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Lactose Intolerance

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Lactose Intolerance

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  • Dr. Steven Gundry
  • Updated 2024-08-22
  • Published 2024-03-06

Lactose intolerance – causes, symptoms, diagnosis, treatment & pathology

What is lactose intolerance?

Lactose intolerance is a common digestive problem where the body is unable to digest lactose, a type of sugar mainly found in milk and dairy products. It is caused by a deficiency of lactase, an enzyme produced by the small intestine.

What are the symptoms of lactose intolerance?

Symptoms include bloating, diarrhea, abdominal cramps, gas, and nausea. These symptoms typically start 30 minutes to 2 hours after consuming foods or drinks containing lactose.

How is lactose intolerance diagnosed?

Diagnosis can be done through a lactose tolerance test, hydrogen breath test, or stool acidity test, which help to determine how the body processes lactose.

Can lactose intolerance be treated?

There is no cure for lactose intolerance, but managing the condition typically involves dietary changes to limit lactose intake. Lactase supplements can also be taken to help digest lactose.

What foods should be avoided with lactose intolerance?

Avoiding milk, cheese, yogurt, and other dairy products is usually recommended. Some processed foods, like bread, cereal, and salad dressings, may also contain lactose.

Is lactose intolerance the same as a milk allergy?

No, lactose intolerance is different from a milk allergy. Lactose intolerance is a digestive problem, while a milk allergy involves the immune system reacting to proteins in milk.

Can lactose intolerance develop later in life?

Yes, lactose intolerance can develop at any age. In fact, it’s common for lactose intolerance to appear in adulthood, especially in people of non-Northern European descent.

Common symptoms of lactose intolerance include bloating, diarrhea, nausea, abdominal cramps, and gas. These symptoms usually occur within a few hours after consuming lactose-containing foods or drinks.

Lactose intolerance can be classified into three types: primary, secondary, and congenital. Primary lactose intolerance is the most common type and occurs when lactase production decreases naturally with age. Secondary lactose intolerance is caused by an underlying condition or injury to the small intestine, which affects lactase production. Congenital lactose intolerance is a rare genetic disorder that is present from birth and is caused by a complete absence of lactase.

Treatment for lactose intolerance involves managing the symptoms by avoiding or limiting the consumption of lactose-containing foods and beverages. Many lactose-free alternatives, such as lactose-free milk and dairy-free products, are available in the market to help people with lactose intolerance maintain a balanced diet without compromising their nutrition.

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If you suspect that you have lactose intolerance, it is advisable to consult with a healthcare professional, who can diagnose the condition through various tests and provide appropriate guidance and dietary recommendations.

Lactose Intolerance

Lactose intolerance is a condition characterized by the inability to fully digest lactose, a sugar found in milk and dairy products. Common symptoms include:

  • Abdominal pain
  • Bloating
  • Diarrhea
  • Nausea and vomiting
  • Gas
  • Stomach cramps
  • Indigestion
  • Constipation

If you suspect you have lactose intolerance, it is important to consult a healthcare professional for diagnosis and management.

Disease Causes
Lactose Intolerance
  • Inadequate production of lactase enzyme
  • Genetic factors
  • Primary lactase deficiency
  • Secondary lactase deficiency
  • Injury or disease to the small intestine

Diagnosis

To diagnose lactose intolerance, healthcare professionals may use the following methods:

  1. Lactose tolerance test: This test involves consuming a lactose-rich drink and measuring blood glucose levels afterward. If your glucose levels do not rise, it indicates lactose intolerance.
  2. Hydrogen breath test: This test measures the amount of hydrogen in your breath after consuming a lactose-containing beverage. High levels of hydrogen indicate improper digestion of lactose.
  3. Stool acidity test: In infants and young children, a stool acidity test may be conducted. Undigested lactose produces lactic acid and other fatty acids in the stool, which can be detected.

Treatment

While there is no cure for lactose intolerance, the primary treatment involves managing your diet. This may include:

  • Avoiding or limiting lactose-containing products
  • Using lactose-free or lactase supplements before consuming dairy
  • Gradually introducing small amounts of dairy to assess tolerance
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