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Lactose Intolerance

What is Lactose?

  • Lactose is a sugar found in milk and dairy products.
  • The small intestine produces an enzyme called lactase.
  • This lactase enzyme breaks down lactose into two simpler sugars: glucose and galactose, which are then absorbed into the bloodstream.
  • Most infants and young children produce enough lactase, which is essential for growth and development.
  • However, as we age, lactase production naturally decreases.

What is Lactose Intolerance?

Lactose intolerance is a digestive disorder in which the body cannot properly digest lactose found in milk and dairy. This causes gastrointestinal symptoms, such as:

  1. Bloating / Gas
  2. Diarrhea
  3. Nausea
  4. Abdominal Pain

Symptoms appear shortly after consuming dairy and vary in intensity depending on the amount of lactose consumed.
Lactose intolerance can affect people of all ages.


Causes of Lactose Intolerance

  • Lactase Deficiency: Low levels of the lactase enzyme in the intestine lead to incomplete digestion of lactose.
  • Lactose Malabsorption: Due to the deficiency in lactase, the body fails to absorb lactose properly, causing most of the GI symptoms.

Other causes include:

  • Gastrointestinal infections
  • Stomach surgeries
  • Some medications, such as antibiotics

Nutrition Guidelines for Lactose Intolerance

To manage lactose intolerance, replace high-lactose foods with suitable alternatives, especially milk and dairy, which are major sources of calcium and protein.

Although there is no cure, limiting or avoiding lactose-containing foods usually helps control symptoms.

If lactose is avoided, it's essential to get calcium from other foods, such as:

  • Sardines
  • Salmon
  • Shellfish
  • Broccoli
  • Almonds
  • Tofu
  • Dried beans

Foods High in Lactose to Avoid:

  • Cow’s / goat’s / sheep’s milk
  • Milk powder
  • Condensed and evaporated milk
  • Yogurt (all kinds)
  • Processed cheese / fat-free cheese
  • Cream
  • Fruit yogurt drinks
  • Ice cream
  • Ready-made meals containing milk or cream-based sauces (e.g., lasagna)
  • Pancake/biscuit mix

Lactose-Free Foods You Can Eat:

  • Lactose-free milk
  • Soy milk
  • Coconut milk
  • Rice milk
  • Almond / hazelnut milk
  • Oat / quinoa drinks
  • Lactose-free ice cream
  • Dark chocolate
  • Cocoa powder
  • Fresh fruits and vegetables and their juices
  • Cooked fresh meats, fish, and poultry
  • Cooked dried peas
  • Soy cheese
  • Soy products and tofu
  • Peanut butter, nuts, and seeds


https://www.royalsurrey.nhs.uk/wpcontent/uploads/2018/03/P

https://www.drugs.com/cg/lactose-free-diet.html