What to do if…
you develop facial or hand swelling with reduced or frothy urine

What to do now

1. Call 999 if you are struggling to breathe, breathing very fast, choking or gasping, your throat feels tight, your lips, mouth, tongue or throat suddenly swell, your skin or lips turn blue, grey or unusually pale, or you become confused, very drowsy, faint or unresponsive.
2. If you are pregnant or gave birth within the last few weeks, contact your maternity unit immediately. Mention any sudden facial or hand swelling, severe headache, vision changes, pain below the ribs, vomiting or feeling very unwell.
3. Otherwise, ask your GP practice for an urgent appointment. If it is closed or cannot direct you promptly, call 111 in England, NHS 24 on 111 in Scotland, or NHS 111 Wales on 111. In Northern Ireland, contact your local GP out-of-hours service when your practice is closed.
4. Say clearly that you have developed facial or hand swelling together with reduced or frothy urine. Give the approximate time each symptom began and whether it is worsening.
5. Note when you last passed urine, roughly how much you have passed compared with normal, and whether it looks dark, bloody or persistently frothy. Do not delay contacting medical help to gather this information.
6. Gather your medicine packets or medication list, including prescription medicines, painkillers, supplements and anything started recently.
7. Tell the clinician about pregnancy, recent childbirth, kidney, heart or liver problems, diabetes, high blood pressure, a recent infection, vomiting, diarrhoea or surgery.
8. Remove rings, watches and tight clothing from swollen hands. Ask someone to stay with you or help you travel if you feel unwell.
9. Follow any fluid limit already set by your medical team. Otherwise, avoid trying to correct the problem by rapidly increasing or severely reducing how much you drink before receiving advice.