Materiały źródłowe

• #1 Lactose Intolerance – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532285/

  Lactose intolerance is a clinical syndrome that manifests with characteristic signs and symptoms upon consuming food substances containing lactose, a disaccharide. […] This activity describes the pathophysiology of lactose intolerance and highlights the role of the interprofessional team in its management. […] Outline the importance of improving care coordination among interprofessional team members to improve outcomes for patients affected by lactose intolerance. […] Management of lactose intolerance consists of dietary modification, lactase supplementation, and treating an underlying condition in people with secondary lactase deficiency. […] Lactase-containing milk products and calcium supplements are recommended. Limiting the dietary intake of lactose by avoiding the intake of lactose-containing products improves the symptoms of the disease.

• #2 Lactose intolerance Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/lactose-intolerance

  Lactose intolerance develops when the small intestine does not make enough of this enzyme. […] Symptoms often occur 30 minutes to 2 hours after having milk products. Symptoms may be worse when you consume large amounts. […] Cutting down your intake of milk products that contain lactose from your diet most often eases symptoms. […] Symptoms most often go away when you remove milk, other dairy products, and other sources of lactose from your diet. Without dietary changes, infants or children may have growth problems. […] There is no known way to prevent lactose intolerance. You can prevent symptoms by avoiding foods with lactose.

• #3 Lactose intolerance – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lactose-intolerance/diagnosis-treatment/drc-20374238

  Your doctor might suspect lactose intolerance based on your symptoms and your response to reducing the amount of dairy foods in your diet. Your doctor can confirm the diagnosis by conducting one or more of the following tests: […] In people with lactose intolerance caused by an underlying condition, treating the condition might restore the body’s ability to digest lactose, although that process can take months. For other causes, you might avoid the discomfort of lactose intolerance by following a low-lactose diet. […] With some trial and error, you might be able to predict your body’s response to foods containing lactose and figure out how much you can eat or drink without discomfort. […] Most people with lactose intolerance can enjoy some milk products without symptoms. You might tolerate low-fat milk products, such as skim milk, better than whole-milk products. It also might be possible to increase your tolerance to dairy products by gradually introducing them into your diet.

• #4 Lactose Intolerance: Millions of Americans Don’t Know They Have It

  https://intermountainhealthcare.org/blogs/lactose-intolerance/?utm_source=fb&utm_medium=social&utm_content=CO&utm_campaign=blogs

  Lactose Intolerance: Millions of Americans Don’t Know They Have It […] Lactose Intolerance: Millions of Americans Don’t Know They Have It […] The human body needs to digest foods to extract vitamins and minerals. Milk sugar, aka lactose, needs to be broken down to be digested. Milk proteins, aka casein or whey proteins, need to be broken down to be digested, too. However, not everybody digests milk or protein comfortable or at all. […] Testing for lactose intolerance can be done a few different ways; most are performed in a physicians office or laboratory. Theres a breath test where you drink a solution of water and lactose, then wait to have your breath tested for high levels of hydrogen. It takes a couple of hours. Another option is to have a few different blood draws to see if your blood glucose levels are elevated, but this requires a few needle sticks so most people opt for the breath test. You can have your stool (aka poop) tested for acidity, have an intestinal biopsy, or have a chromatography test done on your poop. If all of these options seem complicated, well, its because they are. The easiest way to see if youre lactose intolerant is to run your own test.

• #5 Lactose Intolerance: What Parents Need to Know

  https://www.pedcarecorner.com/nutrition/Lactose-Intolerance-and-Your-Child

  After drinking milk or eating ice cream, does your child have stomach cramps or get diarrhea? If so, your child may have lactose intolerance. […] Lactose intolerance can make your child quite uncomfortable, but small changes in your child’s diet may help treat the problem. […] If your toddler or older child wants milk and has these symptoms, use only lactose-reduced or lactose-free milk for 1 to 2 weeks. Yogurt and aged cheeses usually are digestible because the lactose is broken down when they’re made. […] One way to check if your child has trouble digesting lactose is to take all milk products out of your child’s diet for 2 weeks and see if symptoms improve. After 2 weeks, slowly reintroduce them in small amounts each day to see if symptoms return. […] If you think your child is lactose intolerant, talk with your pediatrician. Your child may need to be tested. The most common test for lactose intolerance is the lactose breath test.

• #6 Lactose intolerance – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lactose-intolerance/diagnosis-treatment/drc-20374238

  Over-the-counter tablets or drops containing the lactase enzyme (Lactaid, others) might help you digest dairy products. You can take tablets just before a meal or snack. Or the drops can be added to a carton of milk. These products don’t help everyone who has lactose intolerance. […] Probiotics are sometimes used for gastrointestinal conditions, such as diarrhea and irritable bowel syndrome. They might also help your body digest lactose. Probiotics are generally considered safe and might be worth a try if other methods don’t help. […] If you think you may have lactose intolerance, try cutting dairy products from your diet for a few days to see if your symptoms ease. Let your doctor know if your symptoms got better on the days you didn’t have dairy products.

• #7 Lactose Intolerance – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532285/

  In patients with secondary lactase deficiency, treatment should be directed at the underlying cause. […] Once a diagnosis of lactose intolerance is made, consultation should be made with a gastroenterologist and dietician. […] Lactose-intolerant patients and their families should be advised that ingestion of lactose-containing products generally only leads to reversible symptoms without causing permanent damage to the gastrointestinal tract (unlike celiac disease). […] However, secondary lactase deficiency could be prevented if underlying secondary causes are diagnosed early and promptly instituted appropriate treatment to preserve intestinal mucosal integrity. […] The diagnosis and management of lactose intolerance are with an interprofessional team that includes a nurse practitioner, primary care provider, pediatrician, gastroenterologist, and an allergist.

• #8 Lactose Intolerance Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/187249-treatment

  Dietary adjustment is the primary form of therapy for patients with lactose intolerance. Advise patients to reduce or restrict products containing lactose. Prehydrolyzed milk (LACTAID) is available and is effective. Yogurt and fermented products, such as cheeses, are better tolerated than regular milk. Soy-based milk or food products are well tolerated. […] Commercially available lactase enzyme preparations (eg, LACTAID, Lactrase) are effective in reducing symptoms; however, they may not be effective in some patients, partially due to insufficient dosing. […] Probiotics (DDS-1 strain of Lactobacillus) have been shown to improve symptoms. Supplemental calcium and vitamin D should also be recommended. […] In secondary lactase deficiency, treatment is directed at the underlying cause. […] Consider consulting with a gastroenterologist and a nutritionist in the management of patients with suspected lactose intolerance.

• #9

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2936

  Lactose intolerance is a problem that makes it hard to digest lactose. […] Follow-up care is a key part of your treatment and safety. […] Limit the amount of milk and milk products in your diet. […] Eat or drink milk and milk products along with other foods. […] Eat small amounts of milk products throughout the day instead of larger amounts all at once. […] Eat or drink milk and milk products that have reduced lactose. […] Use lactase products. These are dietary supplements that help you digest lactose. […] Some people who are lactose-intolerant can eat some kinds of yogurt without problems, especially yogurt with live cultures. […] Watch out for lactose in foods you buy. […] Be sure to get enough calcium in your diet, especially if you avoid milk products completely. […] If you are worried about getting enough nutrients, ask your doctor about taking supplements, such as calcium and vitamin D. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have new or worse belly pain. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better as expected.

• #10 Lactose Intolerance (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/lactose-intolerance.html

  Lactose intolerance is when someone has trouble digesting lactose, a type of sugar found in milk and other dairy foods. […] If people with lactose intolerance eat dairy products, the lactose from these foods pass into their intestines, which can lead to gas, cramps, a bloated feeling, and diarrhea. […] Many foods, drinks, and digestive aids are available to help manage lactose intolerance. […] People can manage lactose intolerance by not drinking as much milk and eating fewer dairy products. Most can eat a small amount of dairy. But they need to eat it with other foods that don’t contain lactose and not eat too much dairy at once. […] A lactase enzyme supplement can help too. Taking this before you eat foods that contain dairy helps your body digest the lactose sugar in dairy and prevent pain, cramping, bloating, gas, and diarrhea.

• #11 Lactose Intolerance: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lactose-intolerance-care-instructions.ut2936

  Lactose intolerance is a problem that makes it hard to digest lactose. […] Follow-up care is a key part of your treatment and safety. […] Limit the amount of milk and milk products in your diet. […] Eat or drink milk and milk products along with other foods. […] Eat small amounts of milk products throughout the day instead of larger amounts all at once. […] Eat or drink milk and milk products that have reduced lactose. […] Use lactase products. […] Some people who are lactose-intolerant can eat some kinds of yogurt without problems, especially yogurt with live cultures. […] Watch out for lactose in foods you buy. […] Be sure to get enough calcium in your diet, especially if you avoid milk products completely. […] If you are worried about getting enough nutrients, ask your doctor about taking supplements, such as calcium and vitamin D. […] Call your doctor now or seek immediate medical care if: You have new or worse belly pain. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.

• #12 Lactose-Restricted Diet: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lactose-restricted-diet-care-instructions.uh4518

  Limit the amount of milk and milk products in your diet. Spread small amounts of milk or milk products throughout the day, instead of larger amounts all at once. […] If you have bad symptoms when you eat or drink something with lactose, you may need to avoid it completely. […] You may be able to drink 1 glass of milk each day, although you may not be able to drink more than a cup at a time. All types of milk contain the same amount of lactose. […] If you are not sure whether a milk product causes symptoms, try a small amount and wait to see how you feel before you eat or drink more. […] Try yogurt and cheese. These have less lactose than milk and may not cause problems. […] Eat or drink milk and milk products that have reduced lactose. In most grocery stores, you can buy milk with reduced lactose, such as Lactaid milk.

• #13 Lactose Intolerance: Symptoms, Diagnostic Tests & Treatment

  https://my.clevelandclinic.org/health/diseases/7317-lactose-intolerance

  Lactose intolerance can cause digestive discomfort after you eat dairy products. […] Common symptoms of lactose intolerance include bloating, gas and diarrhea. […] Signs and symptoms of lactose intolerance may include: Bloated stomach. Intestinal gas. Nausea and vomiting. Stomach pain and cramping. Stomach gurgling or rumbling. Diarrhea. […] Two factors contribute to lactose intolerance: lactose malabsorption and gut sensitivity. Lactose malabsorption is the most important factor. […] If you want to be able to digest lactose, you need lactase in your gut. Most people with lactose intolerance can’t produce lactase naturally. Lactase supplements can give your body the lactase it needs to break down lactose. […] Experiment with your diet to find out what your personal lactose threshold is. Some people find they can tolerate certain dairy foods in certain amounts, or when combined with other foods.

• #14 Lactose intolerance | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/lactose-intolerance

  Lactose intolerance is the reduced ability to digest milk sugars, due to insufficient amounts of the gut enzyme called lactase. […] Symptoms include bloating, gas, abdominal pain and diarrhoea. […] It is important not to eliminate dairy foods completely from your diet if lactose intolerance is suspected, as dairy foods are rich sources of nutrients. […] Most people with lactose intolerance can handle small amounts of lactose, such as a glass of milk, which contains 8 to 10 grams of lactose. […] Hard and matured cheeses such as cheddar, Edam, Swiss, mozzarella, brie and fetta contain no lactose and are tolerated by people with lactose intolerance. […] Similarly, butter and cream contain very low levels of lactose and are well tolerated. […] Yoghurt is usually well tolerated because the lactose content decreases each day as the bacteria use lactose for energy.

• #15 Lactose intolerance | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/lactose-intolerance

  Fresh cheeses such as cottage cheese and ricotta have very low levels of lactose and are usually well tolerated in small amounts. […] Drink milk in moderate quantities. Most people with this condition can tolerate 240 ml of milk per day, but you need to work out your own tolerance level. […] Avoid low-fat or non-fat milks they travel quickly through the gut and tend to cause symptoms in lactose intolerant people. […] If your baby is showing signs of lactose intolerance, such as excessive bowel motions, wind in the bowel, and pain, have your baby checked by your GP for any medical problems such as infection. […] If all this is okay, speak to an Australian Breastfeeding Association counsellor, lactation consultant or child health nurse, to check if your baby has a lactose overload. […] Vomiting is not a symptom of lactose intolerance in babies.

• #16 Lactose Intolerance (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/lactose-intolerance.html

  Talking to a registered dietitian is a good idea. They’re trained in nutrition and can you come up with eating alternatives and develop a well-balanced diet that provides lots of calcium for developing strong bones. Some teens might need calcium and vitamin D supplements. […] Here are some tips for dealing with lactose intolerance: Choose lactose-reduced or lactose-free milk. […] Take a lactase enzyme supplement (such as Lactaid) just before you eat dairy products. […] Yogurts that contain active cultures are easier to digest and much less likely to cause lactose problems.

• #17 Lactose intolerance – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lactose-intolerance/diagnosis-treatment/drc-20374238

  Over-the-counter tablets or drops containing the lactase enzyme (Lactaid, others) might help you digest dairy products. You can take tablets just before a meal or snack. Or the drops can be added to a carton of milk. These products don’t help everyone who has lactose intolerance. […] Probiotics are sometimes used for gastrointestinal conditions, such as diarrhea and irritable bowel syndrome. They might also help your body digest lactose. Probiotics are generally considered safe and might be worth a try if other methods don’t help. […] If you think you may have lactose intolerance, try cutting dairy products from your diet for a few days to see if your symptoms ease. Let your doctor know if your symptoms got better on the days you didn’t have dairy products.

• #18 Lactose-Restricted Diet: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lactose-restricted-diet-care-instructions.uh4518

  Use lactase products. These are dietary supplements that help you digest lactose. Some are pills that you chew (such as Lactaid) before you eat or drink milk products. Others are liquids that you add to milk 24 hours before you drink it. Try a few products and brands to see which ones work best for you. […] If you are very sensitive to lactose, read labels carefully to spot the lactose products. […] Be sure to get enough calcium in your diet, especially if you avoid milk products completely. To get enough calcium, you would need to eat calcium-rich foods as often as someone would drink milk. Calcium is very important because it keeps bones strong and reduces the risk of osteoporosis. Ask your dietitian for advice on how to get enough calcium. […] If you are worried about getting enough nutrients, ask your doctor about taking supplements, such as calcium and vitamin D. […] Call your doctor now or seek immediate medical care if: You have new or worse belly pain. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.

• #19 Lactose Intolerance Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/187249-treatment

  Dietary adjustment is the primary form of therapy for patients with lactose intolerance. Advise patients to reduce or restrict products containing lactose. Prehydrolyzed milk (LACTAID) is available and is effective. Yogurt and fermented products, such as cheeses, are better tolerated than regular milk. Soy-based milk or food products are well tolerated. […] Commercially available lactase enzyme preparations (eg, LACTAID, Lactrase) are effective in reducing symptoms; however, they may not be effective in some patients, partially due to insufficient dosing. […] Probiotics (DDS-1 strain of Lactobacillus) have been shown to improve symptoms. Supplemental calcium and vitamin D should also be recommended. […] In secondary lactase deficiency, treatment is directed at the underlying cause. […] Consider consulting with a gastroenterologist and a nutritionist in the management of patients with suspected lactose intolerance.

• #20 How to Tell if Your Child is Lactose Intolerant – Children’s Health

  https://www.childrens.com/health-wellness/signs-of-lactose-intolerance-in-kids

  Lactose intolerance is when your intestine is lacking lactase, explains Charina Ramirez, M.D., a pediatric gastroenterologist at Children’s Health™ and Associate Professor at UT Southwestern. If you don’t have lactase, you can’t break lactose down properly. […] If your child is lactose intolerant, there are many solutions that allow your child to have a healthy, well-rounded diet. With the right foods and treatments, you can help stop your child’s symptoms. […] For true lactose intolerant babies, it is recommended that parents seek the help of a pediatric gastroenterologist to manage this condition. Because these infants are often „failure to thrive” and have diarrhea, they may need a special formula and should be closely monitored for adequate weight gain. […] Older children have multiple options, such as choosing dairy-free milk and dairy-free cheese products or using Lactaid tablets, which contain lactase enzymes. Lactaid tablets come in a chewable form for children ages 4 years and up. […] You can take Lactaid tablets with the first sip or bite of dairy, says Dr. Ramirez. It gives you the enzyme needed to break down the lactose for 45 minutes of eating or drinking. Taking a Lactaid tablet should help prevent symptoms such as bloating, stomach pain and diarrhea.

• #21 Lactose intolerance – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lactose-intolerance/diagnosis-treatment/drc-20374238

  Over-the-counter tablets or drops containing the lactase enzyme (Lactaid, others) might help you digest dairy products. You can take tablets just before a meal or snack. Or the drops can be added to a carton of milk. These products don’t help everyone who has lactose intolerance. […] Probiotics are sometimes used for gastrointestinal conditions, such as diarrhea and irritable bowel syndrome. They might also help your body digest lactose. Probiotics are generally considered safe and might be worth a try if other methods don’t help. […] If you think you may have lactose intolerance, try cutting dairy products from your diet for a few days to see if your symptoms ease. Let your doctor know if your symptoms got better on the days you didn’t have dairy products.

• #22 5 Lactose Intolerance Self-Care Tips

  https://health.clevelandclinic.org/your-practical-guide-to-lactose-intolerance

  Experiment with numerous dairy alternatives or try taking a lactase enzyme medication before you eat dairy. If you’ve ever had horrible cramps, increased gas and bouts of seemingly endless diarrhea whenever you’ve had dairy products, like cheese, milk or ice cream, it’s possible that you’re lactose intolerant. Gastroenterologist Christine Lee, MD, says living with lactose intolerance comes down to reducing the severity of your symptoms without feeling like you’re compromising on the foods you love. Simple lifestyle modifications can help, says Dr. Lee. For those who’ve had violent diarrhea or they were so sick and wiped out that they never want to experience dairy products again, there are so many milk alternatives out there and things you can do to reduce those violent experiences from ever happening. If your body isn’t capable of producing enough lactase proteins to break down large amounts of lactose, then you’ll want to limit lactose-heavy foods whenever possible. But that doesn’t always mean you have to give them up entirely. If you decide to keep eating these products, you’ll need to listen to your body and learn how much you can have before it begins to negatively affect you. If you really like milk or other dairy products and you don’t want to give them up, I would start with a very small amount, maybe 1 ounce, and see how that goes, advises Dr. Lee. If that goes well, then the next day, try having 2 ounces. And then, go up slowly from there and figure out where your threshold is. There are plenty of lactose-free, plant-based milk alternatives like soy milk, oat milk, almond milk, and coconut milk. These alternative milks come sweetened or unsweetened. You can drink them on their own or enjoy them in other products like vegan ice cream, puddings, brownies, pasta sauce and more. If you happen to be someone who doesn’t produce any lactase at all, you could give lactose-free milk a try but it may or may not work for you, cautions Dr. Lee. Even though it’s labeled lactose-free milk, you may still have some lactose in there because some disaccharides can fall through the cracks and don’t get filtered out. You’ll also want to switch out soft cheeses with hard cheeses, like Parmesan, and may even want to try other ice cream alternatives, like sorbet. Still not sold on any of the alternatives? That’s OK try taking a lactase enzyme product like Lactaid right before you eat anything with lactose in it. How much you need depends on what you’re eating, clarifies Dr. Lee. If you’re having a small container of yogurt, you may only need one or two lactase tablets. If you’re drinking an 8-ounce glass of milk and having a New York-style cheese pizza, you may need three or four tablets. Note: These over-the-counter supplements aren’t always 100% effective, especially if your reaction to lactose is severe. So, if you’re trying lactase medications for the first time, start taking them with small amounts of lactose-laden products. You also want to be wary of taking ultra-fast lactase products, as these sometimes double or triple the dose of lactase compared to the original versions of the same medication. If you have doubts about what’s safe to take and how to use these products, talk to your healthcare provider before trying them. Slip-ups are bound to happen. You may inevitably be faced with a bout of diarrhea from time to time if you forget to take a lactase enzyme product before eating or if you have one too many scoops of ice cream. When this happens, it’s important to manage your symptoms in an effort to bounce back quickly and efficiently. Adjusting your diet to include more fiber can help your poops return to normal, and over-the-counter medications like bismuth subsalicylate (Pepto-Bismol) can also help calm down the flood of diarrhea. People who are lactose intolerant sometimes run the risk of losing much-needed calcium when they avoid dairy products. As you make changes to reduce the severity of your symptoms, it may be worth boosting the amount of calcium you consume with calcium-fortified products like orange juice, soy milk and oat milk, Parmesan cheese, sardines, spinach, broccoli, and calcium supplements. Prebiotics and probiotics won’t help your body produce the lactase that’s needed to digest dairy products, but they can be helpful in keeping your gut healthy regardless of what it comes up against. After all, eating healthy is a key part of staying healthy.

• #23 Lactose Intolerance: Symptoms, Diagnosis, Treatment | HealthShots

  https://www.healthshots.com/preventive-care/self-care/lactose-intolerance/

  Probiotics with proven efficacy such as Bifidobacterium, Saccharomyces, and Lactobacillus, have been shown to reduce symptoms of lactose intolerance when used as a daily supplement. […] Lactose-free foods are the best for a lactose intolerant patient. […] People suffering from lactose intolerance must avoid or reduce their intake of milk, cheese, and ice cream because they have high levels of this sugar compound. […] A lactose-free diet is the best way forward.

• #24 Lactose Intolerance Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/187249-treatment

  Dietary adjustment is the primary form of therapy for patients with lactose intolerance. Advise patients to reduce or restrict products containing lactose. Prehydrolyzed milk (LACTAID) is available and is effective. Yogurt and fermented products, such as cheeses, are better tolerated than regular milk. Soy-based milk or food products are well tolerated. […] Commercially available lactase enzyme preparations (eg, LACTAID, Lactrase) are effective in reducing symptoms; however, they may not be effective in some patients, partially due to insufficient dosing. […] Probiotics (DDS-1 strain of Lactobacillus) have been shown to improve symptoms. Supplemental calcium and vitamin D should also be recommended. […] In secondary lactase deficiency, treatment is directed at the underlying cause. […] Consider consulting with a gastroenterologist and a nutritionist in the management of patients with suspected lactose intolerance.

• #25 Lactose intolerance: a nursing perspective. – Document – Gale Academic OneFile

  https://go.gale.com/ps/i.do?id=GALE%7CA195011767&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=10920811&p=AONE&sw=w

  Deficiency of intestinal lactase, the enzyme required for lactose digestion, can result in symptoms of gastrointestinal malabsorption, or lactose intolerance. […] The knowledge needed for accurate nursing assessment, diagnostic procedural care, teaching, and referral of affected patients is reviewed.

• #26 Lactose Intolerance

  https://healthinfo.universityhealthsystem.com/Wellness/Nutrition/Tools/85,P00388

  Lactose intolerance is when your body can’t break down or digest lactose. Lactose intolerance happens when your small intestine does not make enough of a digestive enzyme called lactase. People who are lactose intolerant have unpleasant symptoms after eating or drinking milk or milk products. […] There is no treatment that can help your body make more lactase. But you can manage your symptoms by changing your diet or by using lactase supplements. […] Lactose intolerance symptoms can be unpleasant, but they won’t hurt you. So try to find dairy foods that don’t cause severe symptoms. […] If you have trouble finding dairy products that don’t cause symptoms, talk to your provider. They can suggest other foods to be sure you get enough calcium and vitamin D. You may need to take calcium or vitamin D supplements.

• #27 Lactose Intolerance

  https://healthinfo.universityhealthsystem.com/Wellness/Nutrition/Tools/85,P00388

  Children with lactose intolerance should be seen by a health care provider for advice about what foods to eat. Dairy is an important source of calcium, protein, and vitamin D for children. The provider can help you know how to make sure your child is getting enough of these nutrients. […] Call your health care provider if you have trouble managing your symptoms. Some symptoms can be embarrassing. Your provider can work with you to help keep them under control.

• #28 Lactose Intolerance: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lactose-intolerance-care-instructions.ut2936

  Lactose intolerance is a problem that makes it hard to digest lactose. […] Follow-up care is a key part of your treatment and safety. […] Limit the amount of milk and milk products in your diet. […] Eat or drink milk and milk products along with other foods. […] Eat small amounts of milk products throughout the day instead of larger amounts all at once. […] Eat or drink milk and milk products that have reduced lactose. […] Use lactase products. […] Some people who are lactose-intolerant can eat some kinds of yogurt without problems, especially yogurt with live cultures. […] Watch out for lactose in foods you buy. […] Be sure to get enough calcium in your diet, especially if you avoid milk products completely. […] If you are worried about getting enough nutrients, ask your doctor about taking supplements, such as calcium and vitamin D. […] Call your doctor now or seek immediate medical care if: You have new or worse belly pain. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.

• #29 Lactose-Restricted Diet: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lactose-restricted-diet-care-instructions.uh4518

  Use lactase products. These are dietary supplements that help you digest lactose. Some are pills that you chew (such as Lactaid) before you eat or drink milk products. Others are liquids that you add to milk 24 hours before you drink it. Try a few products and brands to see which ones work best for you. […] If you are very sensitive to lactose, read labels carefully to spot the lactose products. […] Be sure to get enough calcium in your diet, especially if you avoid milk products completely. To get enough calcium, you would need to eat calcium-rich foods as often as someone would drink milk. Calcium is very important because it keeps bones strong and reduces the risk of osteoporosis. Ask your dietitian for advice on how to get enough calcium. […] If you are worried about getting enough nutrients, ask your doctor about taking supplements, such as calcium and vitamin D. […] Call your doctor now or seek immediate medical care if: You have new or worse belly pain. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.

• #30 Lactose Intolerance | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions/l/lactose-intolerance.html

  If you have trouble finding dairy products that don’t cause symptoms, talk to your provider. They can suggest other foods to be sure you get enough calcium and vitamin D. You may need to take calcium or vitamin D supplements. […] Children with lactose intolerance should be seen by a health care provider for advice about what foods to eat. Dairy is an important source of calcium, protein, and vitamin D for children. The provider can help you know how to make sure your child is getting enough of these nutrients. […] It’s important to talk with your provider about getting enough calcium and vitamin D.

• #31 Lactose Intolerance

  https://healthlibrary.ascensioncaremanagement.com/Library/DiseasesConditions/Adult/Digestive/85,P00388

  Children with lactose intolerance should be seen by a health care provider for advice about what foods to eat. Dairy is an important source of calcium, protein, and vitamin D for children. The provider can help you know how to make sure your child is getting enough of these nutrients. […] It’s important to talk with your provider about getting enough calcium and vitamin D.

• #32 Lactose intolerance and the breastfed baby | Australian Breastfeeding Association

  https://www.breastfeeding.asn.au/resources/lactose-intolerance-and-breastfed-baby

  Secondary lactose intolerance: Because the enzyme lactase is produced in the very tips of the microscopic folds of the intestine, anything that damages the gut lining can cause secondary lactose intolerance. […] The symptoms of lactose intolerance are liquid, sometimes green, frothy stools and an irritable baby who may pass wind often. […] If your doctor does diagnose 'lactose intolerance’, continuing to breastfeed will not harm your baby as long as they are otherwise well and growing normally. […] Human milk remains the best food for your baby and will assist with gut healing. […] A doctor should see any baby with long-term symptoms and/or who is failing to thrive. […] As explained above, there are several types of lactose intolerance, but it is very rare for a baby to have to stop breastfeeding because of this condition.

• #33 Lactose Intolerance | Riley Children’s Health

  https://www.rileychildrens.org/health-info/lactose-intolerance

  People with lactose intolerance do not have enough of the digestive enzyme lactase, which breaks down lactose. Lactose is the sugar in milk. It is found in dairy products and foods containing milk ingredients. People with lactose intolerance may experience discomfort or abnormal stools after eating foods containing lactose. […] The best way to treat the symptoms of lactose intolerance is to avoid milk-based products. People differ in the amount of lactose they can eat without having symptoms. A dietitian can help you determine the best diet for your child. Treatment includes: […] It is important that your child maintain a complete nutritional diet, including adequate intake of calcium and Vitamin D, while also avoiding foods that bring on symptoms. A dietitian is a great resource for nutrition education and can help you create a healthy diet for your child.

• #34 Lactose intolerance | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/lactose-intolerance

  Fresh cheeses such as cottage cheese and ricotta have very low levels of lactose and are usually well tolerated in small amounts. […] Drink milk in moderate quantities. Most people with this condition can tolerate 240 ml of milk per day, but you need to work out your own tolerance level. […] Avoid low-fat or non-fat milks they travel quickly through the gut and tend to cause symptoms in lactose intolerant people. […] If your baby is showing signs of lactose intolerance, such as excessive bowel motions, wind in the bowel, and pain, have your baby checked by your GP for any medical problems such as infection. […] If all this is okay, speak to an Australian Breastfeeding Association counsellor, lactation consultant or child health nurse, to check if your baby has a lactose overload. […] Vomiting is not a symptom of lactose intolerance in babies.

• #35 Lactose intolerance | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/lactose-intolerance

  Fresh cheeses such as cottage cheese and ricotta have very low levels of lactose and are usually well tolerated in small amounts. […] Drink milk in moderate quantities. Most people with this condition can tolerate 240 ml of milk per day, but you need to work out your own tolerance level. […] Avoid low-fat or non-fat milks they travel quickly through the gut and tend to cause symptoms in lactose intolerant people. […] If your baby is showing signs of lactose intolerance, such as excessive bowel motions, wind in the bowel, and pain, have your baby checked by your GP for any medical problems such as infection. […] If all this is okay, speak to an Australian Breastfeeding Association counsellor, lactation consultant or child health nurse, to check if your baby has a lactose overload. […] Vomiting is not a symptom of lactose intolerance in babies.

• #36

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2936

  Lactose intolerance is a problem that makes it hard to digest lactose. […] Follow-up care is a key part of your treatment and safety. […] Limit the amount of milk and milk products in your diet. […] Eat or drink milk and milk products along with other foods. […] Eat small amounts of milk products throughout the day instead of larger amounts all at once. […] Eat or drink milk and milk products that have reduced lactose. […] Use lactase products. These are dietary supplements that help you digest lactose. […] Some people who are lactose-intolerant can eat some kinds of yogurt without problems, especially yogurt with live cultures. […] Watch out for lactose in foods you buy. […] Be sure to get enough calcium in your diet, especially if you avoid milk products completely. […] If you are worried about getting enough nutrients, ask your doctor about taking supplements, such as calcium and vitamin D. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have new or worse belly pain. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better as expected.

• #37 Lactose-Restricted Diet: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lactose-restricted-diet-care-instructions.uh4518

  Limit the amount of milk and milk products in your diet. Spread small amounts of milk or milk products throughout the day, instead of larger amounts all at once. […] If you have bad symptoms when you eat or drink something with lactose, you may need to avoid it completely. […] You may be able to drink 1 glass of milk each day, although you may not be able to drink more than a cup at a time. All types of milk contain the same amount of lactose. […] If you are not sure whether a milk product causes symptoms, try a small amount and wait to see how you feel before you eat or drink more. […] Try yogurt and cheese. These have less lactose than milk and may not cause problems. […] Eat or drink milk and milk products that have reduced lactose. In most grocery stores, you can buy milk with reduced lactose, such as Lactaid milk.

• #38 Lactose Intolerance and Cancer Nutrition | Stanford Health Care

  https://stanfordhealthcare.org/medical-clinics/cancer-nutrition-services/during-cancer-treatment/lactose-intolerance.html

  You may have to substitute other things for the dairy products you are used to eating in your diet. It is important to add other sources of calcium when foods containing lactose are omitted from your diet. You may also wish to try Lactaid milk that has had the lactose reduced or removed. Your doctor or registered dietitian can provide more information about this product.

• #39 Lactose Intolerance | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions/l/lactose-intolerance.html

  If you have trouble finding dairy products that don’t cause symptoms, talk to your provider. They can suggest other foods to be sure you get enough calcium and vitamin D. You may need to take calcium or vitamin D supplements. […] Children with lactose intolerance should be seen by a health care provider for advice about what foods to eat. Dairy is an important source of calcium, protein, and vitamin D for children. The provider can help you know how to make sure your child is getting enough of these nutrients. […] It’s important to talk with your provider about getting enough calcium and vitamin D.

• #40 Lactose-Restricted Diet: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lactose-restricted-diet-care-instructions.uh4518

  Use lactase products. These are dietary supplements that help you digest lactose. Some are pills that you chew (such as Lactaid) before you eat or drink milk products. Others are liquids that you add to milk 24 hours before you drink it. Try a few products and brands to see which ones work best for you. […] If you are very sensitive to lactose, read labels carefully to spot the lactose products. […] Be sure to get enough calcium in your diet, especially if you avoid milk products completely. To get enough calcium, you would need to eat calcium-rich foods as often as someone would drink milk. Calcium is very important because it keeps bones strong and reduces the risk of osteoporosis. Ask your dietitian for advice on how to get enough calcium. […] If you are worried about getting enough nutrients, ask your doctor about taking supplements, such as calcium and vitamin D. […] Call your doctor now or seek immediate medical care if: You have new or worse belly pain. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.

• #41 Lactose Intolerance | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/24003

  Primary and congenital lactase deficiency can not be prevented. However, secondary lactase deficiency could be prevented if underlying secondary causes are diagnosed early and promptly instituted appropriate treatment to preserve intestinal mucosal integrity. […] To avoid their use, people with lactose intolerance can check the ingredients on food labels for lactose on food products. […] Some people with lactose intolerance can tolerate some milk and milk-containing products and may not need to avoid them completely. […] Prolonged avoidance of milk in people with lactose intolerance can result in calcium and vitamin D deficiency. […] The diagnosis and management of lactose intolerance are with an interprofessional team that includes a nurse practitioner, primary care provider, pediatrician, gastroenterologist, and an allergist.

• #42 Lactose Intolerance – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532285/

  In patients with secondary lactase deficiency, treatment should be directed at the underlying cause. […] Once a diagnosis of lactose intolerance is made, consultation should be made with a gastroenterologist and dietician. […] Lactose-intolerant patients and their families should be advised that ingestion of lactose-containing products generally only leads to reversible symptoms without causing permanent damage to the gastrointestinal tract (unlike celiac disease). […] However, secondary lactase deficiency could be prevented if underlying secondary causes are diagnosed early and promptly instituted appropriate treatment to preserve intestinal mucosal integrity. […] The diagnosis and management of lactose intolerance are with an interprofessional team that includes a nurse practitioner, primary care provider, pediatrician, gastroenterologist, and an allergist.

• #43 Lactose Intolerance Treatment & Management: Medical Care

  https://emedicine.medscape.com/article/187249-treatment

  Dietary adjustment is the primary form of therapy for patients with lactose intolerance. Advise patients to reduce or restrict products containing lactose. Prehydrolyzed milk (LACTAID) is available and is effective. Yogurt and fermented products, such as cheeses, are better tolerated than regular milk. Soy-based milk or food products are well tolerated. […] Commercially available lactase enzyme preparations (eg, LACTAID, Lactrase) are effective in reducing symptoms; however, they may not be effective in some patients, partially due to insufficient dosing. […] Probiotics (DDS-1 strain of Lactobacillus) have been shown to improve symptoms. Supplemental calcium and vitamin D should also be recommended. […] In secondary lactase deficiency, treatment is directed at the underlying cause. […] Consider consulting with a gastroenterologist and a nutritionist in the management of patients with suspected lactose intolerance.

• #44 Pediatric Lactose Intolerance Treatment & Management: Medical Care, Diet, Complications

  https://emedicine.medscape.com/article/930971-treatment

  Treatment of lactose intolerance may include, but are not limited to managing lactase deficiency and lactose intolerance, as well as the use of dietary aids. Medication is not currently a component of care in this condition. […] Consultation with a pediatric gastroenterologist is suggested if the patient has symptoms that do not resolve after dietary elimination of lactose or if the patient has severe symptoms. […] Lactase derived from yeast can be added to milk products as drops or ingested as chewable tablets prior to ingestion of lactose-containing substances. […] Yogurt with live cultures is generally well tolerated by individuals with lactose intolerance. Dairy products with reduced or no lactose are widely available. […] Calcium supplementation through the administration of dietary or pharmacological supplements is suggested for any child who does not receive adequate calcium.

• #45 Lactose Intolerance – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532285/

  In patients with secondary lactase deficiency, treatment should be directed at the underlying cause. […] Once a diagnosis of lactose intolerance is made, consultation should be made with a gastroenterologist and dietician. […] Lactose-intolerant patients and their families should be advised that ingestion of lactose-containing products generally only leads to reversible symptoms without causing permanent damage to the gastrointestinal tract (unlike celiac disease). […] However, secondary lactase deficiency could be prevented if underlying secondary causes are diagnosed early and promptly instituted appropriate treatment to preserve intestinal mucosal integrity. […] The diagnosis and management of lactose intolerance are with an interprofessional team that includes a nurse practitioner, primary care provider, pediatrician, gastroenterologist, and an allergist.

• #46 Lactose Intolerance – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532285/

  In patients with secondary lactase deficiency, treatment should be directed at the underlying cause. […] Once a diagnosis of lactose intolerance is made, consultation should be made with a gastroenterologist and dietician. […] Lactose-intolerant patients and their families should be advised that ingestion of lactose-containing products generally only leads to reversible symptoms without causing permanent damage to the gastrointestinal tract (unlike celiac disease). […] However, secondary lactase deficiency could be prevented if underlying secondary causes are diagnosed early and promptly instituted appropriate treatment to preserve intestinal mucosal integrity. […] The diagnosis and management of lactose intolerance are with an interprofessional team that includes a nurse practitioner, primary care provider, pediatrician, gastroenterologist, and an allergist.

• #47 Lactose Intolerance | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/24003

  Primary and congenital lactase deficiency can not be prevented. However, secondary lactase deficiency could be prevented if underlying secondary causes are diagnosed early and promptly instituted appropriate treatment to preserve intestinal mucosal integrity. […] To avoid their use, people with lactose intolerance can check the ingredients on food labels for lactose on food products. […] Some people with lactose intolerance can tolerate some milk and milk-containing products and may not need to avoid them completely. […] Prolonged avoidance of milk in people with lactose intolerance can result in calcium and vitamin D deficiency. […] The diagnosis and management of lactose intolerance are with an interprofessional team that includes a nurse practitioner, primary care provider, pediatrician, gastroenterologist, and an allergist.

• #48 Lactose-Restricted Diet: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lactose-restricted-diet-care-instructions.uh4518

  Lactose is a sugar that is in milk and milk products. Some people do not make enough of an enzyme called lactase, which digests lactose. When this happens it can cause gas, belly pain, diarrhea, and bloating. This is called lactose intolerance. This is not the same as food allergy to milk. […] With planning, you can avoid lactose and still eat a tasty and nutritious diet and get enough calcium to maintain healthy bones. Your doctor and dietitian will help you design a diet based on your level of lactose intolerance and what you like to eat. Always talk with your doctor or dietitian before you make changes in your diet. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take.

• #49

  https://bpac.org.nz/2021/lactose-intolerance.aspx

  A lactose-free diet should be trialled for two to four weeks when lactose intolerance is suspected. […] It is important that all sources of lactose are eliminated, so patients should be advised to read food labels carefully to identify hidden sources of lactose, which are particularly common in processed foods, e.g. whey, cheese, milk by-products, milk solids, milk powder. […] Lactose usually does not need to be excluded from the diet; people should start with a more restricted diet and gradually increase the consumption of lactose-containing foods according to individual tolerance level. […] Some lactose-containing foods are better tolerated than others, e.g. yoghurt with live culture or dairy products with higher fat content. […] Infants with lactose intolerance should continue breastfeeding and the mother does not need to eliminate lactose from her diet; lactose-free infant formulas are available, if required. […] A temporary lactose-free diet may be beneficial for people with secondary lactose intolerance, e.g. following a bout of infectious diarrhoea, to promote recovery from the primary illness.

• #50 Lactose Intolerance: Symptoms, Diagnostic Tests & Treatment

  https://my.clevelandclinic.org/health/diseases/7317-lactose-intolerance

  Secondary lactose intolerance caused by damage to your small intestine might be reversible after your small intestine recovers. […] Lactose intolerance won’t seriously harm you. If you can cope with the symptoms while the lactose passes through your digestive system, they’ll eventually end. […] If you avoid all dairy products, you could end up low in calcium and vitamin D. You can get these nutrients from other food sources, but dairy products are some of the most common ones. […] If you have digestive symptoms and think they might be related to dairy products, a healthcare provider can help. They can test you for lactose intolerance and other possible causes of your symptoms.

• #51 Lactose intolerance in infants | Nursing Times

  https://www.nursingtimes.net/archive/lactose-intolerance-in-infants-25-04-2006/

  The investigation into the causes of persistent or chronic diarrhoea in infants is complex, but in the past 50 years lactose intolerance has been recognised and diagnosed as a true medical phenomenon (Matthews et al, 2005). […] Lactose intolerance occurs when the lactase enzyme is absent (alactasia) or deficient (hypolactasia), leading to reduced activity in the normal functioning of the small intestine. […] The outcome of this fermentation process initiates the main signs and symptoms associated with lactose intolerance. These include the following: […] If the infant is acutely unwell and is admitted to hospital, initial treatment will focus on rehydration and control of electrolyte imbalance. […] In the case of secondary lactose intolerance, when these acute symptoms have been alleviated management should continue in a supportive way. […] By suggesting simple changes in breastfeeding patterns the effects of lactose intolerance can be eliminated. […] Reassurance should be given that symptoms can often be minimised through nutritional support, with dietary control preventing further complications for the infant.

• #52

  https://bpac.org.nz/2021/lactose-intolerance.aspx

  A lactose-free diet should be trialled for two to four weeks when lactose intolerance is suspected. […] It is important that all sources of lactose are eliminated, so patients should be advised to read food labels carefully to identify hidden sources of lactose, which are particularly common in processed foods, e.g. whey, cheese, milk by-products, milk solids, milk powder. […] Lactose usually does not need to be excluded from the diet; people should start with a more restricted diet and gradually increase the consumption of lactose-containing foods according to individual tolerance level. […] Some lactose-containing foods are better tolerated than others, e.g. yoghurt with live culture or dairy products with higher fat content. […] Infants with lactose intolerance should continue breastfeeding and the mother does not need to eliminate lactose from her diet; lactose-free infant formulas are available, if required. […] A temporary lactose-free diet may be beneficial for people with secondary lactose intolerance, e.g. following a bout of infectious diarrhoea, to promote recovery from the primary illness.

• #53 Lactose Intolerance Pediatric Care Plan | K Health

  https://khealth.com/treatment/pediatrics/lactose-intolerance/

  Lactose intolerance occurs when a persons digestive tract is unable to digest and absorb lactose. […] The main treatment for lactose intolerance is to reduce dairy intake. […] You can also give your child enzyme supplementation/replacement. This will help break down lactose in dairy products. […] See a Doctor in Person If stomach ache persists even after elimination of lactose. […] Stomach ache becomes severe. […] Your child develops nausea and vomiting. […] Your child had excessive or bloody diarrhea. […] Your child is not able to keep down liquids.

• #54 Lactose intolerance – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lactose-intolerance/diagnosis-treatment/drc-20374238

  Your doctor might suspect lactose intolerance based on your symptoms and your response to reducing the amount of dairy foods in your diet. Your doctor can confirm the diagnosis by conducting one or more of the following tests: […] In people with lactose intolerance caused by an underlying condition, treating the condition might restore the body’s ability to digest lactose, although that process can take months. For other causes, you might avoid the discomfort of lactose intolerance by following a low-lactose diet. […] With some trial and error, you might be able to predict your body’s response to foods containing lactose and figure out how much you can eat or drink without discomfort. […] Most people with lactose intolerance can enjoy some milk products without symptoms. You might tolerate low-fat milk products, such as skim milk, better than whole-milk products. It also might be possible to increase your tolerance to dairy products by gradually introducing them into your diet.

• #55 Lactose Intolerance: Symptoms, Diagnostic Tests & Treatment

  https://my.clevelandclinic.org/health/diseases/7317-lactose-intolerance

  Secondary lactose intolerance caused by damage to your small intestine might be reversible after your small intestine recovers. […] Lactose intolerance won’t seriously harm you. If you can cope with the symptoms while the lactose passes through your digestive system, they’ll eventually end. […] If you avoid all dairy products, you could end up low in calcium and vitamin D. You can get these nutrients from other food sources, but dairy products are some of the most common ones. […] If you have digestive symptoms and think they might be related to dairy products, a healthcare provider can help. They can test you for lactose intolerance and other possible causes of your symptoms.

• #56 Lactose Intolerance

  https://healthinfo.universityhealthsystem.com/Wellness/Nutrition/Tools/85,P00388

  Children with lactose intolerance should be seen by a health care provider for advice about what foods to eat. Dairy is an important source of calcium, protein, and vitamin D for children. The provider can help you know how to make sure your child is getting enough of these nutrients. […] Call your health care provider if you have trouble managing your symptoms. Some symptoms can be embarrassing. Your provider can work with you to help keep them under control.

• #57 Lactose Intolerance

  https://library.southcoast.org/Library/TestsProcedures/85,P00388

  Here are some tips for managing lactose in your diet: Start slowly. Try adding small amounts of milk or milk products and see how your body reacts. […] If you have trouble finding dairy products that don’t cause symptoms, talk to your provider. They can suggest other foods to be sure you get enough calcium and vitamin D. […] Children with lactose intolerance should be seen by a health care provider for advice about what foods to eat. Dairy is an important source of calcium, protein, and vitamin D for children. The provider can help you know how to make sure your child is getting enough of these nutrients. […] Call your health care provider if you have trouble managing your symptoms. Some symptoms can be embarrassing. Your provider can work with you to help keep them under control. […] It’s important to talk with your provider about getting enough calcium and vitamin D.

• #58 Lactose Intolerance

  https://encyclopedia.nm.org/Search/85,P00388

  Children with lactose intolerance should be seen by a health care provider for advice about what foods to eat. Dairy is an important source of calcium, protein, and vitamin D for children. The provider can help you know how to make sure your child is getting enough of these nutrients. […] Call your health care provider if you have trouble managing your symptoms. Some symptoms can be embarrassing. Your provider can work with you to help keep them under control.

• #59 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=85&contentid=P00388

  Call your health care provider if you have trouble managing your symptoms. Some symptoms can be embarrassing. Your provider can work with you to help keep them under control. […] You can manage your symptoms by changing your diet. Or you can take enzyme supplements when you eat or drink foods that have lactose.

• #60 Lactose Intolerance

  https://healthinfo.universityhealthsystem.com/Wellness/Nutrition/Tools/85,P00388

  Children with lactose intolerance should be seen by a health care provider for advice about what foods to eat. Dairy is an important source of calcium, protein, and vitamin D for children. The provider can help you know how to make sure your child is getting enough of these nutrients. […] Call your health care provider if you have trouble managing your symptoms. Some symptoms can be embarrassing. Your provider can work with you to help keep them under control.

• #61

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2936

  Lactose intolerance is a problem that makes it hard to digest lactose. […] Follow-up care is a key part of your treatment and safety. […] Limit the amount of milk and milk products in your diet. […] Eat or drink milk and milk products along with other foods. […] Eat small amounts of milk products throughout the day instead of larger amounts all at once. […] Eat or drink milk and milk products that have reduced lactose. […] Use lactase products. These are dietary supplements that help you digest lactose. […] Some people who are lactose-intolerant can eat some kinds of yogurt without problems, especially yogurt with live cultures. […] Watch out for lactose in foods you buy. […] Be sure to get enough calcium in your diet, especially if you avoid milk products completely. […] If you are worried about getting enough nutrients, ask your doctor about taking supplements, such as calcium and vitamin D. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have new or worse belly pain. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You do not get better as expected.

• #62 Lactose-Restricted Diet: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lactose-restricted-diet-care-instructions.uh4518

  Use lactase products. These are dietary supplements that help you digest lactose. Some are pills that you chew (such as Lactaid) before you eat or drink milk products. Others are liquids that you add to milk 24 hours before you drink it. Try a few products and brands to see which ones work best for you. […] If you are very sensitive to lactose, read labels carefully to spot the lactose products. […] Be sure to get enough calcium in your diet, especially if you avoid milk products completely. To get enough calcium, you would need to eat calcium-rich foods as often as someone would drink milk. Calcium is very important because it keeps bones strong and reduces the risk of osteoporosis. Ask your dietitian for advice on how to get enough calcium. […] If you are worried about getting enough nutrients, ask your doctor about taking supplements, such as calcium and vitamin D. […] Call your doctor now or seek immediate medical care if: You have new or worse belly pain. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.

• #63 Lactose Intolerance: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lactose-intolerance-care-instructions.ut2936

  Lactose intolerance is a problem that makes it hard to digest lactose. […] Follow-up care is a key part of your treatment and safety. […] Limit the amount of milk and milk products in your diet. […] Eat or drink milk and milk products along with other foods. […] Eat small amounts of milk products throughout the day instead of larger amounts all at once. […] Eat or drink milk and milk products that have reduced lactose. […] Use lactase products. […] Some people who are lactose-intolerant can eat some kinds of yogurt without problems, especially yogurt with live cultures. […] Watch out for lactose in foods you buy. […] Be sure to get enough calcium in your diet, especially if you avoid milk products completely. […] If you are worried about getting enough nutrients, ask your doctor about taking supplements, such as calcium and vitamin D. […] Call your doctor now or seek immediate medical care if: You have new or worse belly pain. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.

• #64 Lactose Intolerance

  http://healthlibrary.gradyhealth.org/Library/Wellness/Prevention/85,P00388

  Lactose intolerance is when your body can’t break down or digest lactose. Lactose intolerance happens when your small intestine does not make enough of a digestive enzyme called lactase. People who are lactose intolerant have unpleasant symptoms after eating or drinking milk or milk products. […] There is no treatment that can help your body make more lactase. But you can manage your symptoms by changing your diet or by using lactase supplements. […] You can manage your symptoms by changing your diet. Or you can take enzyme supplements when you eat or drink foods that have lactose. […] Children with lactose intolerance should be seen by a health care provider for advice about what foods to eat. Dairy is an important source of calcium, protein, and vitamin D for children. The provider can help you know how to make sure your child is getting enough of these nutrients. […] Call your health care provider if you have trouble managing your symptoms. Some symptoms can be embarrassing. Your provider can work with you to help keep them under control.

• #65 Lactose-Restricted Diet: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.lactose-restricted-diet-care-instructions.uh4518

  Lactose is a sugar that is in milk and milk products. Some people do not make enough of an enzyme called lactase, which digests lactose. When this happens it can cause gas, belly pain, diarrhea, and bloating. This is called lactose intolerance. This is not the same as food allergy to milk. […] With planning, you can avoid lactose and still eat a tasty and nutritious diet and get enough calcium to maintain healthy bones. Your doctor and dietitian will help you design a diet based on your level of lactose intolerance and what you like to eat. Always talk with your doctor or dietitian before you make changes in your diet. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take.

• #66 Lactose Intolerance – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532285/

  Lactose intolerance is a clinical syndrome that manifests with characteristic signs and symptoms upon consuming food substances containing lactose, a disaccharide. […] This activity describes the pathophysiology of lactose intolerance and highlights the role of the interprofessional team in its management. […] Outline the importance of improving care coordination among interprofessional team members to improve outcomes for patients affected by lactose intolerance. […] Management of lactose intolerance consists of dietary modification, lactase supplementation, and treating an underlying condition in people with secondary lactase deficiency. […] Lactase-containing milk products and calcium supplements are recommended. Limiting the dietary intake of lactose by avoiding the intake of lactose-containing products improves the symptoms of the disease.

• #67 Lactose intolerance: a nursing perspective. – Document – Gale Academic OneFile

  https://go.gale.com/ps/i.do?id=GALE%7CA195011767&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=10920811&p=AONE&sw=w

  Deficiency of intestinal lactase, the enzyme required for lactose digestion, can result in symptoms of gastrointestinal malabsorption, or lactose intolerance. […] The knowledge needed for accurate nursing assessment, diagnostic procedural care, teaching, and referral of affected patients is reviewed.

• #68 Lactose Intolerance – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK532285/

  Lactose intolerance is a clinical syndrome that manifests with characteristic signs and symptoms upon consuming food substances containing lactose, a disaccharide. […] This activity describes the pathophysiology of lactose intolerance and highlights the role of the interprofessional team in its management. […] Outline the importance of improving care coordination among interprofessional team members to improve outcomes for patients affected by lactose intolerance. […] Management of lactose intolerance consists of dietary modification, lactase supplementation, and treating an underlying condition in people with secondary lactase deficiency. […] Lactase-containing milk products and calcium supplements are recommended. Limiting the dietary intake of lactose by avoiding the intake of lactose-containing products improves the symptoms of the disease.

• #69 Lactose Intolerance | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/24003

  Primary and congenital lactase deficiency can not be prevented. However, secondary lactase deficiency could be prevented if underlying secondary causes are diagnosed early and promptly instituted appropriate treatment to preserve intestinal mucosal integrity. […] To avoid their use, people with lactose intolerance can check the ingredients on food labels for lactose on food products. […] Some people with lactose intolerance can tolerate some milk and milk-containing products and may not need to avoid them completely. […] Prolonged avoidance of milk in people with lactose intolerance can result in calcium and vitamin D deficiency. […] The diagnosis and management of lactose intolerance are with an interprofessional team that includes a nurse practitioner, primary care provider, pediatrician, gastroenterologist, and an allergist.

• #70 Lactose Intolerance: The Dairy Dilemma

  https://www.oscarcaregroup.com.au/post/lactose-intolerance-the-dairy-dilemma

  Lactose intolerance is a rather common food intolerance that occurs when the body cant digest lactose properly. […] With dietary management, it doesnt have to impact your quality of life. […] A Dietitian can work with you to determine where your tolerance sits and develop dietary strategies to manage the symptoms. […] It is important to speak to your doctor if you are experiencing diarrhea as dehydration has many potentially dangerous consequences. […] Some key tips from our Dietitians for managing lactose intolerance include […] Medications such as Lacteeze contain the lactase enzyme and so taking a dose of the medication prior to eating lactose containing foods can assist in the digestion of the lactose. […] Lactose free products are available and will usually contain the same nutrients, such as calcium, as their lactose containing counterparts. […] And if doubt, speak to one of our OSCAR Care Group Accredited Practising Dietitians for individualised, evidenced-based advice on managing lactose intolerance.

• #71 Lactose Intolerance | Digestive Health | Bon Secours

  https://www.bonsecours.com/health-care-services/primary-care-family-medicine/conditions/lactose-intolerance

  People with lactose intolerance cannot fully digest lactose, the sugar in milk and milk products. […] Symptoms of lactose intolerance include diarrhea, nausea, abdominal cramps, bloating, and gas following the consumption of dairy products. […] There is no cure for lactose intolerance, although avoiding lactose can prevent symptoms from occurring. […] Your doctor can administer tests to diagnose lactose intolerance if you think you may be affected. […] To avoid the physical discomforts of lactose intolerance: Avoid large amounts of milk and dairy products. […] Consult your doctor if you frequently experience diarrhea, nausea, abdominal cramps, bloating, or gas after eating dairy foods. […] A doctor or dietician can help you create a comprehensive, balanced diet plan that excludes dairy.

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