OTHER NAMES

DEFINITION

The lactose intolerance is an affectation of the intestinal mucous membrane with inability to digest the lactose (azcar of the milk) due to a shortcoming of one enzyme called lactasa.

SYMPTOMS

The symptoms of the intolerance to the lactose are the abdominal pain the diarrhea, the distension of the abdomen and the flatulence, turning out to be lost of weight, with malnutrition.

DIAGNOSIS

It is realized by means of the sugar analysis after the lactose ingestion and for the intestinal biopsy.

• Tolerance test to lactose:

After the ingestion of 100 grams of lactose blood samples take to 30,60 and 120 minutes, must appear normally an increase of 2 mg/dl of glucose at 2 a.m. of the ingestion of the lactose.

• Hydrogen test in the respiration:

Hydrogen increase in the respiration after the lactose ingestion.

• Test of acidity of the dregs:

Acidity increase in the intolerance to lactose.

In the small intestine biopsy, a test is realized to verify the presence or not of of lactasa in the intestinal mucous membrane.

It is an illness that appears in the infancy but that is progressing up to the adult. The absence of milk in the diet can produce lacking in calcium, vitamin D, riboflavin and lacking in proteins. For it it is replaced with soya milk and other times with dairy products treated with lactasa.

TREATMENT

The lactasa application after his warming can limit the presence of lactose to the milk in 90 %.
Another part of the treatment is the replacement of the deficits for lack of milk ingestion and between them the absence of calcium.

The needs for Calcium are:

Also it is necessary to associate to vitamin D for being necessary for the calcium absorption for it it must happen in the diet (eggs, liver) or sunbathe.

IT IS NOT NECESSARY TO EAT

There is suppressed of the feeding all kinds of milk of cow and derivatives. All the tags of the foodstuff must be read, to find out if they contain milk or milk derivatives.

• Instantaneous, skimmed powdered milk
• Margarine
• Solid milk derivatives
• Butter
• Casein Hidrolizado
• Whey
• Ice creams
• Cottage cheese Cheese

• Purées and soups prepared or enriched with milk or lácteos.derivados
• Fresh and fermented cheeses.
• Cold meat that contain dairy products.
• Pastries and fryings of meat, fish or volatile that contain dairy products.
• Eggs cooked with milk or milk derivatives.
• Substitutes of the eggs, for example, those that intervene in batters, creme caramels, etc.
• Any food prepared with milk or dairy products, like the purée of potatoes, the prepared pastas plates etc.
• Any cream or purée prepared with milk or dairy products (spinach to the cream).
• Any product of bakery that contains milk or milk derivatives: Donuts, Pancakes, Crapes, rolls, sponge cakes, cookies, pastas, toasts, etc.
• All the products pre-cooked or prepared with addition of milk derivatives.
• Cereals enriched with proteins.
• Butter, cream, margarines that contain milk derivatives.
• Seasonings of salads and mayonnaises that contain milk or milk derivatives.
• All prepared with not authorized ingredients.
• Pastries, cakes, sponge cakes, ice creams, sherbets, and yogures and other commercial articles.
• Milk of skimmed, skimmed, evaporated or condensed entire cow, yogurt.
• Formulae for nursing, of standard composition, cocoas and chocolates prepared with milk of cow Ovaltine
• Drinks by means of milk, such as batters, punches and malteados.
• Milk chocolate, sauce of cream or cream, grilled plates, cottage cheese, whey.
• Food fried with butter or pasta to muffle up
• Chocolate substitutes tablets.

• Bread and pastries
• Instantaneous soups
• Stiff drinks - batters
• Margarine
• Cookies
• Medicines

ALTERNATIVES IN INTOLERANCE TO THE MILK OF COW

The ideal alternative must be a milk with contents different from those of the milk of cow (in proteins and in sugar), with enough nutritional value (calcium, lípidos proteins, proteins, etc.), of fall alergenicidad, with good flavor and sale.

1 - Proteins Hidrolizados, they take place by means of the heat or the hidrólisis of the original proteins of milk of cow, his nutritional value is adapted and the tolerable flavor.
- Indicated in intolerances and in chronic diarrheas -

• Milk with high places hidrolizados:
  
  Of casein: Nutramigen ®, Pregestimil ®, Damira ®, I Nourished 2000 ®, Nieda ®.
  Of Whey: Alfare ®.
  Of Soya + pig collagen: Pregomin ®.
• Milk few hidrolizada:
  
  Of whey: Native THERE IS ®, Nidina HA ®.
  Of whey + casein: Aptamil HA ®.

2 - Prepared of soya, they consist of soya proteins with vegetable oils and carbohydrates.
- Indicated in allergy to proteins of milk of cow -

• Corn (Isomil ®).
• Starch (Velactin-N ®).
• Saccharose (Isomil ®).
• Dextrinomaltosa (Alsoy, Velactin-N ®).
• Glucose polymers (Prosobee ®).

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