you have a known high calcium level and develop repeated vomiting, worsening dehydration, marked weakness, increasing drowsiness, or new confusion.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange routine medical follow-up if a blood test shows high calcium, even if you feel well.

    You should also seek advice if you develop ongoing thirst, frequent urination, constipation, unexplained weakness, or recurrent kidney stones.

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