Categorized | Lactose in the News

Lactic intolerance puts millions worldwide in a planet of stomach pain – Columbus Dispatch

OK. Let’s get this out of the way.

I am lactose intolerant.

Yeah, go on. Make your jokes. I’l t wait. Yep, me and Leonard from The Big Bang Theory . Actually, me plus Leonard, my father, my five brothers and sisters and one of my
two children. And tens of millions of people worldwide.

It’s a real thing, individuals. While it might not be the sexiest disorder — you won’t see any kind of
celebrity telethons seeking a cure — it is a disorder just the same, and one that may result in
some nutritional consequences.

Lactose intolerance is not an allergic reaction. Sufferers are not allergic to dairy. A milk allergy is an
immune system response to one or more milk proteins.

That makes it a digestive disorder. Lactose is a sugar found in milk and other dairy products.
In most people, the small intestine — where most your meals are digested and nutrients are assimilated —
produces an enzyme called lactase.

Lactase stops working lactose into two simple types of sugar — glucose and galactose — that are
then absorbed into the bloodstream.

Adults who are lactose intolerant either lack this particular enzyme or don’t produce sufficient of it to break
down lactase.

“It’s a condition I see plenty of adults acquire, ” said Dr . Sheryl Pfeil, a gastroenterologist from
Ohio State University’s Wexner Medical Center. “Lactase can diminish with age group. That’s a very common
form of lactic intolerance. ”

If people with lactose intolerance eat dairy products — a glass of milk, a cut of cheesy
pizza, a dollop of sour cream — they can experience some or all of these signs and symptoms: cramps and pain,
nausea, bloatedness, gas and diarrhea, usually in 30 minutes to two hours.

Some can get away with eating a little of this, a little of that. Fresh milk might be a no-no,
but a chunk of difficult cheese or a cup of fat free yogurt can be eaten with little or no soreness.

“It’s not all or even nothing, like an allergy, ” Pfeil said.

Others can’t tolerate even the smallest amount of lactose. A touch of whipped cream or a mouthful of
brie, for example , can bring a global of stomach pain.

According to the National Institutes of Wellness, about 65 percent of people possess a reduced
ability to digest lactose after infancy.

Worldwide, it is most prevalent in people of eastern Asian descent, affecting more than ninety percent
of adults in some of such communities. Lactose intolerance also is common that individuals of west
African, Arab, Jewish, Greek and Italian descent.

In the United States, African-Americans, Latinos, American Indians and Asian-Americans are more
vulnerable to lactose intolerance.

“The major treatment is to avoid dairy products, ” said Alyssa Bixler, a authorized dietitian with
the OhioHealth McConnell Health Center. “And I think most (lactose-intolerant) people try and treat
them selves. ”

There is assist.

“You can take the pill or milk that has lactase in it to digest the lactose for you, ” Pfeil said. “ And there are products out there that are modified to have low lactose. ”

(My family often carries lactase pills, just in case a good ice cream truck passes by. )

For those who avoid milk products, though, there is the potential for trouble. Milk products
are rich in calcium and calciferol, both of which help keep bones solid.

This can be a particular issue for older women.

Bixler said people should obtain about 1, 000 milligrams of calcium every day. She said sardines,
canned salmon, dark-green vegetables, walnuts and white beans are good substitutes for dairy
products.

The recommended daily allowance associated with vitamin D is 600 international systems. Eggs, liver and certain
types of fish are rich in vitamin D. The next sunlight.

Pfeil furthermore warned that adults who encounter symptoms should talk with their doctors.

“Symptoms of lactic intolerance can mimic those of other digestive system diseases, ” she said. “
Depending on the acuity of those symptoms, it truly is a good idea to mention them to your
physician. ”

Then again, it’s not the end of the world — until you work as a professional milk taster.

“It’s more of a nuisance, ” Pfeil said. “It can be life-changing, but it’s not life-threatening. ”&
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msomerson@dispatch. possuindo

@MarkSomerson

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