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
Seek urgent or emergency help for:
New or sudden floppiness
Difficulty breathing, pauses in breathing, or a weak ineffective cough
Blue, grey, or unusually pale lips or skin
Severe choking or inability to swallow
Markedly reduced alertness or difficulty waking
Sudden weakness, especially on one side
Floppiness with a seizure, serious injury, or possible poisoning
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
Seek prompt medical advice if a child or adult loses skills they previously had, becomes noticeably weaker, has worsening swallowing problems, or develops a new change in walking or hand use.
Loss of skills is called regression and deserves timely evaluation.
3
Does any of this apply?
Book an appointment
Arrange a routine medical assessment if you notice persistent floppiness, poor head control, unusual posture, delayed movement skills, frequent falls, or difficulty keeping up with everyday physical tasks.
Feeding that regularly takes a long time or causes coughing should also be assessed.
Routine follow-up remains important when symptoms are stable.
It allows growth, movement, feeding, breathing, and equipment needs to be reviewed before they become larger problems.
Every sign above is quoted from the sofidex article on Hypotonia. If you are not sure, err upward — it is always reasonable to be checked.