Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
Emergency assessment is appropriate for vomiting blood, black stools, fainting, severe confusion, sudden severe abdominal pain, major uncontrolled bleeding, or serious breathing difficulty.
Contact the care team sooner for increasing swelling, new jaundice, unusual bruising or bleeding, persistent fever, worsening fatigue, or problems taking prescribed medicine.
Regular follow-up is important even when symptoms improve.
The care team may monitor liver and kidney blood tests, blood-cell counts, clotting measurements, and the effects of anticoagulant treatment.
Routine appointments are appropriate for stable symptoms, medication review, test results, and planned imaging.
The article also says
Doppler ultrasound or other imaging may be used to check hepatic-vein blood flow and confirm that an angioplasty site, stent, or TIPS remains open.
People with chronic liver damage may also need monitoring for varices and liver cancer.
The exact schedule depends on the individual's findings and treatment.
Patients should tell each clinician and dentist that they have Budd-Chiari syndrome and whether they take an anticoagulant.
Anticoagulation should not be stopped or changed without guidance.
Before surgery or an invasive procedure, the prescribing team may need to create a temporary plan that balances bleeding and clotting risks.
Every sign above is quoted from the sofidex article on Chiari-budd syndrome. If you are not sure, err upward — it is always reasonable to be checked.