**7. Conclusions**

The management of a child with a dehydrating gastroenteritis requires careful initial assessment and reassessment of hydration status. The majority of gastroenteritis in infants and children are simple and can be treated by ORT. In children who presented with severe dehydration or those with some dehydration and fail ORT, IV rehydration is required. Rapid IV rehydration using standard boluses of isotonic fluids followed by oral fluid intake or maintenance IV fluids for those refusing oral intake appears sufficient for most patients requiring IV fluids. Patients achieving satisfactory hydration status and tolerating oral intake can be discharge home with proper instructions.
