- Lactase deficiency - Myth or Reality?
Lactase deficiency - a few years ago it was one of the most popular diagnoses that put the children up to one year.But recent studies have shown that the majority of children do not have a true deficiency of lactase.Many shied away in the opposite direction: "lactase deficiency - is a myth."The truth, as always, lies in the middle.
What is lactase deficiency and who she is
Lactase deficiency (IL) - is the lack of development of the enzyme lactase in the small intestine.Lactase is a digestive enzyme, decomposing milk sugar - lactose, lactase deficiency therefore also called lactose intolerance.
When a child is born in his first few months can be digestive problems as part of a stool, bloating and intestinal colic.Very often these problems occur in premature infants and children with perinatal (perinatal) brain damage as a result of a variety of lesions and intrauterine birth injury Birth injuries - than they threaten your child?
Lactase deficiency in infants in most cases, is a consequence of underdevelopment of the digestive system and is transient.The lack of digestive enzyme is often combined with natural dysbiosis young children - is in the process of settling the gut microflora.
After a while, the baby's digestive system is fully mature, populated by normal microflora intestine, which inhibits the development of pathogenic and pathogenic microflora and "lactase deficiency" in infants disappears.Different children this process may take different times.Some after exiting neonatal process (after 4 weeks of birth field), in others even after six months to a year.But most of all intestinal colic baby tested after three months.
Sometimes the cause of lactase deficiency in infants is wrong feeding: only on the clock (rather than on-demand), while shifting to the other breast during feeding, restriction of feeding time.In this case, the child is regularly sucking only the front (SCOPE in large excretory ducts) milk, which contains more lactose.If a child has even a small lack of lactase, he showed symptoms of lactase deficiency.Such a condition is corrected right breastfeeding.
There is also the so-called secondary lactase deficiency, which can occur after a variety of serious diseases, such as after intestinal infections or intoxications related to some other diseases - pneumonia, pyelonephritis pyelonephritis - renal and so on.Symptoms of secondary lactase deficiency with proper feeding and tactics eventually pass.
Congenital lactase deficiency - it is very rare (one case in several thousand births) and it is difficult with something confused, because the disease is very difficult.
Lactase deficiency in adults can have a different character.Most often it is secondary, on the background of the transferred acute or chronic diseases of the gastrointestinal tract.No less frequent, and the gradual development of lactase deficiency on the background of the age of oppression of secretion of the enzyme.It is impossible to eliminate the availability of adult congenital lactase deficiency.
What is the value of lactose
lactose or milk sugar is vital to children under one year.In the intestine, lactose is cleaved by the action of lactase into glucose Glucose: The energy source and galactose - simple carbohydrates, which are the source of energy.In addition, galactose needed for children up to a year for the development of brain cells and the retina, life support normal intestinal microflora for better absorption of essential minerals.
symptoms of lactase deficiency
Congenital lactase deficiency runs hard from the very first days of life.He appears frequently frothy stools with a sour odor, bloating and intestinal cramps - sharp cramping abdominal pain Abdominal pain: Types and Symptoms , accompanied by the cry of a child.The baby often vomits, sluggish suckles, sometimes refuses the breast altogether.
But the most important feature of congenital lactase deficiency is the rapid lag baby weight and physical development.
addition to congenital lactase deficiency is characteristic of dehydration: stool output from milk sugar draws fluid, which is also excreted from the body.In this connection of indigestion infection - a matter of time.Treatment of congenital lactase deficiency starts with the child's hospitalization.
symptoms of lactase deficiency in infants can manifest itself in the form of slightly frothy liquid stool, recurrent intestinal colic and regurgitation.If the child is gaining weight normally and develops according to age, it is obvious that lactose intolerance is transient.Is there anything in this case, a small lactase deficiency - does not matter, if properly breastfed all corrected.
Signs lactase deficiency moderate - a combination of frequent loose stools, regurgitation, intestinal colic with some lag in weight.If the baby's condition is not serious, the pediatrician may prescribe him medication and food adjustment on an outpatient basis.