Lactose intolerance in children of the first year of life
What is lactose intolerance, many mothers know firsthand. This condition is typical for many and already adult people. But most clearly manifested in children of the first year of life, especially in the first six months of life, while the baby eats only breast milk or a mixture. There is a high probability that lactase deficiency in infants is a temporary phenomenon that will pass without a trace.
Lactose is the sugar found in all dairy products. Upon ingestion into the digestive tract, it is cleaved with a special enzyme called lactase. But in infants this enzyme is often not produced in sufficient quantities. There are symptoms of lactose intolerance in infants. And they are expressed in the following:
- pain in the abdomen, mainly during feeding, children throw their breasts or bottles, press them to the belly of their legs;
- green frothy stool;
- insufficient weight gain (especially noticeable with primary lactase insufficiency);
- infant colic lasting longer than the first three months;
- flatulence, from which no traditional means such as "Espumizan" or broth of dill help.
In addition, many children appear bloody veins in the stool. This lactose "corrodes" the tender walls of the intestine.
When you go to a pediatrician, you usually get a simple diagnosis of lactose intolerance in infants. With this method, many modern pediatricians do not agree, but nevertheless it also takes place. This is an analysis of feces for carbohydrates. If carbohydrates in the feces are many (more than 0.25%), there is lactose intolerance, that is, lack of lactase or in a different way lactase deficiency. Often, together with this analysis, the feces are given for dysbiosis, in order to prescribe medications for normalizing the intestinal microflora, if necessary. However, the informative nature of this analysis and the effectiveness of treatment are also under big question. Analyzes and tests for lactose intolerance in adults are as follows:
- oral test;
- hydrogen test.
By the way, people with chronic lactase deficiency usually have children with the same problem. So, it can be said, it is hereditary.
Lactose intolerance is treated in neonates and infants with lactase-containing drugs. They are added to the expressed breast milk, which then feed the children. If the baby is on artificial feeding, a mixture with a low lactose content is selected. Usually, improvement occurs within the first few days.
How to deal with intolerance to lactose (lactase deficiency) in infants can be more? In the case of breastfeeding, it is very important that the baby receives a sufficient amount of so-called rear milk. It is rich in fats, but it has little milk sugar. How to do this? It is necessary not to stimulate hyperlactice in your body (do not express milk after feeding). Milk should be enough for the baby, without excess. Try to feed the baby with one mammary gland for 2-3 hours, only then change. If you give both mammary glands to breastfeeding, all the symptoms will only worsen, since lactose intolerance is the excuse for excluding this lactose from the baby's diet.
With the same purpose in the diet of the child is introduced early enough lure. The goal is to gradually supplant milk (artificial or maternal) from its nutrition. At 4 months, lure is introduced from vegetables, then porridge, meat, etc. But with dairy products, of course, do not rush. Enter first of all sour-milk - cottage cheese, kefir, yoghurt. Cheese is usually well tolerated.
If lactase deficiency was observed in a child not from birth, all is easier. Most likely, it arose in response to some disease, most likely, infectious. Same ORVI or the flu. Then you do not need to hurry with the lure. Lactase supplements in food will be enough.
For an experienced pediatrician, how to determine if a child is lactose intolerant and treat it is not worth it. The topic is well studied. And if your child has problems with the intestines, think about how far you are not alone. Almost all babies in one way or another experience discomfort, caused by a lack of lactase.