Conditions

Lactose Intolerance

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What is Lactose Intolerance?

Lactose intolerance is the inability to fully digest lactose, the sugar found in milk and other dairy products. It occurs when the small intestine does not produce enough of the enzyme lactase, which is needed to break down lactose. As a result, undigested lactose passes into the colon, where it is fermented by bacteria—causing uncomfortable symptoms.

This condition is common and may be temporary or long-term. It can develop with age, after gastrointestinal infections, or as a secondary effect of conditions like celiac disease or Crohn’s disease. While it’s not dangerous, it can greatly affect quality of life if not managed appropriately.

hand saying no to milk
Why It Matters

Lactose intolerance affects millions of people worldwide and can interfere with daily life if undiagnosed or untreated. Although it is not a food allergy and does not involve the immune system, its symptoms can significantly limit dietary choices and lead to nutritional deficiencies if dairy intake is severely restricted.

Lactose Intolerance

Common Symptoms

  • Bloating
  • Diarrhea
  • Gas
  • Abdominal cramps
  • Nausea (especially after eating or drinking dairy)

Diagnosis

  • Symptom review and food diary
  • Hydrogen breath test (measures hydrogen from bacterial fermentation of lactose)
  • Stool Acidity Test
  • Rule out other causes of similar symptoms (e.g., IBS, celiac disease)
  • Response to lactose free diet

Treatment Options

  • Dietary adjustments: Limit or avoid lactose-containing foods
  • Lactose-free dairy alternatives: Such as almond milk, soy milk, or lactose-free cow’s milk
  • Lactase enzyme supplements: Taken before eating dairy to aid digestion
Cows