Patient's question:
Four or five days ago, the baby might have eaten too much at kindergarten. When they came home, they said they had stomach pain, which was very severe, and they vomited everything from their stomach. In the morning, they were in good spirits and went to kindergarten. When picked up in the afternoon, they had already started to run a high fever, reaching up to 39 degrees Celsius. The fever subsided in the morning, but the stomach pain persisted. The baby looked very miserable, experiencing pain every 15 to 20 minutes. The same thing happened at night, where they would wake up from the pain, which would then ease off for a while. This cycle kept repeating. What could be the reason for this? How should it be treated?Doctor's answer:
In this case, we need to consider whether the gastritis is caused by a viral infection in the child, or whether the intestinal obstruction is caused by intussusception or intestinal volvulus. Additionally, acute appendicitis should be considered.Recommendation: It is advisable to visit the pediatric department of the hospital for an abdominal X-ray and ultrasound to rule out any potential recurring abnormalities and determine the underlying cause. If intestinal obstruction is present, timely treatment should be implemented.