Patient's question:
My little girl is 1 year and 9 months old. Five days ago, she had vomiting, diarrhea, and fever. When we went to the hospital, she was initially diagnosed with infantile diarrhea. After receiving intravenous fluids, her fever subsided after two days, her bowel movements became like paste, and she stopped vomiting. On the third day, she started having severe crying spells, with intervals of about 12 hours at first.Doctor's answer:
Hello! Based on your description, the child initially had acute gastroenteritis. On the third day, severe crying occurred, and besides possible appendicitis, it's important to consider conditions like intussusception or intestinal obstruction. Abdominal X-rays and barium enemas can be used for diagnostic support. If these are inconclusive, transfer to a higher-level hospital for further diagnosis and treatment is recommended. I suggest hospitalization for observation and treatment, as the symptoms alone cannot diagnose any disease. A comprehensive clinical evaluation is necessary.