How do you know if you have a perforated colon?

GO TO HELL

The first thing you would do to know if you have a perforated colon is visit the GP after much sickness like vomiting and diarrhoea fever and a lot more just research it or call 999 I call 999 instead because researching could waste time and you could actually die wasting time researching

Powerpuff

I would imagine you would be in a lot of pain