Unlocking the Mystery of Lactose Intolerance: A Guide to Diagnosis and Treatment

Author Name : Preeti bora S

Gastroenterology

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Introduction

Lactose intolerance is a common digestive disorder that affects millions of people worldwide. It occurs when the body is unable to digest lactose, a sugar found in milk and dairy products. Symptoms of lactose intolerance include abdominal pain, bloating, gas, and diarrhea. While it can be uncomfortable and inconvenient, lactose intolerance is not a serious health condition and can usually be managed with dietary changes. In this guide, we will discuss the causes and symptoms of lactose intolerance, as well as the various diagnostic tests that can be used to diagnose the condition. We will also discuss the various treatment options available to help manage the symptoms of lactose intolerance.

Causes of Lactose Intolerance

Lactose intolerance is caused by a deficiency of the enzyme lactase, which is responsible for breaking down lactose in the small intestine. Normally, lactase breaks down lactose into two smaller sugars, glucose and galactose, which can then be absorbed into the bloodstream. Without enough lactase, lactose is not broken down and instead passes through the digestive system, causing symptoms of lactose intolerance. The most common cause of lactose intolerance is a genetic predisposition. Certain ethnic groups, such as people of African, Asian, Hispanic, or Native American descent, are more likely to have lactose intolerance. In addition, some people develop lactose intolerance after an illness or surgery that damages the small intestine, or after taking certain medications.

Symptoms of Lactose Intolerance

The most common symptom of lactose intolerance is abdominal pain, bloating, gas, and diarrhea after eating dairy products. Other symptoms may include nausea, vomiting, and cramps. Symptoms usually start within 30 minutes to two hours after eating dairy products, and may last for several hours.

Diagnosing Lactose Intolerance

There are several tests that can be used to diagnose lactose intolerance. These include a hydrogen breath test, a lactose tolerance test, and a stool acidity test. The hydrogen breath test is the most commonly used test for diagnosing lactose intolerance. During the test, the patient drinks a solution containing lactose. The patient then breathes into a bag to measure the amount of hydrogen in their breath. If the patient is lactose intolerant, the hydrogen levels in their breath will be higher than normal. The lactose tolerance test is similar to the hydrogen breath test, but instead of measuring hydrogen levels in the breath, it measures the amount of glucose in the blood. If the patient is lactose intolerant, the glucose levels in the blood will be lower than normal. The stool acidity test measures the amount of acid in the stool. If the patient is lactose intolerant, the acid levels in the stool will be higher than normal.

Treatment of Lactose Intolerance

The primary treatment for lactose intolerance is to avoid dairy products. While this may be difficult at first, there are many lactose-free alternatives available, such as lactose-free milk, cheese, and yogurt. In addition, there are several medications available to help manage the symptoms of lactose intolerance. These include lactase enzyme supplements, which can be taken with dairy products to help break down the lactose, and probiotics, which can help to restore the balance of bacteria in the digestive system.

Conclusion

Lactose intolerance is a common digestive disorder that affects millions of people worldwide. It is caused by a deficiency of the enzyme lactase, which is responsible for breaking down lactose in the small intestine. Symptoms of lactose intolerance include abdominal pain, bloating, gas, and diarrhea. While it can be uncomfortable and inconvenient, lactose intolerance is not a serious health condition and can usually be managed with dietary changes and medications. If you think you may be lactose intolerant, talk to your doctor about the various diagnostic tests and treatment options available.

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