Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
Get emergency help if your baby has trouble breathing, becomes blue or unusually difficult to wake, has a swollen or very painful abdomen, vomits green fluid or significant blood, has heavy bleeding, or becomes suddenly unwell during a tube feed.
Stop the feed while getting help.
Seek urgent medical advice if a newly placed gastrostomy comes out, especially before the channel between the stomach and skin has healed.
Do not replace it unless you have been specifically trained and instructed to do so.
For routine advice, contact the feeding or surgical team if the tube repeatedly blocks, feeds become harder to give, the skin remains irritated, or your baby has ongoing vomiting, discomfort, or poor tolerance.
Also call if you are uncertain about tube position or equipment.
Every sign above is quoted from the sofidex article on Feeding tube - infants. If you are not sure, err upward — it is always reasonable to be checked.