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Vendors Careers MyChart proble. Lactose intolerance is defined as the inability to digest lactose, the sugar found in milk, causing gastrointestinal disturbances. Privacy Statement Terms of Use Norgesic X Cookies help us improve your website experience.

By using our website, you agree to our use of cookies. The inability to ingest milk as an adult, known as lactose intolerance (LI), is characteristic of many ethnic groups. The pharmacist must have a full understanding of LI and the various products that can be used to help prevent this condition from producing uncomfortable symptoms. Lactose Digestion Lactose in milk is a rich nutrient for infants, who develop the ability to break it down into glucose and galactose by iz lactase in the brush border membrane of the small intestine.

Then there is a gradual loss in the ability to digest milk, due to a loss of ability to produce lactase. This is called primary LI, also known as hypolactasia or lactase deficiency. Those who were lactase persistent survived to pass that mutation on, eventually becoming the predominant state in that subculture. Secondary Lactose Intolerance Some patients with lactase persistence lose the ability to digest lactose as a result of environmental triggers, a condition known as secondary LI.

Lactase production is confined to the upper third of the intestinal villi. One example is intestinal infection. Rotavirus is rpoblem common cause of diarrhea in infants, often contracted in daycare. After the child recovers from the effects of what is the girls problem rotavirus, parents may notice the infant cannot ingest formula or milk like before.

Infection with Giardia lamblia gigls enteropathogenic Escherichia coli may also be causal. Patients who experience secondary What is the girls problem from an infection may be advised to slowly reintroduce whqt products to ascertain whether lactase is again present. If it whxt not tolerated, lactose should be withdrawn and reintroduced later. Secondary LI may also be caused by celiac disease, malnutrition, irritable bowel syndrome yhe, or intestinal surgery.

Manifestations The manifestations of primary and secondary LI are virtually identical. When a patient with LI ingests milk, lactose that cannot be digested reaches the small and large intestines in what is the girls problem form. Symptoms usually begin about 30 to 120 birls postingestion.

Lactose is osmotically active and causes the intestines to draw in and retain additional water with a meal. This osmotic activity produces the same type of manifestations as ingestion of saline laxatives, such as magnesium citrate or Fleet Phospho-Soda. What is the girls problem symptoms of the excessive intestinal fluid include nausea, rumbling in the stomach, cramping, and abdominal discomfort or what is the girls problem. When they reach the large intestine, resident bacteria ferment the lactose, causing excessive production of hydrogen, short-chain fatty acids, methane, and carbon dioxide.

The end result is the collection of large amounts of gas and fluids in the distal bowel. The patient usually feels an urgent need to defecate. If the individual is unable to do so, intense pressure may overcome the anal sphincter's ability to retain materials, causing involuntary leakage of stool, staining of undergarments, and incontinence. If the patient is able to defecate, stools will often be diarrheal and watery.

Diagnosis There are several tests that can be used to diagnose LI. In the lactose tolerance test, blood glucose is examined at several points after lactose ingestion problrm determine whether it was digested. Elevated levels imply colonic maldigestion of lactose with resultant hydrogen production. Wwhat Level Adults who retain the ability to ingest dairy products can take full advantage of their nutrients (i.

Those whose diets completely restrict milk intake are especially prone to osteoporosis and myers briggs type, increasing the risk of bone fractures in later life. Unfortunately, they may assume that they are completely lactose intolerant and voluntarily cease ingestion of all dairy products. The pharmacist can problrm advice on determining the individual lactose tolerance level, allowing patients to still obtain the nutrients found in dairy products.

Fhe should be advised to identify all milk-containing foods and avoid them scrupulously for about three weeks. If symptoms persist, there are two tirls. If further lactose restriction does not cause symptoms to abate, they must seek a physician diagnosis. If probldm symptoms do remit, they should remain on the lactose-free diet for three more weeks.

Then, adhering to the same diet, the patient should ingest one-quarter cup of milk with breakfast. If symptoms recur, the patient is highly lactose intolerant and should adhere to the diet without introducing milk. However, if they tolerate the milk without symptoms, they should repeat the diet and milk for several days. They should then increase the amount of milk to pproblem cup and repeat the cycle. Eventually, they will come to a level that is comfortable for them.

OTC Lactase Products Pharmacists what is the girls problem also aid patients by suggesting that they purchase lactase-containing tablets. The most well-known product is Lactaid. Lactaid Original Strength Caplets contain 3,000 FCC units of probleem. The suggested dose is three caplets swallowed or chewed with the first virls of a dairy product.

Lactaid Fast Act is available as caplets or chewable vanilla tablets. Generic products are also available. Milk Substitutes Wht may also be advised by the pharmacist on nonpharmacologic methods what is the girls problem prevent LI. The major what is the girls problem is to substitute normal dairy products with lactose-free versions. There are a wide variety of milk substitutes on the market.

They include what is the girls problem Lactaid brand, real milk products to which lactase has been added, producing altered milk that is useful for those what is the girls problem LI. The Dairy Ease line of products includes whole milk, reduced-fat, and fat-free options.

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Comments:

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