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Lifestyle modifications for one with lactose intolerance - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2009
Answered : 676 Questions
Doctor :   hi
User :   Hi
Doctor :   how can i help you
User :   I'm lactose intolerant since last June
User :   I get sick and feel sick when I have any milk products
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
User :   so I have minimised intake of milk directly and consume products that have milk in small quantity
User :   I also take Lactaid
User :   sometimes
Doctor :   ok
Doctor :   how long u have this problem
User :   age is 32, male, xxxxx, married, 65kgs, 5-9, nope
Doctor :   how manys years or monthS?
User :   last 1 year
User :   14 months
User :   i consume soya milk - 4 lts in 1 month
Doctor :   ok
User :   also take Calcium sandoz tablets to avoid osteoporosis
Doctor :   did u any time get colonoscopy
Doctor :   done
User :   I consulted one of xxxxx's top Gastroenterologists
Doctor :   ok
User :   Dr XXXXXXXX xxxxx
Doctor :   ok
User :   I supplement diet with green leafy vegetables, do not eat fish as I'm a veg
Doctor :   ok
User :   is there any cure
Doctor :   do u have constipation and loose stools as well
User :   I believe constipation is caused due to Lactase deficiency
Doctor :   do u have constipation and loose stools or motions
Doctor :   as well
User :   but my stools are superb if I do not take milk in my diet
User :   if i take milk, sometimes stools are loose
User :   but this is usually negated as I take Lactaid
Doctor :   there is no cure for lactose intolerance,
User :   what worries me is malabsorbtion, have lost 4 kgs in 1 yr
Doctor :   ur problem could be IBS as well
User :   Dr xxxxx said its not IBS
Doctor :   do u ahve colonoscopy report
User :   I tested myself drinkinbg only milk and then had diarhoeaa in next 5 hrs
Doctor :   or it could be coeliac disease
Doctor :   there is no cure for lactose intolerance
User :   Dr. xxxxx did not talk of other ailments, he simply zeroed in on IBS and LD
Doctor :   ok
User :   and we figured its LI
Doctor :   from ur history it could be IBS
Doctor :   anytime ur stool examination was done
User :   nope, he never felt the need
Doctor :   could u please type in the colonoscopy report
Doctor :   to confirm lactose intolerance
User :   we did not do any colonoscopy report
User :   he was quite sure
User :   is LD quite common in India?
Doctor :   ok
User :   I had 2 appointements
Doctor :   ok
User :   he asked me to avoid milk for 30 days
Doctor :   ok
User :   and asked me how i felt
User :   I gained 2 kgs and never felt nauseus
Doctor :   ok
User :   so he said its LD, and said it wud probably vanish
User :   that was in July
User :   2007
Doctor :   ok
User :   but its just not vanished
Doctor :   Limit the amount of milk and milk products in your diet
User :   already done doc
Doctor :   u can have cheese
User :   the only thing I take isxxxxx
Doctor :   it contains less lactose
Doctor :   If you are not sure whether a milk product causes symptoms, try a small amount and wait to see how you feel before you eat or drink more.
User :   I noticed that pizzas from Pizza hut are fine
Doctor :   ok
User :   swiss cheese and mozarella are fine, but regular cheese is bad
Doctor :   Eat or drink other foods instead of milk and milk products
Doctor :   Eat yogurt with live cultures
User :   yes, I do that
Doctor :   have lots of fruits , fruits
Doctor :   to replace calcium
User :   how can I remain healthy - I found that people with LD gain weight slowly
Doctor :   almonds are good source of calcium
User :   I also work out in a gym
Doctor :   since u will be taking less of milk
Doctor :   u need to takr this
User :   for 1 hr thrice a week
Doctor :   exercise regular
Doctor :   it will help u a lot
User :   treadmill + weights
Doctor :   ok
User :   I'm pretty fit, but sometimes I feel weak after accidently eating some food that has milk
Doctor :   ok
User :   even pulao that has been prepared in a tawa that had ghee makes me sick
User :   I have stopped eating outside these days
Doctor :   avoid diary products
User :   have u any patients or case histories
Doctor :   get a stool examination and colonoscopy done
User :   I'd like to know how they deal with this
User :   and is this genetic?
Doctor :   lifestyle modification is that is needed
User :   is there no way the body can be made to break lactose into glucose and galactose
Doctor :   Native Americans and people of Asian, African, and South American descent than among people of European descent.
User :   I know, but Indians?
Usr : we worship cow
Doctor :   Lactose intolerance occurs when the small intestine does not make enough of an enzyme called lactase.
Doctor :   Lactose intolerance most commonly runs in families
User :   I'm surprised how I developed it
User :   in my family, I'm the first
User :   again, its more prevalent in South India than in North
Doctor :   ok
Doctor :   so anything else u would like to know about
User :   honestly, milk consumption shud be stopped, why do we need milk after infancy?
Doctor :   u need calcium
Doctor :   that is the important source of calcium
Doctor :   i mean milk
User :   that's there in salmon, leafy vegetables
User :   so lifestyle modification is the only way?
User :   NO solutions from XXXXXXXXxxxxx
Doctor :   yes
Doctor :   there is no cure as of now
User :   who claims cure for diabetes
User :   let's hope technology develops in 10 years
Doctor :   my knowledge in ayurvedic medicine is limited
User :   previously it was worse
Doctor :   that is not medically proved
User :   lactaid was developed in the late 1990s
User :   I'm not totally into xxxxx, but lil skeptical
Doctor :   ok
User :   and its a relief
Doctor :   We have a long queue of patients waiting to get medical advise. Please restrict your medical querie
User :   cool
Doctor :   YYYY@YYYY
Mobile : 0000
Doctor :   confirm ur details
User :   yep
User :   thanks, ur quite knowledgeable
Doctor :   ur welcome
Doctor :   thankx for visiting healthcaremagic
User :   are u a specialist inxxxxx?
Doctor :   \bye for now
User :   bye
Doctor :   nope General practisioner
Doctor :   bye for now
User :   bye

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