What to eat when lactose intolerance causes nausea

Written by Wu Hai Wu
Gastroenterology
Updated on September 20, 2024
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Patients with lactose intolerance primarily show clinical symptoms related to the digestive tract such as bloating, increased bowel sounds, intestinal colic, diarrhea, nausea, vomiting, and more. Some patients experience reduced intestinal motility, leading to constipation, and the severity of symptoms is somewhat related to the amount of dairy products consumed. If a patient with lactose intolerance is experiencing nausea, they should eat light foods and avoid dairy products as much as possible. Patients with lactose intolerance should seek medical attention in a timely manner. When visiting a doctor, they should provide detailed medical history information to help the doctor determine the correlation between the clinical symptoms and lactose intolerance.

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Symptoms of infant milk powder lactose intolerance

The symptoms of infant milk formula lactose intolerance typically manifest in the following areas: Firstly, the most direct symptom is abnormal stool in infants, which looks poorly digested with more milk curds, and this is the most common direct symptom. Secondly, the baby may experience increased gastrointestinal gas, bloating, abdominal pain, leading to restless sleep and irritability. Furthermore, the baby may exhibit a decreased appetite and varying degrees of vomiting. Of course, most cases of infant lactose intolerance occur after an intestinal viral infection, so there may also be symptoms related to viral intestinal infections.

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Symptoms of infant lactose intolerance

Lactose intolerance in infants is mostly due to lactose intolerance secondary to post-viral infections, with a small portion being primary lactose intolerance caused by low activity or lack of lactase. This leads to undigested lactose after consuming animal milk, resulting in a series of clinical symptoms. Common symptoms include changes in stool; for lactose-intolerant children, there are relatively more curds in the stool, and the stool is somewhat loose and poorly digested. Additionally, children with lactose intolerance often have poor digestive function, increased gastrointestinal gas, and sometimes experience bloating and abdominal discomfort, which can also affect the baby's sleep.

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Written by Tong Peng
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Can infant lactose intolerance be self-healing?

Whether infant lactose intolerance can self-heal needs to be identified as either congenital or secondary. If it is congenital lactose intolerance, it means that the baby's own intestines cannot produce lactase, and thus the symptoms of lactose intolerance cannot be alleviated. However, secondary lactose intolerance, such as that caused by chronic diarrhea or infection which leads to a reduction in lactase, can be recoverable. The reduction in lactase production caused by chronic diarrhea does not mean that the intestines have lost their normal function to secrete lactase. Therefore, by using lactose-free formula or avoiding foods containing lactose, the normal intestinal flora can be repaired, achieving relief from the symptoms of lactose intolerance. Additionally, if there is a viral infection, particularly rotavirus infection-induced lactose intolerance, it can also be alleviated through dietary adjustments to promote the repair of the intestinal flora. Therefore, the treatment of lactose intolerance should vary from person to person, and it is important to identify early whether it is primary or secondary.

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What should I do if I vomit due to lactose intolerance?

Lactose intolerance can lead to vomiting, which can be managed based on the condition by symptomatic treatment. For example, Metoclopramide can be used orally or through muscle injection to alleviate vomiting. If necessary, chlorpromazine injections can also be used for treatment. The choice of specific medications and their administration must adhere to medical advice. In addition to addressing the symptoms, it is essential to treat the primary disease causing lactose intolerance. For instance, if it is caused by ulcerative colitis, then treatment should focus on this condition. In the case of primary lactose intolerance, a lifelong avoidance of lactose-containing foods is necessary. (Medication use should be under the guidance of a physician.)

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Is weakly positive lactose intolerance serious?

Lactose intolerance is weakly positive, not particularly severe, and can be improved by taking oral lactase. For mild cases of lactose intolerance, symptoms can be alleviated after taking lactase. However, it is important to monitor the condition when consuming milk powder or milk. If symptoms persistently recur, it may be prudent to switch to extensively hydrolyzed milk powder or other lactose-free milk powder.