Treatment FAQ

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

by Jamie D'Amore III Published 2 years ago Updated 2 years ago
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Lactose intolerance is very common, affecting up to 70% of people worldwide. The most common symptoms include stomach pain, bloating, diarrhea, constipation, gas, nausea and vomiting. There have been reports of other symptoms, such as headaches, fatigue and eczema, but these are rarer and not well established.

Symptoms

  • Lactose - free milk
  • Milk alternatives (soy, almond, oat)
  • Sherbet ice cream
  • Non-dairy creamers
  • Margarine

Causes

What foods and drinks contain lactose?

  • bread and other baked goods, such as pancakes, biscuits, cookies, and cakes
  • processed foods, including breakfast cereals, instant potatoes, soups, margarine, salad dressings, and flavored chips and other snack foods
  • processed meats, such as bacon, sausage, hot dogs, and lunch meats

More items...

Complications

People who have low activity in lactase enzyme, which breaks down lactose, can experience sudden lactose intolerance. That is, you could become less tolerant in the event that your body experiences large intestinal changes, explains Dennis Savaiano, PhD, a nutrition professor at Purdue University, West Lafayette, Indiana.

What foods are low in lactose?

  • Dry cereal with milk
  • Frozen potato foods with milk or lactose
  • Instant mashed potato mixes
  • Prepared breads, muffins, biscuits, or rolls made with milk
  • Pancakes or waffles made with milk products

What not to eat when lactose intolerant?

Can you suddenly develop lactose intolerance?

What foods should I avoid with lactose intolerance?

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What are the symptoms and causes for lactose intolerance?

Symptoms & Causes of Lactose Intolerancebloating.diarrhea.gas.nausea.pain in your abdomen.stomach “growling” or rumbling sounds.vomiting.

What causes lactose intolerance and how is it treated?

Too little of an enzyme produced in your small intestine (lactase) is usually responsible for lactose intolerance. You can have low levels of lactase and still be able to digest milk products. But if your levels are too low you become lactose intolerant, leading to symptoms after you eat or drink dairy.

What are the treatment options for lactose intolerance?

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.

What causes lactose intolerance later in life?

But as you get older, your lactase levels can start to decline, which means there's nothing stopping the lactose you consume from going to your colon undigested, where bacteria break the sugars down and create excess gas and fluid in the process. It's common to develop a lactase deficiency in adulthood.

Can lactose intolerance be cured?

There's no cure for lactose intolerance, but most people are able to control their symptoms by making changes to their diet. Some cases of lactose intolerance, such as those caused by gastroenteritis, are only temporary and will improve within a few days or weeks.

What are the 4 types of lactose intolerance?

Types of lactose intolerancePrimary lactose intolerance (normal result of aging) This is the most common type of lactose intolerance. ... Secondary lactose intolerance (due to illness or injury) ... Congenital or developmental lactose intolerance (being born with the condition) ... Developmental lactose intolerance.

What lactose means?

What Is Lactose? Lactose is the sugar that's in milk. Our bodies use an enzyme called lactase to break down that sugar so we can absorb it into our bodies. But people with lactose intolerance don't have enough lactase. It's produced in the small intestine.

What are the symptoms of lactose intolerance in babies?

Diarrhoea can be a symptom of lactose intolerance in babies.pain and swelling in the tummy.failure to settle at feeding times, coming on and off the breast.failure to gain weight.diarrhoea.bulky, frothy and watery faeces.red bottom with skin worn away in places.passing wind and crying when passing faeces.irritability.

What is Lactose Intolerance?

Lactose intolerance is a common cause of abdominal cramping, bloating and loose stools. 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.

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 is the job of 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. In normal digestion, lactose is digested in the small intestine without the release of gas bubbles.

Can lactose intolerance cause a normal test result?

A significant number of people who have symptoms that suggest lactose intolerance will have normal results on diagnostic tests. Similar symptoms (but normal results on the tests) can be caused by fructose, sorbitol or other sugars that are not easily digested in the small intestine.

Can lactose intolerance be diagnosed?

You will be diagnosed with lactose intolerance if your blood sugar levels do not change during this test, because this shows that the lactose was not digested in the normal way.

What Is Lactose Intolerance?

Lactose intolerance is a digestive disorder caused by the inability to digest lactose, the main carbohydrate in dairy products.

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. ).

Why does diarrhea occur in the small intestine?

Diarrhea occurs due to undigested lactose in your small intestine, which causes water to move into your digestive tract.

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 much lactose can you tolerate?

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

What does it mean to avoid lactose?

Avoiding Lactose Means Avoiding Dairy, Which Is High in Nutrients. Dairy is the term used to describe milk or products made from milk. Dairy products are highly nutritious and important sources of protein, calcium and vitamins like A, B12 and D ( 10. Trusted Source. ).

How to reduce lactose intolerance?

Ways to change your diet to minimize symptoms of lactose intolerance include: Choosing smaller servings of dairy. Sip small servings of milk — up to 4 ounces (118 milliliters) at a time. The smaller the serving, the less likely it is to cause gastrointestinal problems. Saving milk for mealtimes.

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.

What does it mean when you breathe out too much hydrogen?

Breathing out too much hydrogen indicates that you aren't fully digesting and absorbing lactose. Lactose tolerance test. Two hours after drinking a liquid that contains high levels of lactose, you'll undergo blood tests to measure the amount of glucose in your bloodstream.

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 lactose intolerance without symptoms?

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. Ways to change your diet to minimize symptoms ...

Can a doctor diagnose lactose intolerance?

Your doctor might suspect lactose intolerance based on your symptoms and your response to reducing the amount of dairy foods in your diet. Your doctor can confirm the diagnosis by conducting one or more of the following tests:

What is lactose intolerance?

Overview. Lactose intolerance is the inability to break down a type of natural sugar called lactose. Lactose is commonly found in dairy products, such as milk and yogurt. You become lactose intolerant when your small intestine stops making enough of the enzyme lactase to digest and break down the lactose.

How many people are lactose intolerant?

Lactose intolerance is very common in adults, particularly those with Asian, African, and Hispanic ancestry. According to the Cleveland Clinic, more than 30 million American people are lactose intolerant. The condition isn’t serious but may be unpleasant.

How much milk can you drink with lactose intolerance?

Many people who are lactose intolerant can still have up to 1/2 cup of milk without experiencing any symptoms. Lactose-free milk products can also be found at most supermarkets.

How long does it take for lactose intolerance to show?

The symptoms of lactose intolerance typically occur between 30 minutes and two hours after eating or drinking a milk or dairy product. Symptoms may include: The symptoms can range from mild to severe. The severity depends on how much lactose was consumed and how much lactase the person has actually made.

What to do if you have diarrhea after drinking milk?

If you’re experiencing cramps, bloating, and diarrhea after drinking milk or eating and drinking milk products, your doctor may want to test you for lactose intolerance. Confirmatory tests measure lactase activity in the body.

How long does it take for a person to get bloated after eating milk?

Lactose intolerance usually causes gastrointestinal symptoms, such as gas, bloating, and diarrhea, about 30 minutes to two hours after ingesting milk or other dairy products containing lactose. People who are lactose intolerant may need to avoid eating these products or take medications containing the lactase enzyme before doing so.

What is the condition that causes bloating, gas, and diarrhea?

The bacteria that are normally present in your large intestine interact with the undigested lactose and cause symptoms such as bloating, gas, and diarrhea. The condition may also be called lactase deficiency. Lactose intolerance is very common in adults, particularly those with Asian, African, and Hispanic ancestry.

What are the symptoms of lactose intolerance?

If you have lactose intolerance, you may have symptoms within a few hours after you have milk or milk products, or other foods that contain lactose. Your symptoms may include

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.

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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...
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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…
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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…
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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…
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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.
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