Transjugular intrahepatic portosystemic shunt: 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
Is any of this happening now?
Call 911
Call emergency services for vomiting blood, black tar-like stools, severe confusion, difficulty waking, fainting, severe chest pain, major breathing difficulty, or bleeding that does not stop with firm pressure.
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
Seek urgent same-day medical advice for:
Fever, chills, or increasing redness or drainage at the neck site
Increasing abdominal pain or swelling
New or worsening yellowing of the skin or eyes
Markedly reduced urine output
New mild confusion, unusual sleepiness, or personality changes
Bleeding from the neck site that stops with firm pressure
3
Does any of this apply?
Book an appointment
For routine questions, contact your team about follow-up appointments, medicines, activity limits, or ongoing swelling that is not rapidly worsening.