Milk intolerance

Inborn or acquired (postinfection) enzyme deficiencies, e.g., deficiency of lactase, may lead to milk intolerance. 

Patients with frequent relapses despite apparently adequate prophylactic treatment should be reviewed carefully. Associated milk intolerance or coeliac disease need treatment on their merits. Colonoscopic evidence of dysplasia raises the question of undiagnosed malignancy. Occasionally the prophylactic agents themselves can cause watery diarrhoea (particularly olsalazine) or a hypersensitivity colitic disease. Prophylactic azathioprin should be considered in those in whom relapse is frequent despite use of aminosalicylates or if they are poorly tolerated. In the effective dose of 2 mg/kg adverse effects of bone marrow depression are uncommon, but still occur, and regular haematological review is essential (monthly or bi-monthly). Azathioprin-induced pancreatitis is an uncommon but well-recognised entity. 

Dahlqvist, A. 1983. Digestion of lactose. In Milk Intolerances and Rejection. J. Delmont (Editor). S. Karger, Basel, pp. 11-16. 

Delmont, J. 1983. Milk Intolerances and Rejections. S. Karger, Basel. 

Torun, B., Solomons, N. W., Caballero, B., Flores-Huerta, S., Orozco, G. and Batres, R. 1983. Intact and lactose-hydrolyzed milk to treat malnutrition in Guatemala. In Milk Intolerances and Milk Rejection. J. Delmont (Editor). S. Karger, Basel, pp. 109-115. 

Bayless, T. M. and Rosensweig. 1966. A racial difference in incidence of lactase deficiency. A survey of milk intolerance and lactase deficiency in healthy adult males. JAMA 197, 968-972. 

Food and Nutrition Board, National Academy of Sciences, National Research Council. 1972. Statement on milk intolerance. J. Am. Diet Assoc. 61, 241-242. 

Bahna, S.L. 2002a. Cow s milk allergy versus cow milk intolerance. Ann Allergy Asthma Immunol 89 56-60. 

Carrocio A, Montalto G, Cavera G, et al. Lactose intolerance and self-reported milk intolerance relationship with lactose maldigestion and nutrient intake. /Am CollNutr 17 631-636,1998. 

Johnson AO, Semenya JG, Buchowski MS, et al. Correlation of lactose maldigestion, lactose intolerance, and milk intolerance. Am / Clin Nutr 57 399-401,1993a. 

However, there are food intolerances that are not true allergies. To pick an obvious example, milk intolerance due to absence of lactase is not an allergy. The immune system isn t... 

Lactose Intolerance (Milk Intolerance) Lactose intolerance is the most common disorder of carbohydrate absorption. Lactase deficiency occurs in the majority of human adults throughout the world and appears to be genetically determined. The prevalence is high in persons of African and Asian ancestry ( 65%) and low in persons of Northern European ancestry. Lactase deficiency in which mucosal lactase levels are low or absent at birth... 

Diabetes mellitus Starvation Nontroplcal sprue Milk Intolerance Gallstones... 

The answer is d. (Murray, pp 505-626. Scriver, pp 4029-4240. Sack, pp 121-138. Wilson, pp 287-320.) Milk intolerance may be due to milk protein allergies during infancy, but it is commonly caused by lac-... 

Lactose intolerance can either be the result of a primary deficiency of lactase production in the small bowel (as is the case for Deria Voider) or it can be secondary to an injury to the intestinal mucosa, where lactase is normally produced. The lactose that is not absorbed is converted by colonic bacteria to lactic acid, methane gas (CH4), and Hj gas (see figure on left). The osmotic effect of the lactose and lactic acid in the bowel lumen is responsible for the diarrhea often seen as part of this syndrome. Similar symptoms can result from sensitivity to milk proteins (milk intolerance) or from the malabsorption of other dietary sugars. 

Milk intolerance Small frame Primary biliary cirrhosis Carbamazepine... 

Kuitunen, P., Visakorpi, J. K. Savilahti, E., and Pelkonen, P., 1975, Malabsorption syndrome with cow s milk intolerance. Clinical findings and course in 54 cases. Arch. Dis. Child. 50 351. 

Role of Fermented Milk Products in Milk Intolerance and Other Clinical Conditions... 

The term milk intolerance includes lactose intolerance and other forms of intolerance associated with milk protein allergies. While much work has been done on the role of fermented milk products in the management of lactose intolerance, it is not known whether fermentation of milk reduces other forms of intolerance associated with milk. 

After the final manuscript for this review article was prepared, Savaiano et al (Am. J. Clin. Nutr., Vol. 40, p. 1219) published an article which confirms that yogurt is tolerated better by milk-intolerant subjects. 

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