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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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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Can breastfeeding cause lactose intolerance?

Breast milk can also cause lactose intolerance, primarily because it also contains lactose, which plays an important role in the nutrition of infants, promoting the development of the brain's nervous system and providing energy for the growth and development of the baby. However, conditions such as rotavirus gastroenteritis or chronic diarrhea can trigger a dysbiosis of the gut flora, leading to insufficient secretion of lactase in babies. Once lactose intolerance occurs and is not alleviated in time, it can prolong the course of the baby's diarrhea, cause digestive and nutritional absorption disorders, often resulting in watery stools increasing in frequency, and the baby may also experience nausea, vomiting, abdominal bloating, and other uncomfortable symptoms. Therefore, in such cases, it is necessary to temporarily stop breastfeeding, administer lactase or switch to lactose-free formula milk for management, and resume normal diet once the symptoms are relieved.

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What are the effects of lactose intolerance in infants?

Lactose intolerance in children primarily causes an imbalance in the gut microbiome, leading to digestive system symptoms such as bloating, diarrhea, and abdominal pain. The main mechanism is the insufficient secretion of lactase in the baby's intestines, which fails to digest and absorb lactose in food, resulting in symptoms of lactose intolerance. In such cases, the intake of probiotics orally and reducing the intake of foods containing lactose can be helpful. If the baby is fed with formula or breast milk, taking lactase orally or switching to lactose-free formula milk for feeding can be considered. If the child has already started on solid foods, halt the intake of dairy products and simply continue feeding with solid foods, such as porridge, noodles, or rice flour. If a baby shows signs of lactose intolerance, it is crucial to monitor for symptoms of dehydration. If there are signs like poor skin turgor, low energy, or reduced urine output, it is essential to seek medical attention promptly from a specialist to manage and prevent the aggravation of dehydration symptoms.

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Can lactose intolerance cause eczema?

Lactose intolerance generally does not cause eczema in patients. Lactose intolerance can be divided into primary lactase deficiency, secondary lactase deficiency, and congenital lactase deficiency. Patients with lactose intolerance mainly experience symptoms such as abdominal pain, diarrhea, nausea, vomiting, increased bowel sounds, intestinal colic, and bloating. Some patients experience reduced intestinal motility, leading to constipation, and the severity of symptoms is related to the amount of dairy products consumed. Therefore, a small number of patients can tolerate a certain amount of dairy products without experiencing significant symptoms, and the specific tolerable amount varies from person to person.

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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.