The skinny on lactose intolerance

Posted by Rebecca McMahon
February 19, 2013

Rebecca McMahon, N.P.Lactose intolerance, common in adults, means you are not able to fully digest the milk sugar (lactose) in dairy products. A deficiency of lactase, an enzyme produced by the lining of your small intestine, is responsible for lactose intolerance. Without enough of the enzyme, most of the lactose in your food moves unprocessed into the colon. During this process, bacteria ferment causing symptoms such as abdominal cramping, gas, bloating, diarrhea, nausea and sometimes vomiting. Symptoms usually begin 30 minutes to two hours after eating or drinking foods that contain lactose.

Lactose intolerance can be suspected based on symptoms, but should be evaluated with a thorough history and physical by your health care provider. Further testing may be ordered, if needed. After being evaluated, meeting with a dietitian may be beneficial for further dietary suggestions. Calcium and vitamin D supplementation may be necessary to ensure bone health if dairy is not able to be consumed. However, lactose intolerance is not damaging to the body.

There is no cure for lactose intolerance, but it may not be necessary to completely avoid dairy products. By reducing the amount of dairy products consumed, symptoms usually can be eliminated or made tolerable. There are many brands of lactose-free dairy products and lactose digestive aids available, helping to reduce symptoms. It also may be possible to increase tolerance to dairy products by gradually introducing them into your diet.

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Comments (3)

Despite having the symptoms of lactose intolerance sometimes, I have learned to control it. For milk I drink Great Value 2% lactose free milk and for other dairy I eat something big before it to dilute the lactose, or I do it in moderation. SO if you are moderately lactose intolerant, it is easy to control

Toby - 12/04/2013

Thank you for this article! I have only recently become aware I am lactose intolerant. It seemed to come on after an extreme bout of gastroenteritis. My first thought was "Oh no, I LOVE ice cream. What am I going to do?" Then, many friends and family members began pointing out all of the lactose-free products available today. One thing I will mention is that many people recommend soy products as a replacement for dairy. I don't know if this is in any way universal, but soy bothers me in a similar way to lactose, and I've heard others make the same comment. Food for thought ;) Maybe stick with almond, coconut or rice products to be safe.

Jeremy - 02/28/2013

It is useful to know the lactose content in foods. Not all dairy foods have the same level of lactose. For a comprehensive database of lactose content of foods use this database:

Helen - 02/25/2013

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