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
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
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
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
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
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
There is no drug therapy for lactose intolerance.
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
To prevent lactose intolerance (lactose intolerance), attention must be paid to reducing individual risk factors. Behavioral risk factors Consumption of stimulants Chronic alcohol abuse
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
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
Nutritional Medicine Nutritional counseling based on nutritional analysis Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things: A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit). Once or twice a week … Lactose Intolerance: Therapy
