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Cure for lactose intolerance, fat absorption - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
User :   I would like to have some clarifications regarding my 14 months baby's nutrition issues.
Doctor :   hello
Doctor :   i am Dr xxx here
User :   Hi doctor
Doctor :   please proceed with your query
User :   i have a baby 14months old and he has developed a lactose intolerence and fats malabsorption
User :   now i am worried about its nutrition and growth
User :   his weight now is 10.5kgs
User :   he developed lactose intolerence when he was 5months old
Doctor :   well let me first inform you that lactose intolerance is not a severe disease which can hamper the growth of your child
User :   and at the age of 11 months he developed fats malabsorption
User :   when ever he takes sugary products he faces motions problems
Doctor :   that is a sign of lactose intolerance
User :   but what about fat malabsorption i am worried more about that
User :   how much time he may take to recover and what care we should take to recover him speedily?
User :   he eats rice, dal and roti
User :   nothing else
Doctor :   otherwise his diet is ok ?
User :   could you please sugest what else we can feed him?
User :   he eats rice, dal and roti
Doctor :   ok
User :   how we can take him out of those problems
Doctor :   you need to provide him with a alternate source of calcium
User :   some doctors says time is the only solution is it?
User :   we are giving him supracal syrup as asource os calcium
Doctor :   . Since dairy products are a main source of calcium, you need to give the baby non-dairy foods that contain a lot of calcium. Fruits, green vegetables and fortified cereals are good alternatives
Doctor :   Consider soy milk.
User :   we were givng him isomil when he developed lactose intolarance but due to fats issue we shifted him to simyl MCT
Doctor :   yes thats a good alternative
Doctor :   see as the child grows many times he starts to develop the ability to digest fats with growing age
User :   doctors here says his intestines are weak coz of diarrehea
User :   will he be able to digest cereals?
Doctor :   you can try by giving small quantities at first
User :   fruits sugars will be suitable for him?
Doctor :   yes these are very good source and should be given to your baby
User :   but last time when we gave apple to him he started loose motions immediately
User :   honestly i am confused about his diet
Doctor :   you need to try with different fruits .
User :   like?
Doctor :   oranges
Doctor :   banana
Doctor :   grapes
Doctor :   these are good healthy substitues
User :   ok doctor
Doctor :   dont worry
User :   he will alright and will eat everything after a time span
Doctor :   these days there are many foods available
User :   ok
Doctor :   with time he will improve
User :   u there?
Doctor :   hello
Doctor :   yes i am here
User :   is there any medicine which will help his intestine to heal up as those are affetced due to diarrhea
User :   or only time is the solution?
Doctor :   Calcium rich foods include wholewheat bread, green vegetables, sesame seeds, oily fish such as mackerel, salmon and halibut, tofu, rhubarb and oranges. Most soya alternatives and cereals are also fortified with calcium.
Doctor :   see with time our our body immune system improves and majority of children starts to respond well to tolerating food that contains lactose
Doctor :   you need to have some patient
User :   tentatively for how much tenuer we have to wait?
Doctor :   it cannot be said . as exact years but the condition definitely improves as our immune system becomes stronger
Doctor :   how is your baby doing otherwise?
User :   nothing else to make intestines stronger
Doctor :   he is healthy ?
User :   yes
User :   but these days he started losing his weight
User :   thats why i am more worried
Doctor :   he treatment for lactose intolerance in your baby depends to some extent on the cause
User :   he is 14 months and wighs 10.5 kgs
Doctor :   your doctor, paediatrician who is examining the baby can give a better assessment
User :   :)
User :   we are giving asthafen syru for his immun system building
Doctor :   as a mother i can understand your concern . yes you can carry on giving him the syrup
Doctor :   In addition to water, rice milk and diluted fruit juice, use a calcium-fortified soy drink or lactose-free milk.
Doctor :   When cooking, try roasts, grilled vegetables
Doctor :   For dessert, try lemon fruit desserts
User :   could u please tell me how much intake a 14 months baby should take?
User :   how mamy times i a day
User :   what should be interval between two meals?
Doctor :   By 14 months old, your baby can eat the same food as the rest of the family (with a few exceptions) BUT the food should be chopped or mashed into bite-size pieces that they can handle.
Doctor :   you can also get more creative with the rest of their diet at this point such as introducing new fruits and vegetables.
User :   oil we are currently using simyl MCT oil for his cooking as he has fat mal absorption
User :   whats the cause behind this fats malabsoption?
Doctor :   have proper tests been done by the pediatrician ? for diagnosing lactose intolerance?
User :   yes we did stoll test for diagnosing bot lactose and fats problems
User :   stool*
Doctor :   you can give him 6 servings of grains, 3 servings of vegetables, 2 servings of fruits, 2 servings from the milk/dairy group, 2 servings from the meat and protein group, and a limited amount of fats and sweets.
Doctor :   for a good balanced diet
Doctor :   hello
User :   in a day?
User :   hi i am back
Doctor :   spread it thru a day
Doctor :   let me give you a model diet plan .. and you can adjust it based on what your baby likes
User :   that will be great
Doctor :   A sample breakfast, with 1/2 cup (4 ouces) of cereal, 1/4 cup of lactose free milk and 4 ounces of orange juice
Doctor :   or you can give a slice of bread with 1 tablespoon of peanut butter and jelly or jam and 4 ouces of orange juice,
Doctor :   For lunch, consider a 1/2 sandwich (one slice of bread), with 1 slice of cheese
Doctor :   is your family vegetarian or non vegetarian ?
User :   vegetarian
Doctor :   ok you can give a bowl of dal and 1 roti
Doctor :   and vetetables
User :   yes will add vegetables now
Doctor :   dinner should also be like lunch and make sure you feed good leafy vegetables . they are excellent source of all good nutrients theat help the body immune system
Doctor :   your child will likely need a couple of small snacks mid-morning and in the early afternoon
User :   yes i understand but fact is i just fear of strting anything new to him
Doctor :   you have to try slowly to introduce it .. in little quantities.
User :   yes will do it
Doctor :   Try to offer just rice and moon dal nicely cooked without making a khichdi out of it. your baby may like it.
You can make moong dal soup and try to offer it to your child . You can offer vegetables nicely boiled and see if baby likes it.
User :   yes will try
Doctor :   thats good and don't worry i am sure everything will be fine
User :   yes how can i get back to you again?
Doctor :   you can log in again and you can ask for me if i am available at that time i would be glad to help you with your queries
User :   basically i am tired of listing the same thing that its a matter of time
User :   i am losing my patience these days
Doctor :   i truly understand your concern and i know it gets tough for you . but you need to be strong and take good care of your baby and soon things will be fine
User :   thanks for all your suggestions
Doctor :   your most welcome
User :   will try the suggetsed things and get back to you
User :   till then
Doctor :   sure
User :   bbye
Doctor :   take care
Doctor :   bye
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