What is lactose intolerance?
What is lactose intolerance?
Lactose is a sugar present in all milks. It is not affected by a mothers diet. In order for lactose to be digested, the body produces an enzyme called lactase. If none or not enough is produced, lactose cannot be digested. This is lactose intolerance.
Could your baby be lactose intolerant?
True lactose intolerance is very infrequent. A baby born with this would be sick from day one. He would fail to gain weight, become dehydrated and would need to be hospitalised. He would require a lactose free diet to survive.
Lactose overload
This can easily be mistaken for lactose intolerance. However these babies are in fact producing lactase, but are consuming too much low-fat breast milk, so that some lactose remains undigested. The result is fermentation and excess gas in the bowel. The baby will be in great discomfort, unsettled, irritable and will seek comfort by wanting to suck on the breast. Although this brings temporary relief, it actually worsens the situation, as more milk will be taken into the gut, adding to the problem.
What can be done to help this?
In order to prevent the baby from consuming too much low fat milk, mothers can try sticking to a 3-4 hour feeding routine, ensuring that they only use one breast per feed. This means higher fat milk in smaller quantities. Mothers can also try using lactaid drops which are designed to improve lactose digestion. However this does not always seem to be effective.