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
These symptoms need assessment but are not automatically an emergency.
Call emergency services for sudden shortness of breath, chest pain, coughing up blood, fainting, or new weakness or difficulty speaking.
These can be signs of a blood clot or another serious problem requiring immediate 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
If you already have nephrotic syndrome, contact your care team promptly about increasing swelling, reduced urine, a sudden rise in weight, signs of infection, or problems taking treatment.
A child with nephrotic syndrome who develops a fever should receive prompt medical advice.
Seek urgent medical care for:
A painful, swollen, warm, or discoloured leg
Fever with severe abdominal pain
Very little urine with rapidly worsening swelling
Vomiting or diarrhoea that makes it difficult to keep fluids down
3
Does any of this apply?
Book an appointment
Arrange a routine medical appointment if you develop persistent foamy urine, swelling around the eyes or ankles, or unexplained fluid-related weight gain.
Every sign above is quoted from the sofidex article on Nephrotic syndrome. If you are not sure, err upward — it is always reasonable to be checked.