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
Seek urgent or emergency care for:
Trouble breathing, blue or grey colouring, or unusual difficulty waking
Severe or rapidly increasing chest or abdominal pain
A hard, markedly swollen abdomen
Vomit containing blood or bright green fluid
Severe dehydration, such as very little urine with unusual sleepiness
Collapse or another sudden, serious change
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
Contact the surgical team promptly for worsening swallowing difficulty, repeated retching or vomiting, poor fluid intake, increasing pain, abdominal swelling, feeding intolerance, or a wound that becomes red, hot, swollen or starts draining.
Follow the hospital's fever instructions.
And for anyone, someone who:
has a wound that is hot, spreading red, or leaking pus
3
Does any of this apply?
Book an appointment
Routine questions about diet, activity, medicines, school or G-tube care can usually wait for normal hours.
Every sign above is quoted from the sofidex article on Anti-reflux surgery - children. If you are not sure, err upward — it is always reasonable to be checked.