Noncommunicable Diseases

Lactase insufficiency in children, adults: symptoms, signs, treatment

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1 Symptom

There are some indications that lactose deficiency is observed in children( up to 6 months):

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  • frothy diarrhea;
  • stool has a rich acidic odor;
  • child is worried about bloating.

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For infants, maternal milk is considered the main food after birth, therefore their intestines are adapted to the production of a number of enzymes,which carry out the safe digestion of this product. When the child begins to mature, the breast milk gradually comes out of his diet, so there is a decrease in the production of the necessary enzymes to digest it. Lactose, which is not split, simply falls into the large intestine and begins to interact with the microbes that are located there. This process leads to the fact that the child has diarrhea, pain in the abdomen and his swelling.

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2 What causes the disease

Lactase deficiency, the symptoms of which are quite certain, leads to the fact that:

  • suffers from the human immune system;
  • due to diarrhea, the baby's body can suffer from dehydration;
  • useful minerals can not be fully absorbed;
  • failures occur in the work of the gastrointestinal tract;
  • is the propagation of harmful bacteria in the intestine.

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3 Reasons for the emergence of

The most important reasons for the development of lactase deficiency in children:

  • during the growing up period is considered to be a very natural process of lactase deficiency in children;
  • genetic predisposition, a mutation of genes that are responsible for the production of lactase;
  • some bowel diseases affect the appearance of lactase deficiency;
  • may develop pathology if the child has allergies to foods, also with intestinal infections;
  • if the baby is premature, then he is most inclined to lactase deficiency.

4 Newborn children

It should be noted such symptoms of lactase deficiency:

  • stool;
  • bloating;
  • pain in the abdominal cavity;
  • regurgitation;
  • allergic skin rashes;
  • child lags behind in development, growth slows down.

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5 Clinical picture of the disease in adults

If a specialist has determined that an adult has lactase deficiency, the following symptoms are observed:

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  • bloating, abdominal discomfort, increased gas production;
  • diarrhea after eating milk after 2 hours;
  • rumbling in the abdomen;
  • nausea and vomiting;
  • appetite impairment;
  • sour smell of stools, their color is light yellow;
  • dizziness;
  • general poor body condition;
  • pain in the heart;
  • increased sweating.

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In order to diagnose lactase deficiency, it is necessary to undergo a coprological analysis. The patient gives an analysis of the feces, according to the form, color and smell of which the disease is detected. Also analyze the stool for carbohydrates. In addition, it is necessary to pass a hydrogen test, through which a specialist reveals how hydrogen interacts with intestinal bacteria.

6 Medical measures

It is necessary to add therapeutic nutritional supplements to the child's diet. These include Lactase Baby and Lactase Enzyme.

Pancreatin or Mezim forte should be used to improve pancreas function. To adjust the dysbacteriosis of the intestine, the specialist appoints Lineks, Hilak forte. When bloating is recommended to use Espumizan or Sab Simplex. Adults prescribe a dosage greater than children. If the patient is in pain, he should take No-shpa or Drotaverin.

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If lactase insufficiency is diagnosed, only the doctor prescribes treatment, preparation and dosage, categorically it is not recommended to engage in self-medication.

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With pain and bloating, you should drink carminative drugs.

To eliminate diarrhea and normalize stools, you must take Loperamide or Diosmectite.

To restore the intestinal microflora, Enterol must be used, which contains yeast-like fungi that contribute to the improvement of the activity of the gastrointestinal tract. The course of treatment is mostly 5 days. Effective is the drug Bifiform. It normalizes the microflora, is considered a good antibacterial agent and actively fights against intestinal infections.

To improve immunity, it is recommended to use the vitamin complexes of Calcinov and Berokka Plus.

If a person is lactose intolerant, then he needs to refrain from eating whole milk, and include yogurts, cheeses and kefir in his diet.

It is necessary to strictly adhere to a certain diet during lactase deficiency. It is necessary to limit the use of sweets with a high level of carbohydrates. Dishes in which lactose is included in large quantities should be eaten in combination with other foods. Sour-milk yogurt can only be used with live lactobacilli. Cheeses should only buy solid varieties. It is worth remembering that when choosing yogurts or cottage cheese it is important to take into account its percentage of fat content. The higher it is, the lower the lactose content of the product. It is necessary during the treatment to include in the diet eggs, nuts, rice, honey, pasta, fruits and vegetables, drink juices, tea.

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Nutrition of the patient should be balanced and include all the important vitamins for the normal functioning of the body.

To make up a reserve of calcium, a person should consume almonds, flax seeds, garlic, poppy seeds, sesame seeds, pistachios. Also include in the diet foods containing vitamin D. These include various types of fish( mackerel, tuna, herring) and cedar oil.

7 Diet for Toddlers

If there are no symptoms of lactase deficiency in a child, then you can continue to feed it with breast milk. If he began to gain weight, but he has diarrhea, then breastfeeding should be combined with certain drugs that contain lactase. When the baby weakly adds weight, it is necessary to replace the milk with artificial mixtures in which the low level of lactose or not at all in the composition. This includes hydrolyzed mixtures.

Figure 6

One of the first lures that should be consumed by a child with lactase deficiency is a puree from vegetables. Mostly it is potatoes, zucchini and carrots. You should start with 1 tsp.puree, gradually increasing the dose to 150 grams. Puree from one type of vegetable should be given no more than 3 days, then it should be replaced with another. You can mash directly from several types of vegetables, adding a few drops of sunflower or olive oil.

A breastfeeding woman should also follow a diet. She needs to abandon the products, which include milk sugar. It is necessary to forget for a while about the products that form gas formation in the intestine. These include grapes, black bread, buns, sweets, cookies and chocolate.

The diet lasts from 1 to 4 months.

A woman who breastfeed should remember and follow a few simple rules:

  1. Express milk before feeding. Thus, it removes milk, which contains a high proportion of sugar.
  2. During one feeding, it is not recommended to change breasts.
  3. At night, milk is the most fat, so a woman should be more likely to feed her baby at night.
  4. To finish feeding is only when the child is removed from his chest and is already full.

8 Chronic

course Secondary lactase deficiency occurs in children with intestinal cell damage that produces lactase. Most often, it occurs in those who suffer from chronic diseases, for example, if a person has a food allergy, helminthic invasion or intolerance to protein, which is contained in cow's milk. Secondary lactase deficiency occurs most often among children under 1 year. Its symptoms are identical to those of primary lactase deficiency.

Treatment is complex, with the right diet. However, with secondary lactase deficiency, the focus is on the disease that caused it, and reducing the consumption of products with lactose is a temporary phenomenon. It is necessary to exclude the use of whole milk, drink more yogurts, eat sour-milk products and butter. The kid is prescribed a therapeutic diet, at which you should use mixed feeding. Artificial mixtures should be completely ruled out if the child has passed all the symptoms of pathology.

One of the popular mixtures among nursing mothers is Nanni - a hypoallergenic dry product that includes goat's milk. The manufacturer claims that the mixture is manufactured using a unique technology, thanks to which probiotics are preserved. To taste it reminds cream. This mixture improves the activity of the intestines and is a balanced diet. Glucose and sucrose are not contained in it, but the composition contains natural milk sugar.

Contents
  • 1 Symptom
  • 2 What causes the disease
  • 3 Reasons for the appearance of
  • 4 Newborn children
  • 5 Clinical picture of the disease in adults
  • 6 Treatment measures
  • 7 Diet for toddlers
  • 8 Chronic course

Lactase deficiency is a state of the body in which there are violations in the digestion of lactose, accompanied by watery diarrhea. In the intestines, an enzyme lactase, which is necessary for a human, is produced in insufficient quantities, which acts on the digestion of milk sugar( lactose).Lactase deficiency in adults can also appear, but mostly the disease is considered childish.

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