Multiple endocrine neoplasia (MEN) I: 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
Is any of this happening now?
Call 911
Get urgent or emergency help for:
A seizure, collapse, loss of consciousness, or severe confusion
A sudden severe headache with vision loss or eye movement problems
Vomiting blood, black sticky stools, or severe sudden abdominal pain
Severe weakness, repeated vomiting, dehydration, or marked drowsiness
Symptoms of low blood sugar that do not improve quickly with available treatment
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 for repeated episodes of sweating, shaking, confusion, or unusual hunger, especially if they improve after eating.
These may be signs of low blood sugar and need assessment.
3
Does any of this apply?
Book an appointment
Attend routine follow-up even when you have no symptoms.
Contact your usual care team if you develop new kidney stones, persistent abdominal pain, repeated reflux or ulcers, unexplained diarrhoea, menstrual changes, nipple discharge, headaches, or changes in vision.
The article also says
Do not drive yourself if you are confused, faint, having major vision changes, or may have severely low blood sugar.
Every sign above is quoted from the sofidex article on Multiple endocrine neoplasia (MEN) I. If you are not sure, err upward — it is always reasonable to be checked.