After going to the hospital, what should be done if it is first diagnosed as infantile diarrhea?

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 in addition to possible appendicitis, it's important to consider conditions like intussusception or intestinal obstruction. Imaging tests such as abdominal X-rays or barium enemas may be helpful for diagnosis. If these are inconclusive, the child should be transferred to a higher-level hospital for further treatment. I recommend hospitalization for observation and treatment, as the symptoms alone are not sufficient to diagnose any specific condition. A comprehensive clinical evaluation is necessary.

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