How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Pauline Your Own Question

Pauline
Pauline, Doctor (MD)
Category: Health
Satisfied Customers: 8631
Experience:  Medical Doctor & Registered Pharmacist. Worked as Community pharmacist for 17 years.
659881
Type Your Health Question Here...
Pauline is online now
A new question is answered every 9 seconds

Our almost 5 year old son was put on Zantac 2x a day two ...

Resolved Question:

Our almost 5 year old son was put on Zantac 2x a day two weeks ago. While he is an anxious kid, and we are starting to see a therapist for that, he's never been overtly sad or depressed -- but suddenly, the last week and half or so, he has been VERY sad, cries easily and will say things like "There's nothing you can do to help". I know Zantac has a rare sided effect of effecting mood/depression, but I don't want to be an alarmist, since it IS rare. What are the chances this could be the problem? It's so sudden and uncommong for him.
Submitted: 7 years ago.
Category: Health
Expert:  Pauline replied 7 years ago.

It is a very rare side effect, and I would want to look for other possible causes before diagnosing depression in a child as young as 4 or 5.

It is important to find out what is affecting him, whether he is in physical pain or whether all these visits to the doctors is causing him to feel under pressure. Also whether he is worried about any changes to school or friends moving away for the summer.

It would be interesting to see how he responds to things which he normally enjoy or is a 'treat'. If he is responding as normal to new adventures then it is unlikely to be the medication. Also is there any change to his appetite?

Why was he put on the Zantac in the first place?

What dose is he taking?
Customer: replied 7 years ago.
He is taking 3.5 ml 2x a day. Put on it because he had terrible stomach aches all the time. While anxiety certainly contributes, he has all the classic symptoms of irritable bowel, so we are treated for excess acid as well. It has decreased his stomach complaints so seems to be working.
As for environmental stuff -- there has been nothing major except of course a launch to a therapist for general and separations anxiety. That could certainly be weighing on him as far as nerves.
He is also very verbal for his age, so it can be disconcerting when, reacting to upset, he doesn't just have a tantrum. He will say he is lonely, wishes he had a brother or sister, etc etc. It could certainly just be a build up of things that have been on his mind.
Since he does still enjoy things he loves doing (isn't pushing those away, or refusing to play) I assume, by your response, I shouldn't jump to the depressed or mood-changing side-effect.
Expert:  Pauline replied 7 years ago.

Obviously diagnosing depression in a child is a highly skilled task however normally we would expect to see disinterest in normal fun activities, changes to sleep pattern and sleep behavior as well as reduced appetite and mood changes.

I would quietly keep an eye on his behavior over the next few days and then schedule an appointment with his doctor for a review and discuss all the changes that you have seen.If you still have concerns then it would be worth discussing whether he should stay on the Zantac.

 

 

Pauline, Doctor (MD)
Category: Health
Satisfied Customers: 8631
Experience: Medical Doctor & Registered Pharmacist. Worked as Community pharmacist for 17 years.
Pauline and 6 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Pauline
Pauline
6303 Satisfied Customers
Medical Doctor & Registered Pharmacist. Worked as Community pharmacist for 17 years.