Brief Answer:
Further data required, still lactose intolerance present...

Detailed Answer:
Hi,

I have gone through your medical history carefully and understood your concerns.

I was reviewing the report of your lactose load testing and unfortunately, noted lactose intolerance as final result.

If the test is done recently, you still need time to apply changes and see improvement.

You report to have the same symptoms, while in the test report it was noted you are not having diarrhea or any of GI problems. Can you please report your symptoms?

Any culture of stool or examination of feces for ova/parasites done so far?
Any upper endoscopy or abdominal ultrasound?

Thank you.
Dr.Albana

---

Brief Answer:
Seems you need to follow the restriction diet for much longer than 1 month

Detailed Answer:
Hello back,

Sorry for the late reply.
Thank you for providing the requested information.

Your lactose test came to be positive which means that you are lactose intolerant. In other words, all the gastrointestinal symptoms you have are due to lactose intolerance.

Lactose intolerant people can not digest lactose because they lack the enzyme. As this situation will last a bit more than predicted, it is important to follow the restrictions like avoiding dairy or milk.

It's ok to take the enzyme pills as you do but you will feel better if you avoid dairy food completely.

At your age (18), other factors can trigger/aggravate the GI symptoms you have including stress and hormonal. So, as I always advise my patients with the same problems as you, try to give yourself enough time to calm down and take things step by step calmly. Rest enough and sleep properly. Take regular meals and be more physically active.

Continue taking probiotics to stabilize intestinal flora. However, watch if taking probiotics make your GI symptoms worse. Sometimes, it happens so watch their changes.

Try not to eat too fast. Take the pill half an hour before the meal not just exactly before eating because it needs time to start working. Continue with diet restrictions for another month or more to see changes.

You say to get stool examination for parasites. Let me know about the results of the stool test then. That's important too.

Hope this was helpful.
Dr.Albana

---

Brief Answer:
Explained below..

Detailed Answer:
Hello dear,

Sorry for the late reply due to my XXXXXXX clinical overload.

Thank you for following up.
Being diagnosed with lactose intolerance and if you avoid dairy food this does not mean that you can not take high calories by other foods.

You can add to your diet more protein with eggs, fish, and meat. Add excessive olive oil or vegetable oil to your salads, nuts, and dried foods, take a lot of carbs, fruits and vegetables that contain good amounts of sugar or fats. Try with avocados, potatoes, legumes, peanut butter, dark chocolate etc.

Also, there are some alternatives for dairy-free milk like coconut milk, rice milk, almond milk and soy milk.

Try to measure your body weight often to see how much you have progressed.

Do not do any excessive physical activity. You can take a walk or ride a bicycle, do things at home and these will be fine to keep you enough active.

Having 5 meals a day is a very good choice from your side. Try to eat more than your body can burn. Do not forget proteins because you need them to form the muscular masses and moderately active. Try not burn everything you eat.

Hope I helped you.

Good luck.

---

Brief Answer:
Detailed below...

Detailed Answer:
Hi back,

Now, when a patient with the same GI problems as you comes at my clinic, the very first thing is to exclude GI issues including those related to organic changes (when it comes to anatomy of mucosa) and due to other non organic issues like metabolic disturbances (e.g. those of thyroid).

So, we must make sure your GI tract is ok. From the tests you did, it was resulted lactose intolerance. Therefore, we should focus in improving this lactose intolerance that was already diagnosed.
But this will require time. And you should be patient.

If lactose intolerance is already improved, tests will confirm improvement, and if you will still have the symptoms, then, other tests to confirm metabolic issues are recommended.

All the best!
Dr.Albana

---