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Is it Lactose Intolerance or Something Else? Identifying GI Issues



Digestive issues can be a real pain in the gut, but not all symptoms are created equal. Is it lactose intolerance, a milk protein allergy, or something else entirely? Let’s unravel the mystery of your digestive distress with a no-nonsense guide to identifying GI (gastrointestinal) issues.
 

Understanding Lactose Intolerance 

Lactose intolerance is the result of your body waving goodbye to lactase, the enzyme that makes milk digestible[1]. The symptoms? Bloating, diarrhoea, and a general feeling of betrayal by your own digestive system. But don’t worry, we’re here to help you figure it out.
 

Milk Protein Allergy: A Common Childhood Condition 

Unlike lactose intolerance, milk protein allergy is an immune response to proteins in milk, like casein and whey. It’s more common in children and can cause hives, vomiting, and even respiratory issues[2]. If your symptoms are more than just a tummy ache, this might be the culprit.
 

Other Conditions with Similar Symptoms 

Irritable bowel syndrome (IBS) and celiac disease can also cause digestive distress. IBS is characterised by abdominal pain and altered bowel habits, while celiac disease involves an immune reaction to gluten[3]. It’s a digestive detective story, and your healthcare practitioner is there to help you solve it. 
 

Identifying Digestive Issues 

Accurate identification often requires medical testing, such as hydrogen breath tests for lactose intolerance or skin prick tests for allergies[4]. Consulting a healthcare provider is crucial for proper diagnosis and management. 
 

The Role of Elimination Diets 

Elimination diets can be a useful tool in identifying food intolerances and allergies. By systematically removing and reintroducing foods, you can pinpoint the cause of your symptoms[5]. It’s a methodical approach that requires patience and diligence, but the results can be enlightening. 

The Importance of Professional Guidance 

While self-diagnosis can be tempting, it’s important to seek professional guidance. A healthcare provider can help you navigate the complexities of digestive health and ensure you receive the appropriate tests and treatments[6]. Remember, your gut deserves the best care. 

Understanding the differences between these conditions can help you seek appropriate treatment and manage your symptoms effectively. Accurate diagnosis is key to improving digestive health, so don’t be afraid to ask for help. With the right support, you can conquer your digestive woes and enjoy a happier, healthier gut.

References 
  1. Misselwitz, B., et al. (2013). Lactose intolerance: from diagnosis to dietary management. Advances in Nutrition, 4(2), 151-160. https://doi.org/10.3945/an.112.003089 
  2. Sicherer, S. H., & Sampson, H. A. (2018). Food allergy: A review and update on epidemiology, pathogenesis, diagnosis, prevention, and management. Journal of Allergy and Clinical Immunology, 141(1), 41-58. https://doi.org/10.1016/j.jaci.2017.11.003 
  3. Ford, A. C., et al. (2014). Irritable bowel syndrome. Lancet, 384(9952), 1586-1596. https://doi.org/10.1016/S0140-6736(14)60720-7 
  4. Fasano, A., & Catassi, C. (2012). Celiac disease. New England Journal of Medicine, 367(25), 2419-2426. https://doi.org/10.1056/NEJMra1104635 
  5. Skypala, I. J., & Venter, C. (2009). Food hypersensitivity: Diagnosing and managing food allergies and intolerances. BMJ, 339, b2486. https://doi.org/10.1136/bmj.b2486 
  6. Biesiekierski, J. R., et al. (2011). Gluten causes gastrointestinal symptoms in subjects without celiac disease: A double-blind randomized placebo-controlled trial. American Journal of Gastroenterology, 106(3), 508-514. https://doi.org/10.1038/ajg.2010.487 
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