Lactose Intolerance

Lactose Intolerance: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Food allergy or food intolerance FODMAP intolerance: abbreviation for “fermentable oligo-, di- and monosaccharides and polyols” (engl. “fermentable oligosaccharides (fructans and galactans), disaccharides (lactose) and monosaccharides (fructose) (AND) as well as polyols” (= sugar alcohols, such as maltitol, sorbitol etc. )); FODMAP‘s are, for example, wheat, rye, garlic, onion, … Lactose Intolerance: Or something else? Differential Diagnosis

Lactose Intolerance: Nutritional Therapy

For dietary treatment, lactose specifically must be avoided. Lactose is found exclusively in milk and in products made using milk. Low-lactose milk and milk products in particular are available to people with lactose intolerance. Calcium has a high bioavailability especially from milk and dairy products. However, if milk and dairy products are completely avoided, this … Lactose Intolerance: Nutritional Therapy

Lactose Intolerance: Complications

The following are the most important diseases or complications that may be contributed to by hereditary lactase deficiency: Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Malabsorption syndrome – wide spectrum of disorders resulting from impaired absorption of substrates from the intestine (see below). Musculoskeletal system and connective tissue (M00-M99). Osteopathy – bone diseases … Lactose Intolerance: Complications

Lactose Intolerance: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Palpation (palpation) of the abdomen (abdomen) (tenderness?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, renal bearing knocking pain?) … Lactose Intolerance: Examination

Lactose Intolerance: Test and Diagnosis

2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. Lactose tolerance test: defined blood glucose rise after administration of lactose – measurements after 0, 30, 60, 90 and 120 min. Lactose in urine – if connatal lactose intolerance is suspected. Lactose tolerance test (LCT gene test) – genetic … Lactose Intolerance: Test and Diagnosis

Lactose Intolerance: Medical History

Medical history (history of illness) represents an important component in the diagnosis of lactose intolerance (lactose intolerance). Family history Are there frequent diseases of the gastrointestinal tract in your family? Social history Current medical history/systemic history (somatic and psychological complaints). Have you noticed symptoms such as increased flatulence and diarrhea? Do you suffer from cramping … Lactose Intolerance: Medical History

Lactose Intolerance: Diagnostic Tests

Optional medical device diagnostics – depending on the results of the medical history, physical examination, laboratory diagnostics, etc. – for differential diagnostic clarification Lactose H2 breath test* – on the day of the examination, a baseline value is first obtained from exhaled air. This is followed by the administration of 200 ml of a lactose … Lactose Intolerance: Diagnostic Tests

Lactose Intolerance: Micronutrient Therapy

Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for supportive therapy of lactose intolerance: Probiotic Lactobacillus acidophilus The above vital substance recommendations (micronutrients) were created with the help of medical experts. All statements are supported by scientific publications with high levels of evidence. For a therapy recommendation, only … Lactose Intolerance: Micronutrient Therapy

Lactose Intolerance: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate lactose intolerance (lactose intolerance): Leading symptoms (postprandial* /postmeal). Meteorism (flatulence/discharge of winds). Nausea (nausea) Diarrhea (diarrhea) Nonspecific abdominal pain (e.g., cramp-like discomfort). Other possible symptoms or complaints: Cephalgia (headache) Chronic fatigue Weight loss [rare] Pain in the limbs [ Depressive moods Inner restlessness Insomnia (sleep disorders) Concentration disorders … Lactose Intolerance: Symptoms, Complaints, Signs

Lactose Intolerance Etiology

Pathogenesis (development of disease) Lactose is normally broken down in the small intestine by the lactose-splitting enzyme lactase (ß-galactosidase). When this enzyme is not adequately produced or is absent, maldigestion (inadequate breakdown of food components) occurs in affected individuals. As a result, the accumulation of lactose, in an osmotically active form, in deeper sections of … Lactose Intolerance Etiology