Lactose malabsorption

Written by: Dr. Modesto José Varas Lorenzo
Published: | Updated: 19/02/2018
Edited by: Top Doctors®

Food intolerance to dairy products may be due to an allergy to the protein contained in cow's milk, especially in children, or to malabsorption or lactose intolerance .

The intestinal lactase is responsible for breaking down lactose into two sugars called glucose and galactose , for subsequent absorption. When there is a lactase deficit, there is a malabsorption with pain, distension, gas, diarrhea and perianal eczema.

Likewise, other viruses and pathological conditions can also produce secondary and transient lactose malabsorption. Some examples are: gastroenteritis , intestinal surgery, antibiotic therapy, celiac disease , other enteropathies.

Its prevalence can reach up to a third of the population.

Diagnostic test

There are different ways to detect this affectation. First, the Hydrogen Breath Test (TAH2). A solution is administered with lactose and at intervals thereafter it is blown through a hydrogen meter. It is a qualitative four-hour test. Second, the Food Intolerance Test (100/200 food) through a blood test with which you can know what foods are potentially harmful.

Finally, Lactest in urine or blood. It is performed after the administration of a drug containing gaxilose, the patient must drink up to a maximum of 500ml of water that will be collected after accumulating it for 5 hours. Finally, the urine is analyzed to determine the amount of accumulated xylose.

Children, diabetic patients, people who do not admit milk because they vomit it or sick people in whom TAH2 has failed, are the groups to which Lactest is directed against other diagnostic methods.

Food without lactose

Once the malabsorption is diagnosed, the appropriate treatment will be defined. This is the result of combining a diet based on the exclusion of lactose with the intake of Nutira in capsules, a nutritional supplement that contributes to the improvement of the digestion of people with enzymatic deficit of lactase. Each capsule can digest lactose from a glass of milk.

*Translated with Google translator. We apologize for any imperfection
Dr. Modesto José Varas Lorenzo

By Dr. Modesto José Varas Lorenzo
Gastroenterology

It is a specialty eminence, after more than 30 years of experience is now Head of the Ultrasound Unit Teknon Medical Center, which combines work with consultation in the Hospital Vall d'Hebron as a specialist in the digestive tract. His knowledge has led him to perform more than 100 publications nationally and internationally, he is the author of 7 books on the specialty.

*Translated with Google translator. We apologize for any imperfection


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