Lactose intolerance

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Common-

Lactose is a sugar found in milk and its derivatives. The enzyme in our body responsible for digesting lactose is called lactase. Its deficiency causes a group of symptoms known as lactose intolerance. 

Lactase deficiency can be congenital or acquired (gastroenteritis, intestinal diseases, etc.).

The most frequent manifestation is gastric discomfort that appears shortly after ingesting milk or a milk derivative. Sometimes it is a more intense discomfort described as colicky pain. It may be accompanied by abdominal distension, gas and diarrhea.

The diagnosis is made through clinical history and physical examination. It will be confirmed by blood tests, breath tests or stool analysis.

It will be treated by withdrawing the lactose intake and treating the cause. In those persons that it is impossible to withdraw completely the lactose, supplements of lactase (degrading enzyme) industrially produced can be administered. It may be necessary to supplement the diet with calcium since much of the body's calcium comes from milk and its derivatives. 

Bibliographic references
  1. Robert K Montgomery Lactose intolerance: Clinical manifestations, diagnosis, and management. UpToDate. Junio 2015
  2. Rao DR. Prevalence of lactose maldigestion. Influence and interaction of age, race, and sex. Dig Dis Sci 1994; 39:1519.
  3. Di Stefano M. Lactose malabsorption and intolerance in the elderly. Scand J Gastroenterol 2001; 36:1274.
  4. Shaw AD. Lactose intolerance: problems in diagnosis and treatment. J Clin Gastroenterol 1999; 28:208.
  5. Henry J. Binder. Trastornos de la absorción. Harrison. Principios de Medicina Interna, 19e. Capítulo 349
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Abdominal flatulence


    Diarrhea


    Delayed growth


    Watery diarrhea


    Generalised abdominal pain

Symptoms to watch out for

10% weight loss in one week
More than 6 liquid stools in 24 hrs
Severe belly pain
Signs of dehydration: more tiredness than usual, dizziness, dry mouth and tongue.

Self-care

Limit the consumption of milk and other dairy products.
Consume milk and ice cream with reduced lactose content.
Add a liquid or powdered lactase enzyme to meals to help break down lactose.