Question
A nine-month-old girl at home has been experiencing vomiting, diarrhea, and fever for five days. The hospital diagnosed her with pediatric diarrhea and she received intravenous treatment. After two days of treatment, her fever subsided, her stool became pasty, and she no longer vomited. However, on the third day, the girl suddenly started having severe crying spells, occurring every 12 hours or so initially.
Answer
Based on your description, the girl was initially diagnosed with acute enteritis. The severe crying that appeared on the third day requires consideration not only for appendicitis but also for the possibility of acute abdominal conditions such as intussusception and intestinal obstruction. It is recommended to undergo an abdominal X-ray or barium enema to assist in diagnosis. If the condition does not improve, consider referring to a higher-level hospital for further treatment.