What symptoms constitute an ER visit to you?

I’ve been having a noticeable deterioration of symptoms over the past week with intense flank and abdominal pain that’s is causing me to be doubled over when I walk, serious fatigue to the point of calling out from work, cycling diarrhea and constipation, freezing feet and shivering and borderline low BP for days now. I’ve doubled my steroid dose since I started having diarrhea but I am not improving and I am still having low cortisol symptoms even with the stress dose. What symptoms constitute an ER trip to you if you know you’re not in crisis but you can’t get a hold of your health? I can’t see any in clinic endocrinologists due to scheduling for another two weeks at least and I am concerned that I am going to run out of oral hydrocortisone before I need to stop stress dosing. Plus, the increased dose isn’t even really relieving my low cortisol symptoms… any advice is needed. I live in the US so avoiding the ER like the plague is the norm and I honestly have so much medical PTSD from the gaslighting I experienced pre-diagnosis I really don’t want to go in, but I will if I should.