LACTOSE INTOLERANCE AND MALABSORPTION
PROBLEM
You have problems digesting milk (lactose) products or have problems with malabsorption. Lactose intolerance can cause gas, bloating, abdominal cramps, diarrhea, and nausea or vomiting. You may be able to eat small portions without problems or be unable to tolerate any foods containing milk.
CAUSE
Lactose is the sugar present in milk. Lactose intolerance is very common; it occurs when the body is not able to digest this milk sugar content and causes diarrhea.
PREVENTION
Follow a lactose-free or lactose-controlled diet.
Activity: No restrictions are required. Resume normal activities as soon as diarrhea symptoms improve. You may be sent to see a registered dietitian to assist in your dietary plan.
Diet:
A.Limit or omit foods that contain milk, lactose, whey, or casein.
B.Lactose-controlled diets allow up to one cup of milk per day for cooking or drinking, if you can tolerate it.
C.If you cannot tolerate any lactose, choose lactose-free foods with lactate, lactic acid, lactalbumin, whey protein, sodium caseinate, casein hydrolysates, and calcium compounds. Read labels carefully.
D.You may also choose kosher foods marked pareve
or parve,
which do not contain lactose. Read labels carefully.
E.A low-fat diet is important if you have fat malabsorption.
F.To help with diarrhea caused by malabsorption, avoid more than one serving a day of caffeine-containing drinks.
G.Beverages with high sugar content, such as soft drinks and fruit juices, may increase diarrhea. Juices and fruits with high amounts of fructose include apples, pears, sweet cherries, prunes, and dates.
H.Sugar-free (Sorbitol) candies and gums may cause diarrhea.
Medications: You may need the enzyme lactase to help you digest your food. You may need vitamins and minerals if you are having problems with malabsorption/diarrhea.
You Have Been Prescribed: ___________________________________________________________
You Need to Take: ___________________________________________________________
You Need to Notify the Office If You Have:
A.Severe abdominal pain.
B.Diarrhea causing dehydration.
C.Other: ___________________________________________________________
Phone: ____________________________
PATIENT TEACHING GUIDE