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Lactose intolerance is the inability to digest significant
amounts of lactose, the principle sugar in milk. This
inability results from a shortage of the enzyme lactase,
which is normally produced by cells in the small intestine.
Lactase breaks down this complex sugar into simpler
forms that can be digested into the bloodstream.
Common symptoms in individuals who have lactose intolerance
include nausea, cramps, bloating, gas and diarrhea which
begin anywhere from 30 minutes to 2 hours after ingestion
of lactose. The severity of these symptoms is inversely
proportional to the amount of lactose that an individual
can digest.
Lactose intolerance affects over 50 million American
and is one of the most common gastrointestinal disorders
seen by primary care physicians. Lactose intolerance
is most prevalent in up to 90% of Asians and as many
as 75% of African and Native Americans. The inability
to produce lactase develops over time generally starting
between the ages of 10-20 and increasing with incidence
with age.
Lactose intolerance is relatively easy to control. Lactase
enzymes are available without a prescription for individuals
who react to very small amounts of lactose or cannot
regulate their lactose intake. A liquid form of lactase
can be added to milk and Lactrase®
enzyme tablets can be taken before a meal to reduce
or eliminate symptoms associated when consuming solid
lactose containing food.
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