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Warning-sign checks

Bladder exstrophy repair: when to get help

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. 1

    Is any of this happening now?

    Call 911

    Seek emergency help for trouble breathing, loss of consciousness, severe uncontrolled bleeding, or a sudden severe change in alertness.

    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. 2

    Is any of this happening?

    Be seen today

    Contact the surgical team sooner for:

    • Fever or worsening redness, swelling, warmth, or discharge
    • Increasing pain not controlled by the prescribed plan
    • New or increasing urine leakage around the wound
    • Little or no urine draining through a catheter
    • A catheter, stent, cast, or frame that moves or comes out
    • Persistent vomiting, poor fluid intake, or marked abdominal swelling
    • A cold, pale, blue, swollen, or unusually painful foot after pelvic surgery

The article also says

Attend all scheduled wound, catheter, imaging, and kidney checks.

Every sign above is quoted from the sofidex article on Bladder exstrophy repair. If you are not sure, err upward — it is always reasonable to be checked.