Tag Archives: Lactose intolerance

Straight, No Chaser: Lactose Intolerance – It’s Explosive!

lactose_intolerance
So I’m at dinner with a group of friends, and somehow the topic gets to lactose intolerance. For 15 minutes. They were really into it. At dinner! You know what it is. Everyone seemingly knows someone who has it, even if (hopefully) you aren’t reminded of it too often. Lactose intolerance is a state where you simply have difficulty digesting lactose (one of the sugars we consume, most notably in milk and other dairy products) because of a deficiency in the enzyme that breaks it down, called lactase. Lactose intolerance occurs more often in Black, Asian, Hispanic and Native Americans, but that doesn’t mean your body read that book.
So by now you may be thinking “What is there to discuss besides the odoriferous emanations produced?” (In case you didn’t get the reference that’s from an old Right Guard commercial featuring Charles Barkley.) Well, the biggest concern from a health standpoint is to ensure you’re still getting enough calcium to keep your bones strong and enough Vitamin D. Here are 3 sets of practical facts to help you get through it all.

lactose-intolerance-400w-green

1. If you’re lactose intolerant, that doesn’t mean you’re allergic to dairy products.

  • This is an important distinction. There’s nothing immediately life-threatening about the ingestion of dairy products if you’re lactose intolerant, as there might be if you were allergic. Just be aware of the cramping, bloating, flatulence, nausea, vomiting, diarrhea and gas that may ensue.

2. If you’re lactose intolerant, that doesn’t mean you can’t necessarily have any dairy or won’t ever be able to have dairy.

  • Lactose intolerance occurs in many shades of grey. Some people get worse with age; others get better as they learn to work around it. Some develop lactose intolerance at birth, others later in life, and others develop it after injury or surgery to the small intestine (which is where lactase is normally produced). Some can ingest small amounts of certain products without symptoms. In the privacy of your own surroundings, you should discover for yourself if you’re affected every time you have daily or whether or not only large amounts of certain products cause symptoms (e.g. Try not to eat the entire gallon of ice cream.). You should also gauge your response to daily after taking various lactase-containing supplements.

3. If you’re lactose intolerant, you still can get adequate calcium. Here’s a few suggestions.

  • Soy and rice products have exploded (in a different way) on the market. Consider soy milk, soybeans and tofu.
  • Many juice, bread and cereal makers have taken to providing calcium.
  • Some fruits and veggies are great sources. Consider broccoli, collard and turnip greens, kale, okra, pinto beans, rhubarb, and spinach. Oranges are a good source of calcium.
  • Other great foods include almonds, salmon, sardines and tuna.

lactose-intolerance

If you have any questions or comments (I’m sure you’re busting at the gut to discuss this topic), let ’em rip…
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Straight, No Chaser: The Week in Review and Your Quick Tips

week-in-review-545x210
Another week of knowledge and good health has come and gone at Straight, No Chaser.  Here’s your Week in Review.  Click on any of the underlined topics for links to the original posts.
On Sunday, we started the week reviewing rashes found on the palms and soles.  The entire post was meant to raise awareness that secondary syphilis presents like this, which is an important consideration given how easily primary syphilis can be missed, how devastating tertiary syphilis is and how simple treatment is once diagnosed.  Get it checked, and get it treated.  Sunday also brought a tear jerker of a topic in reviewing the physical signs of child abuse.  We often say knowledge is power, but in this example, knowledge could mean continued life for a victim.  Review those patterns of symptoms, and commit to being involved when needed.
On Monday, we reviewed lactose intolerance, which we tend to think is funny in theory but never is if you’re the one affected.  Remember it’s not the dairy that’s important to your health but the calcium it provides.  There are alternatives.  We also provided Quick Tips for the newborn in your family.  It’s never a bad thing to have a newborn evaluated, but don’t be distraught if the answer to your questions involve a lot of reassurance.  Remember, lots of answers to your questions involve things that happen underneath the diaper.
On Tuesday, we reviewed rabies.  We all knew there was a reason we didn’t like bats, skunks and raccoons, but if you live in the wrong area, your household cat or dog could be just as deadly if they aren’t completely immunized against rabies.  We also looked at injuries that occur from playing golf.  Who’d have thought five hours of swinging a club 100 MPH could cause back problems?  It’s such a peaceful game!
On Wednesday, we discussed ulcers.  Amazingly, peptic ulcer disease is most commonly traceable to a bacterial infection.  This is another condition where smoking and drinking (and overuse of pain medications) will come back to haunt you.  Wednesday also brought a review of allergic reactions and the potential life-threatening nature of them.  Because of this fact, it’s just not a good idea to wait around for things to get better on their own.
On Thursday, we discussed antioxidants and free radicals, which surprised a lot of you.  Although you seemingly can’t go wrong with antioxidants you eat, taking all those expensive supplements has been shown not to provide the same level of benefit and may in fact be harmful.  We also reviewed grief and bereavement.  I hope many of you learned that your suffering and responses are not only normal, but they’re universal.
On Friday, we provided an update on CPR and gave you another reason to remember the BeeGees.  Layperson and bystander CPR has been made so easy that you just have to take the two minutes to learn what to do.  We also reviewed cocaine myths and truths, which is important because cocaine often leads to the need for CPR.  I think I scared some people off with the image of big needles to treat their cocaine erections… Oh well!
On Saturday, we discussed drowning.  Keep your infants at arm’s length, and remember to bring a few life-savers (preservers, ropes, etc.) when you plan on being especially adventurous in the water.  We wrapped the week up discussing bedwetting, which often resolves on its own but sometimes is a symptom of another medical condition.
Thanks for your support and continued feedback.  If you have topics you’d like to see discussed, please feel free to send me an email or comment.
Jeffrey E. Sterling, MD

Straight, No Chaser: Lactose Intolerance – It's Explosive!

lactose-intolerance
So I’m at dinner with a group of friends, and somehow the topic gets to lactose intolerance. For 15 minutes. They were really into it. At dinner! You know what it is. Everyone seemingly knows someone who has it, even if (hopefully) you aren’t reminded of it too often. Lactose intolerance is a state where you simply have difficulty digesting lactose (one of the sugars we consume, most notably in milk and other dairy products) because of a deficiency in the enzyme that breaks it down, called lactase. Lactose intolerance occurs more often in Black, Asian, Hispanic and Native Americans, but that doesn’t mean your body read that book.
So by now you may be thinking “What is there to discuss besides the odoriferous emanations produced?” (In case you didn’t get the reference that’s from an old Right Guard commercial featuring Charles Barkley.) Well, the biggest concern from a health standpoint is to ensure you’re still getting enough calcium to keep your bones strong and enough Vitamin D. Here are 3 sets of practical facts to help you get through it all.
1. If you’re lactose intolerant, that doesn’t mean you’re allergic to dairy products.

  • This is an important distinction. There’s nothing immediately life-threatening about the ingestion of dairy products if you’re lactose intolerant, as there might be if you were allergic. Just be aware of the cramping, bloating, flatulence, nausea, vomiting, diarrhea and gas that may ensue.

2. If you’re lactose intolerant, that doesn’t mean you can’t necessarily have any dairy or won’t ever be able to have dairy.

  • Lactose intolerance occurs in many shades of grey. Some people get worse with age; others get better as they learn to work around it. Some develop lactose intolerance at birth, others later in life, and others develop it after injury or surgery to the small intestine (which is where lactase is normally produced). Some can ingest small amounts of certain products without symptoms. In the privacy of your own surroundings, you should discover for yourself if you’re affected every time you have daily or whether or not only large amounts of certain products cause symptoms (e.g. Try not to eat the entire gallon of ice cream.). You should also gauge your response to daily after taking various lactase-containing supplements.

3. If you’re lactose intolerant, you still can get adequate calcium. Here’s a few suggestions.

  • Soy and rice products have exploded (in a different way) on the market. Consider soy milk, soybeans and tofu.
  • Many juice, bread and cereal makers have taken to providing calcium.
  • Some fruits and veggies are great sources. Consider broccoli, collard and turnip greens, kale, okra, pinto beans, rhubarb, and spinach. Oranges are a good source of calcium.
  • Other great foods include almonds, salmon, sardines and tuna.

If you have any questions or comments (I’m sure you’re busting at the gut to discuss this topic), let ’em rip…