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- Abdominal rumbling sounds
- Loose stools
- Hydrogen breath test
- Stool acidity test
- Keep a food diary of what you eat and what the reaction is. Discuss the findings with your doctor or a dietitian.
Try eating smaller amounts of milk or milk products with a meal. It may reduce symptoms. Many people can tolerate 4-8 ounces of milk. You may have better tolerance for some of the following dairy products made from milk:
- Hard cheeses, such as cheddar and Swiss
- Try lactose-free milk and lactose-reduced milk and milk products.
- Ask a dietitian for help choosing substitutes for dairy products or recommending supplements to ensure that you eat enough calcium.
Nondairy foods rich in calcium include:
- Cooked spinach
Read product labels because other foods can contain lactose including:
- Baked goods
- Processed cereals
- Instant potatoes, soups, and breakfast drinks
- Processed meats
- Liquid and powder milk-based meal replacements
- Protein powders and bars
- Salad dressings
- Pancake mixes
- Non-dairy coffee creamers and whipped toppings
Other words that indicate lactose are:
- Dry milk solids
- Nonfat dry milk
- Milk by-products
- Be aware that some medicines may contain small amounts of lactose.
The American College of Gastroenterology http://gi.org
American Gastroenterological Association http://www.gastro.org
The Canadian Association of Gastroenterology http://www.cag-acg.org
Dietitians of Canada http://www.dietitians.ca
Heyman MB. Lactose intolerance in infants, children, and adolescents. Pediatrics. 2006;118(3):1279-1286.
Lactose intolerance. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://digestive.niddk.nih.gov/ddiseases/pubs/lactoseintolerance . Updated April 23, 2012. Accessed December 31, 2012.
Lactose intolerance in adults. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us . Updated March 4, 2012. Accessed December 31, 2012.
Lactose intolerance in children. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us . Updated March 4, 2012. Accessed December 31, 2012.
Montalta M, Curigliano V, et al. Management and treatment of lactose malabsorption. World J Gastroenterol. 2006;12(2):187-191.
National Institutes of Health. National Institutes of Health (NIH) 2010 consensus development conference statement on lactose intolerance and health. 2010 Feb 22-24;27(2).
Understanding food allergies and intolerances. American Gastroenterological Association website. Available at: http://www.gastro.org/patient-center/diet-medications/food-allergies-fructose-intolerance-and-lactose-intolerance . Published April 24, 2010. Accessed December 31, 2012.
- Reviewer: Brian Randall, MD
- Review Date: 03/2013 -
- Update Date: 00/31/2013 -