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Warning-sign checks

Ureteral retrograde brush biopsy: 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. 1

    Is any of this happening now?

    Call 911

    Seek emergency help for severe breathing difficulty, chest pain, fainting, confusion, uncontrolled bleeding, or severe pain with marked illness.

    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. 2

    Is any of this happening?

    Be seen today

    Contact your healthcare team promptly if burning, bleeding, or pain is getting worse rather than gradually improving.

    Also call if you have ongoing stent discomfort that is not controlled by the recommended measures.

    Seek same-day medical advice for:

    • Fever or shaking chills
    • Increasing pain in your side or back
    • Cloudy or foul-smelling urine with worsening urinary symptoms
    • Repeated vomiting or inability to drink
    • Heavy bleeding, large clots, or difficulty passing urine

The article also says

Your discharge instructions should provide the appropriate daytime and after-hours contact numbers.

Every sign above is quoted from the sofidex article on Ureteral retrograde brush biopsy. If you are not sure, err upward — it is always reasonable to be checked.