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Lactose intolerance
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Lactose is
the predominant sugar found in dairy products (e.g., milk, cheese, and ice cream). Lactase, an enzyme normally found in the intestine, breaks down lactose and its by products for use in the body. When there is a deficiency of lactase, the lactose remains in the intestine, and is excreted in bowel movements. This results in Diarrhea, flatulence (gas), abdominal Bloating, and abdominal discomfort. Lactase Deficiency occurs in a high percentage of adults of Asian, Ashkenazi Jewish, African-American, Native American, and Mediterranean descent.
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- Diagnosis is made if eliminating all dairy products for seven days resolves all symptoms.
- Symptoms of Diarrhea, gas, abdominal pain, and Bloating can be
associated with the consumption of dairy products
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- Elimination of most oral lactose-containing foods, i.e., dairy products (milk, yogurt, cheese, ice cream). Studies have shown that even patients with severe Lactase Deficiency can generally tolerate small amounts of milk product (up to 1/2 cup of milk or the equivalent per day -- i.e., enough for milk in coffee or cereal). Calcium supplements will need to be taken.
- Lactase supplementation to the diet is feasible and effective for a majority of patients with this condition. Lactase is marketed in the form of pills (Lactaid) sold over-the-counter. The pills are taken before consuming dairy. In addition, milk with Lactaid already added is available in most grocery stores. This is the option most people elect because total abstinence from dairy products is difficult and frustrating to many.
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