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Lactose Intolerance (Treatment (Testing (Patient diary and symptoms,…
Lactose Intolerance
Treatment
Stop milk intake
Lactose free or soy (2nd choice) formula
Lactase enzyme medication
Testing
Patient diary and symptoms
Breath test: hydrogen gas concentration high post lactose ingestion
Lab test: milk tolerance
Signs and Symptoms
Watery stool
Osmotic fluid shift into intestine
Gas
Fermentation by colonic bacteria
Abdominal bloating/ cramping
Types
Congenital intolerance
Autosomal recessive trait
Primary intolerance
Decreasing levels of lactase with age (post 2 years)
Secondary intolerance
Associated with other illnesses
Crohn's Disease
Acute gasteroenteritis
Overview
Lactase enzyme deficiency
Brush border of duodenum
Inability to hydrolyze lactose (disaccharide)
Varying degrees