Lactose Intolerance

The inability to digest milk sugar (lactose) because of a lack of the digestive enzyme lactase normally produced in the cells lining the small intestine. Lactase breaks down milk sugar into simpler forms that can then be absorbed into the bloodstream. When there is not enough
lactase to digest the amount of lactose consumed, the results are gas, bloating, and abdominal pain.

Children who have trouble digesting lactose can learn which dairy products and other foods they can eat without discomfort and which ones they should avoid. Many will be able to enjoy milk, ice cream, and other such products if eaten in small amounts or eaten with other food. Lactase liquid or tablets may also help digest the lactose. Even growing children who must avoid milk and foods made with milk can meet most of their special dietary needs by eating greens, fish, and other calcium-rich foods that are free of lactose. A carefully chosen diet, with calcium supplements if the doctor or dietitian recommends them, is the key to reducing symptoms and protecting future health.

Common symptoms include nausea, cramps, bloating, gas, and diarrhea, which begin about 30 minutes to two hours after eating or drinking foods containing lactose. The severity of symptoms varies depending on the amount of lactose each child can tolerate.


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