Intended for healthcare professionals

Rapid response to:

Practice Guidelines

Diarrhoea and vomiting caused by gastroenteritis in children under 5 years: summary of NICE guidance

BMJ 2009; 338 doi: (Published 22 April 2009) Cite this as: BMJ 2009;338:b1350

Rapid Response:

Re: Use of antiemetics treatment in paediatrics acute gastroenteritis

Thank you very much for your comment. Practice varies a lot from
country to country. I was trained in India and use of antiemetic was very
common and in 1982 I came to UK and not used antiemetic in any patients.
In 1989 I took my son to India on a holiday and he was sick for 2 days with
Gastro-enteritis and was dehydrated. Indian Paediatrician gave him one
dose of anti-emetic and he settled very well. May be just a co-incidence.

However, here since 1982 I have not used anti-emetic in any child and
all children have settled after a couple of days. Does anti-emetic
shorten the vomiting, do parents find it useful, does it help children to
recover quickly, is it cost effective and will we make more children ill
by anti-emetics? These are the questions we have probably got to consider.
However, I am not convinced that anti-emetic has a huge role and all
children with Gastro-enteritis will settle provided we keep a watch on
their hydration.

Competing interests:
None declared

Competing interests: No competing interests

29 April 2009
Umesh Prabhu
Consultant Paediatrician
Fairfield Hospital., Bury BL9 7TA