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 trouble breathing, difficulty waking the child, heavy bleeding, green vomit with marked abdominal swelling, or a sudden severe decline.
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 the surgical team promptly for routine postoperative concerns such as worsening constipation, trouble performing prescribed dilations, persistent skin irritation, or questions about feeding and stoma supplies.
Seek same-day medical advice for:
Fever, especially any fever in a baby younger than 3 months
Increasing pain, swelling, redness, drainage, or wound separation
Repeated vomiting or a swollen abdomen
No stool or gas when the team expects bowel function
Trouble urinating or a major change in urine output
A new bulge or tissue protruding from the anus
A stoma that becomes unusually dark, pale, swollen, or stops working
Every sign above is quoted from the sofidex article on Imperforate anus repair. If you are not sure, err upward — it is always reasonable to be checked.