What are the symptoms of lactose intolerance?

Written by Si Li Li
Gastroenterology
Updated on November 01, 2024
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Lactose intolerance refers to the symptoms of diarrhea caused by the difficulty in digesting lactose in human milk or cow's milk due to a deficiency of lactase in the body, also known as lactase deficiency syndrome. It is primarily seen in infants and young children who consume milk as their main food, with the highest incidence in China among children aged seven to eight years old. In cases of lactase deficiency, it is advisable to avoid using cow's milk or human milk. Instead, soy milk or sour milk can be used as substitutes, as they do not contain lactose, thus avoiding the phenomena of lactose intolerance.

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Written by Huang Gang
Gastroenterology
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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.

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Written by Wu Hai Wu
Gastroenterology
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What kind of milk should adults with lactose intolerance drink?

If an adult is lactose intolerant and allergic to drinking milk, they must drink milk that has undergone some special treatment. If it is not specially treated, drinking it can easily cause diarrhea. Diarrhea from drinking milk may also be due to an allergy to a component of the milk. If that is the case, it is necessary to improve allergen detection and try to avoid drinking milk. If diarrhea is caused by poor digestion in the gastrointestinal tract, some medications that regulate intestinal flora can be used for supportive treatment.

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Written by Wu Hai Wu
Gastroenterology
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How many times a day does lactose intolerance cause diarrhea?

Patients with lactose intolerance can have multiple bowel movements per day after consuming milk; a mild case can result in 3-4 bowel movements, while severe cases might lead to dozens, potentially causing dehydration and electrolyte imbalance. For lactose-intolerant patients who need to consume milk, it must be specially treated beforehand. Additionally, if diarrhea is caused by poor digestion in the gastrointestinal tract, certain medications that adjust the gut microbiota can be used to aid digestion, such as Bifidobacterium triple viable bacteria and Bacillus cereus, etc. If the diarrhea is caused by allergies, allergen testing should be conducted. (Please use medication under the guidance of a doctor.)

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Written by Yan Xin Liang
Pediatrics
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What should I do if the baby is lactose intolerant?

If the baby is lactose intolerant and does not have frequent bowel movements and it does not affect their growth and development, then no special treatment is needed. If there is frequent diarrhea and slow weight gain, then an adjustment in diet is necessary. If there is significant acute diarrhea accompanied by dehydration, we should initially rehydrate the infant either intravenously or orally to correct the dehydration. At the same time, you can start with some lactose-free formula and, after the diarrhea stops, gradually increase the amount of breast milk or other formulas based on the child's condition. Regardless of whatever food substitute is used, the overall principle is to not decrease the nutritional needs of the child. As solid foods are introduced and breast milk or cow's milk is decreased, diarrhea will gradually cease. If diarrhea does not subside, oral lactase enzyme preparations can also be provided to supplement lactase enzyme therapy.

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Written by Wu Hai Wu
Gastroenterology
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What should I do if lactose intolerance makes me feel like vomiting?

People with lactose intolerance often feel nauseous and should avoid drinking milk. If they must drink milk, it needs to undergo special treatment first. Consuming untreated milk can lead to diarrhea in lactose-intolerant individuals, and severe cases may result in dehydration and electrolyte imbalance. Additionally, those with lactose intolerance should also check for any milk allergies or diarrhea caused by indigestion. It is essential to conduct allergen tests and, if necessary, take oral medication to regulate the digestive system.