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Lactose intolerance is a very common problem in Asians. It’s due to deficiency of Enzyme Lactase which is secreted from the brush borders of small intestine. Lactase helps in digestion of Lactose sugar present in milk and milk products. With increasing age the secretion of Lactase decreases therefore the ability to digest Lactose also decreases. The most common symptom of lactose intolerance is pain in abdomen, bloating after ingestion of milk, nausea, loose stools etc. In children usually secondary lactose intolerance is very common. It usually occurs after severe diarrhea when intestinal brush borders are lost leading to deficiency of lactase enzyme. It’s usually diagnosed by testing Reducing substance in the stools. Other test to confirm the diagnosis is Hydrogen Breath Test.
Treatment is simple. You have to avoid milk and milk products. Yogurt and Cheese can be taken in small amounts if the deficiency is not severe.
Children are given lactose free milk for about two weeks and then when the symptoms resolve then Normal lactose containing milk can be given. ..
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