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The recommended treatment for a child with suspected acute appendicitis involves surgical consultation and monitoring due to the nature of the condition. Acute appendicitis can lead to serious complications, such as perforation of the appendix, which can result in peritonitis and sepsis if not addressed promptly.

Surgical consultation is essential because the definitive treatment for appendicitis is often an appendectomy, either by open surgery or laparoscopically. Monitoring is also crucial to assess the child’s condition and ensure that any changes—in symptoms or vital signs—are identified quickly, allowing for timely intervention.

While other options might provide temporary relief or address minor issues, they do not adequately address the urgency of appendicitis. For instance, oral hydration and rest might be necessary for milder gastrointestinal issues but would not be sufficient for appendicitis. Over-the-counter pain relief might mask symptoms without treating the underlying issue. Immediate antibiotics can be part of management, but they do not replace the need for evaluation and surgical intervention if appendicitis is confirmed. The focus should always be on ensuring the child's safety and preventing complications through appropriate surgical evaluation and planning.