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 emergency help for:
Vomiting blood or passing a large amount of black or bloody stool
Fainting, severe weakness, or signs of major bleeding
Severe trouble breathing or chest pain
New severe confusion, inability to wake fully, or a seizure
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 your surgical or liver team urgently the same day for fever, worsening abdominal pain, repeated vomiting, increasing abdominal swelling, new jaundice, reduced urination, or redness, swelling, pus, or opening of the incision.
3
Does any of this apply?
Book an appointment
For mild ongoing soreness, appetite changes, constipation, or questions about medicines and activity, contact the team during routine hours or discuss them at follow-up.
Every sign above is quoted from the sofidex article on Distal splenorenal shunt. If you are not sure, err upward — it is always reasonable to be checked.