Treatment FAQ

lactose intolerance: what are the causes, symptoms, and treatment options?

by Americo Schultz Published 2 years ago Updated 2 years ago
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Small intestine
People with lactose intolerance are unable to fully digest the sugar (lactose) in milk. As a result, they have diarrhea, gas and bloating after eating or drinking dairy products. The condition, which is also called lactose malabsorption, is usually harmless, but its symptoms can be uncomfortable.
Mar 5, 2022

Symptoms

  • Asians and black people have this intolerance more than other races, (it is known fact)
  • Now that internet and people are becoming more knowledgeable, there is more awareness,
  • I do not believe it is more people are becoming intolerant it is just that they are finding it now.

More items...

Causes

Foods to Avoid with Lactose Intolerance | Healthfully. tip healthfully.com. Avoid or monitor for tolerance any product containing milk, milk solids, milk powder, malted milk, cream, butter, whey, curds or margarine. Milk and dairy products are high sources of lactose; avoid them or eat them in limited amounts.

Complications

Why am I lactose intolerant all of a sudden? ANSWER: Lactose intolerance isn't a true allergy, and it can develop at any age. In some people, lactose intolerance may be triggered by another medical condition, such as Crohn's disease. In people with lactose intolerance, a certain enzyme, called lactase, is missing from the body.

Why are more people becoming lactose intolerant?

Types of lactase deficiency

  • Primary lactase deficiency. Primary lactase deficiency is the most common cause of lactose intolerance worldwide. ...
  • Secondary lactase deficiency. Secondary lactase deficiency is a shortage of lactase caused by a problem in your small intestine. ...
  • Congenital lactase deficiency. ...
  • Developmental lactase deficiency. ...

What foods cause lactose intolerance?

Why am I suddenly lactose intolerant?

Which conditions and diseases cause lactose intolerance?

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How to treat lactose intolerance?

There are two main ways to treat lactose intolerance: 1 Reduce the amount of lactose you eat, by limiting milk and dairy products 2 Taking commercially available enzyme substitutes

Why is lactose so difficult to digest?

Difficulty digesting lactose also can be caused by several gastrointestinal disorders. Viral or bacterial gastroenteritis and other diseases, such as celiac sprue, can destroy the lactase-producing cells that line the small bowel.

How long does it take for lactose intolerance to heal?

This may take several weeks to months.

How long does it take for bloating to start after eating?

Bloating. Flatulence that begins about 30 minutes to 2 hours after eating or drinking foods or drinks containing lactose. The severity of symptoms varies, depending on the amount of lactose an individual can tolerate, the amount of lactose ingested, and the size and fat content of the meal. People who also have irritable bowel syndrome tend ...

What percentage of people in Asia have lactose intolerance?

As many as 90% of people from some areas of Eastern Asia, 80% of American Indians, 65% of Africans and African-Americans, and 50% of Hispanics have some degree of lactose intolerance. In contrast, most Caucasians (80%) have a gene that preserves the ability to produce lactase into adulthood.

What enzyme breaks down lactose?

This condition occurs when the body does not have enough of the intestinal enzyme lactase. The job of lactase is to break down lactose, the main sugar in milk. Once lactose is broken down into simpler forms of sugar, these simple sugars can be absorbed into the bloodstream.

Where is lactose digested?

In normal digestion, lactose is digested in the small intestine without the release of gas bubbles. When lactose can't be digested well, it passes into the colon. Bacteria in the colon break down some of the lactose, producing hydrogen gas. The remaining lactose also draws water into the colon.

Why is lactose intolerance the most common?

Primary lactose intolerance is the most common. It is caused by a decrease in lactase production with age, so that lactose becomes poorly absorbed ( 5. Trusted Source. ). This form of lactose intolerance may be partially caused by genes, because it’s more common in some populations than others.

What is the cause of lactose intolerance?

Lactose intolerance is a digestive disorder caused by the inability to digest lactose, the main carbohydrate in dairy products. It can cause various symptoms, including bloating, diarrhea and abdominal cramps. People with lactose intolerance don’t make enough of the enzyme lactase, which is needed to digest lactose.

How does lactose intolerance affect the world?

Trusted Source. ). People with lactose intolerance experience digestive problems when they eat dairy, which can have a negative effect on quality of life.

What is the purpose of lactase enzyme?

The lactase enzyme is needed to break lactose down into glucose and galactose, which can then be absorbed into the bloodstream and used for energy. ).

How much lactose can you tolerate in tea?

It’s thought that people with lactose intolerance can tolerate up to 18 grams of lactose, spread throughout the day ( 23. Trusted Source. ).

Why does diarrhea occur?

Diarrhea occurs due to undigested lactose in your small intestine, which causes water to move into your digestive tract. Once it reaches your colon, the lactose is fermented by the bacteria in your gut, forming short-chain fatty acids and gas. This causes the bloating, flatulence and pain.

How much lactose can you eat in one sitting?

Trusted Source. ). In fact, research has shown that many people with lactose intolerance can tolerate up to 12 grams of lactose in one sitting, which is approximately the amount in 1 cup (230 ml) of milk ( 2. Trusted Source.

How to lower lactose in diet?

To lower the amount of lactose in your diet: Limit milk and other dairy products. Include small servings of dairy products in your regular meals. Eat and drink lactose-reduced ice cream and milk. Add a liquid or powder lactase enzyme to milk to break down the lactose.

How long does it take for a person to digest lactose?

In people with lactose intolerance caused by an underlying condition, treating the condition might restore the body's ability to digest lactose, although that process can take months. For other causes, you might avoid the discomfort of lactose intolerance by following a low-lactose diet. To lower the amount of lactose in your diet:

What are probiotics used for?

They are sometimes used for gastrointestinal conditions, such as diarrhea and irritable bowel syndrome. They might also help your body digest lactose.

Can you have milk without lactose intolerance?

Limit dairy products. Most people with lactose intolerance can enjoy some milk products without symptoms. You might tolerate low-fat milk products, such as skim milk, better than whole-milk products. It also might be possible to increase your tolerance to dairy products by gradually introducing them into your diet.

Does cheese have lactose?

Not all dairy products have the same amount of lactose. For example, hard cheeses, such as Swiss or cheddar, have small amounts of lactose and generally cause no symptoms. Ice cream and milk contain the most lactose, but the high fat content in ice cream might allow you to eat it without symptoms.

Does milk cause gastrointestinal problems?

The smaller the serving, the less likely it is to cause gastrointestinal problems. Saving milk for mealtimes. Drink milk with other foods. This slows the digestive process and may lessen symptoms of lactose intolerance. Experimenting with an assortment of dairy products. Not all dairy products have the same amount of lactose.

Can lactase enzyme be added to milk?

Using lactase enzyme tablets or drops. Over-the-counter tablets or drops containing the lactase enzyme (Lactaid, others) might help you digest dairy products. You can take tablets just before a meal or snack. Or the drops can be added to a carton of milk. These products don't help everyone who has lactose intolerance.

How to know if you have lactose intolerance?

What are the symptoms of lactose intolerance? 1 bloating 2 diarrhea 3 gas 4 nausea 5 pain in your abdomen 6 stomach “growling” or rumbling sounds 7 vomiting

What happens if you eat lactose?

If you have lactose malabsorption, your small intestine makes low levels of lactase—the enzyme that breaks down lactose—and can’t digest all the lactose you eat or drink. The undigested lactose passes into your colon. Bacteria in your colon break down the lactose and create fluid and gas. In some people, this extra fluid ...

What causes low lactase levels?

Lactase nonpersistence, also called primary lactase deficiency, is the most common cause of low lactase levels. Congenital lactase deficiency. In this rare condition, the small intestine makes little or no lactase, starting at birth. Not all causes of lactose intolerance are genetic.

Why is lactose in my colon low?

Bacteria in your colon break down the lactose and create fluid and gas. In some people, this extra fluid and gas causes lactose intolerance symptoms. In some cases, your genes are the reason for lactose intolerance. Genes play a role in the following conditions, and these conditions can lead to low levels of lactase in your small intestine ...

When does milk allergy appear?

A milk allergy most often appears in the first year of life, while lactose intolerance typically appears later. 3,4 Lactose intolerance can cause uncomfortable symptoms, while a serious allergic reaction to milk can be life threatening.

Can lactose intolerance be genetic?

Not all causes of lactose intolerance are genetic. The following can also lead to lactose intolerance: Injury to the small intestine. Infections, diseases, or other conditions that injure your small intestine, like Crohn’s disease or celiac disease, may cause it to make less lactase. Treatments—such as medicines, surgery, or radiation therapy.

Does lactose nonpersistence occur in the teen years?

Lactase levels get lower with age. Symptoms of lactose intolerance may not begin until later childhood, the teen years, or early adulthood. Lactase nonpersistence, also called primary lactase deficiency, is the most common cause of low lactase levels.

How to manage lactose intolerance?

How can I manage my lactose intolerance symptoms? In most cases, you can manage the symptoms of lactose intolerance by changing your diet to limit or avoid foods and drinks that contain lactose, such as milk and milk products. Some people may only need to limit the amount of lactose they eat or drink, while others may need to avoid lactose ...

What is lactase in milk?

Lactase products. Lactase products are tablets or drops that contain lactase, the enzyme that breaks down lactose. You can take lactase tablets before you eat or drink milk products. You can also add lactase drops to milk before you drink it. The lactase breaks down the lactose in foods and drinks, lowering your chances ...

Can lactose intolerance be treated?

If your lactose intolerance is caused by an injury to your small intestine, your doctor may be able to treat the cause of the injury. You may be able to tolerate lactose after treatment. While some premature babies are lactose intolerant, the condition usually improves without treatment as the baby gets older.

Can lactase be used for lactose intolerance?

The lactase breaks down the lactose in foods and drinks, lowering your chances of having lactose intolerance symptoms. Check with your doctor before using lactase products. Some people, such as young children and pregnant and breastfeeding women, may not be able to use them.

What is lactose intolerance?

Lactose intolerance is the inability to digest the main sugar found in milk and other dairy products. This is caused by a deficiency of lactase, the enzyme responsible for metabolizing lactose in the small intestines, according to the National Institutes of Health (NIH).

Where is lactose intolerance most prevalent?

The lowest prevalence is in northwestern Europe, around the North Sea, and the highest prevalence is in Asians and American Indians.

How long does it take for lactose intolerance to show up?

The symptoms usually appear 30 minutes to two hours after ingesting a milk product .

Can lactose intolerance overlap with other gastrointestinal problems?

However, the symptoms of lactose intolerance can overlap with other gastrointestinal problems, such as irritable bowel syndrome and Crohn’s disease. A hydrogen breath test is an objective, non-invasive, inexpensive and easy-to-perform test that can be used to confirm an initial diagnosis of lactose intolerance.

Can low lactase cause lactose intolerant?

Although reduced levels of lactase could result in improper absorption of lactose, only people with low lactase levels who exhibit the common symptoms would be properly considered lactose intolerant. According to the Mayo Clinic, most people with lactase deficiencies do not display any signs or symptoms.

Can lactose intolerance be acquired?

People can acquire lactose intolerance at any point in their life , and some people develop it over time, said Dr. Sophie Balzora, a gastroenterologist at NYU Langone Medical Center in New York City. Lactose intolerance is different from having a milk allergy, since the latter is a reaction to the proteins in milk rather than lactose.

Can lactase enzymes cause a person to not produce lactase?

Symptoms and causes. People can be genetically predisposed not to produce the lactase enzyme, or the condition can result from illness or injury to the small intestine, including surgery or infections, according to the NIH. (Image credit: Zsuzsanna Kilian Stock Xchng)

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What Is Lactose Intolerance?

Symptoms

Medically reviewed by
Dr. Rakshith Bharadwaj
Symptoms
If you are experiencing new, severe, or persistent symptoms, contact a health care provider.

Symptoms includes:

  • Diarrhea
  • Flatulence (passing gas)
  • Abdominal pain
  • Indigestion
  • Abdominal bloating
  • Abdominal distension
  • Nausea

Causes

  • Lactase deficiency could result from:
  • Congenital absence of lactase from birth
  • Presence of a genetic mutation in the gene (mutation) that produces lactase
  • Secondary cause of lactose intolerance
  • Due to impaired absorption from a disease that damages the lining of intestine, e.g. celiac disease
  • Genetic lactose intolerance
  • This is a genetically programmed type resulting in reduced production of lactase
  • It begins in childhood and persists into adulthood, called as hypolactasia
  • It is more common among Asian populations

Complications

If untreated for a prolonged period it may lead to

  • Osteopenia: A condition characterized by very low bone density. If osteopenia is not treated, it can develop into osteoporosis.
  • Osteoporosis: A condition that causes bones to become thin and weak.
  • Malnutrition: Occurs when there is a deficiency of certain vital nutrients in a person's diet.
  • Weight loss: Excessive weight loss can damage health, and it can also lead to conditions such as osteoporosis.

Diagnosis

Expected Duration

Treatment

  • The signs and symptoms of lactose intolerance usually begin from 30 minutes to two hours after eating or drinking foods that contain lactose. Common signs and symptoms include: 1. Diarrhea 2. Nausea, and sometimes, vomiting 3. Stomach cramps 4. Bloating 5. Gas
See more on mayoclinic.org

When to Call A Professional

Prognosis

Further Information

Diagnosis

  • Common symptoms of lactose intolerance include: 1. Watery, bulky, odd-smelling stools 2. Nausea 3. Abdominal pain 4. Cramps 5. Bloating Flatulence that begins about 30 minutes to 2 hours after eating or drinking foods or drinks containing lactose. The severity of symptoms varies, depending on the amount of lactose an individual can tolerate, the am...
See more on drugs.com

Treatment

  • It's possible you have lactose intolerance if your symptoms improve dramatically when you avoid lactose. A trial period of a lactose-free diet is usually all that is needed to make the diagnosis of lactose intolerance. In some cases, your doctor will want to do tests to confirm the diagnosis. One test to confirm the diagnosis is the lactose breath hydrogen test. The test is painless and noninv…
See more on drugs.com

Lifestyle and Home Remedies

  • People who develop lactose intolerance as a result of gastroenteritis or another insult to digestion can recover completely when the intestinal problem is treated. This may take several weeks to months. When lactose intolerance is genetic, the condition is permanent. However, people can avoid symptoms by avoiding foods that contain lactose (essentially, dairy products) or by eatin…
See more on drugs.com

Alternative Medicine

  • There are two main ways to treat lactose intolerance: 1. Reduce the amount of lactose you eat, by limiting milk and dairy products 2. Taking commercially available enzyme substitutes People with lactose intolerance need to read labels of all prepared foods to see if they contain lactose. The highest concentrations are found in milk. Cheeses and Greek yogurt typically have lower amount…
See more on drugs.com

Preparing For Your Appointment

  • Call your doctor to discuss the possibility that you might have lactose intolerance if you develop symptoms after eating dairy products. Although this condition is not dangerous, it can be distressing. There are effective treatments available, so there is no need to suffer.
See more on drugs.com

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