Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
Call emergency services for severe difficulty breathing, blue or grey lips, confusion, fainting, severe chest pain, or more than a small streak of coughed-up blood.
Do not drive yourself if breathing is severely affected.
Seek urgent same-day assessment for a sudden change in breathlessness, fever with worsening cough, new blood in mucus, or chest pain.
These symptoms may be caused by infection, a blood clot, a collapsed lung, or another problem that needs prompt evaluation.
Arrange a routine medical appointment if you have persistent cough or breathlessness and have worked with stone, concrete, sand, mining dust, or another source of silica.
Mention all relevant jobs, including work from many years ago.
If you have already been diagnosed, attend planned reviews even when you feel well.
Seek earlier advice if your breathing is gradually worsening, you are losing weight without trying, or respiratory infections are becoming more frequent.
Every sign above is quoted from the sofidex article on Silicosis. If you are not sure, err upward — it is always reasonable to be checked.