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Lactose Intolerance
Monday, March 27, 2006

Lactose intolerance is a rather common condition in infants, young children, or adults. It is a genetic problem which has been there since you were born. The problem lies in the inability to digest lactose because of deficiency or absence of the enzyme lactase. This enzyme lactase is produced by the cells found in the small intestines. It is responsible for breaking down the major sugar found in milk which is called lactose into simpler forms which are glucose and galactose. Glucose and galactose once broken down are then absorbed into the bloodstream.

The undigested lactose later ferments and it is then responsible for the signs and symptoms felt by people with lactose intolerance. These symptoms include nausea, abdominal pain, bloating, and diarrhrea. They are usually felt after intake of lactose containing foods or drinks. The severity vary depending on the amount of lactose a person can tolerate, his digestion rate, age, and ethnicity.

Lactose is present in milk and in all foods that contain milk. These foods include ice cream, yogurt, butter, sherbet, cottage cheese, and in aged cheeses like cheddar and Swiss. Lactose can also be found in prepared foods like salad dressings, cereals, breads, cakes, cookies, biscuits, pancakes, etc. Since some people can tolerate small amounts of lactose, these foods can still be enjoyed by them in small amounts. Since calcium is also present in most foods containing lactose, the big concern is in those lactose intolerant individuals who need calcium in their diet. There are calcium-rich foods with no lactose content for this types of individuals. These foods include fish, tofu, broccoli, canned tuna, lettuce, salmon, and sardines. If there’s really a need to eat lactose containing foods, you can use a lactase tablet or lactase liquid available commercially to help in the digestion of lactose.

Lactose intolerance is not a big problem. Even lactose-free infant formulas are available for the babies to be able to enjoy their milk inspite of their digestive problems.

posted by Rodolfo T. Rafael,M.D. @ 4:55 PM  
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Name: Rodolfo T. Rafael,M.D.
Home: San Fabian, Pangasinan, Philippines
About Me: Family Physician, and Associate Professor (Medical Biochemistry, Medical Physiology and Medical Informatics)
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