Understanding Lactose Intolerance

A Comprehensive Guide to Causes, Symptoms, and Management

Gastroenterology

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Last updated: Mar 24, 2025

What is Lactose Intolerance?

Lactose intolerance is a digestive condition where the body cannot properly break down lactose, a sugar found in milk and dairy products. This occurs due to insufficient production of the enzyme lactase in the small intestine.

Common Symptoms

  • Bloating
  • Gas
  • Abdominal cramps
  • Diarrhea
  • Nausea

Symptoms typically appear 30 minutes to 2 hours after consuming dairy products.

Types of Lactose Intolerance

Primary Lactose Intolerance

  • Most common type
  • Develops naturally with age
  • Results from decreased lactase production over time

Secondary Lactose Intolerance

  • Occurs due to illness or injury
  • Can be temporary
  • Often follows intestinal infections or diseases

Diagnosis

Your healthcare provider may recommend:

  • Hydrogen breath test
  • Blood glucose test
  • Elimination diet
  • Stool acidity test

Management Strategies

Dietary Modifications

  • Reduce dairy intake
  • Use lactose-free alternatives
  • Try small portions with meals
  • Consider enzyme supplements

Hidden Sources of Lactose

Be aware of lactose in:

  • Processed foods
  • Baked goods
  • Some medications
  • Protein powders

Nutritional Considerations

Calcium Sources

  • Leafy green vegetables
  • Fortified non-dairy beverages
  • Canned fish with bones
  • Calcium supplements (if recommended)

When to Seek Medical Help

  • Severe symptoms
  • Significant weight loss
  • Ongoing digestive issues
  • Concerns about nutritional deficiencies

Prevention Tips

  1. Read food labels carefully
  2. Plan meals ahead
  3. Keep a food diary
  4. Consider probiotics

Always consult your healthcare provider before making significant dietary changes.

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