What signs suggest that the diarrhoea may have a surgical cause?

  • Repeated, severe vomiting
  • A markedly distended abdomen
  • Bile stained vomiting
  • Passing a lot of blood and mucus with little stool
  • Severe, continuing abdominal pain (not just intermittent cramping pains)

These children must be referred to hospital urgently for further investigation.

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