What is lactose intolerance?

Written by Si Li Li
Gastroenterology
Updated on June 17, 2025
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Lactose intolerance refers to a condition caused by a deficiency of lactase, leading to an inability to fully break down the lactose in human or cow's milk, which results in symptoms such as diarrhea. It is most commonly seen in infants and young children whose main diet consists of dairy products. The primary symptoms are diarrhea, and some patients may also experience vomiting and intestinal cramps. In terms of treatment, one can stop consuming human or cow's milk and switch to lactose-free formula milk or soy milk instead. Additionally, consuming fermented milk is also an option, because the lactose in cow's milk or human milk can be converted into lactic acid through fermentation, thus preventing the symptoms of lactose intolerance.

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Written by Si Li Li
Gastroenterology
49sec home-news-image

What is lactose intolerance?

Lactose intolerance refers to a condition caused by a deficiency of lactase, leading to an inability to fully break down the lactose in human or cow's milk, which results in symptoms such as diarrhea. It is most commonly seen in infants and young children whose main diet consists of dairy products. The primary symptoms are diarrhea, and some patients may also experience vomiting and intestinal cramps. In terms of treatment, one can stop consuming human or cow's milk and switch to lactose-free formula milk or soy milk instead. Additionally, consuming fermented milk is also an option, because the lactose in cow's milk or human milk can be converted into lactic acid through fermentation, thus preventing the symptoms of lactose intolerance.

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Written by Tong Peng
Pediatrics
1min 6sec home-news-image

What are the effects of lactose intolerance in infants?

Lactose intolerance in children primarily causes an imbalance in the gut microbiome, leading to digestive system symptoms such as bloating, diarrhea, and abdominal pain. The main mechanism is the insufficient secretion of lactase in the baby's intestines, which fails to digest and absorb lactose in food, resulting in symptoms of lactose intolerance. In such cases, the intake of probiotics orally and reducing the intake of foods containing lactose can be helpful. If the baby is fed with formula or breast milk, taking lactase orally or switching to lactose-free formula milk for feeding can be considered. If the child has already started on solid foods, halt the intake of dairy products and simply continue feeding with solid foods, such as porridge, noodles, or rice flour. If a baby shows signs of lactose intolerance, it is crucial to monitor for symptoms of dehydration. If there are signs like poor skin turgor, low energy, or reduced urine output, it is essential to seek medical attention promptly from a specialist to manage and prevent the aggravation of dehydration symptoms.

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Written by Huang Gang
Gastroenterology
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Is weakly positive lactose intolerance serious?

Lactose intolerance is weakly positive, not particularly severe, and can be improved by taking oral lactase. For mild cases of lactose intolerance, symptoms can be alleviated after taking lactase. However, it is important to monitor the condition when consuming milk powder or milk. If symptoms persistently recur, it may be prudent to switch to extensively hydrolyzed milk powder or other lactose-free milk powder.

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Written by Wu Hai Wu
Gastroenterology
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How to deal with nausea from lactose intolerance?

Patients with lactose intolerance who experience nausea can consider using some medications for symptomatic treatment. For example, they can use meclozine orally or by muscle injection. They may also use medications that promote gastric motility, such as domperidone, mosapride, and itopride, to treat impaired gastric motility. Patients with lactose intolerance may also experience bloating, vomiting, abdominal pain, diarrhea, and constipation. Appropriate symptomatic treatments can be taken according to different symptoms. Lactose intolerance, if due to a secondary disease such as Crohn's disease or ulcerative colitis, requires active treatment of the primary disease. (The use of medications should be under the guidance of a professional doctor.)

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Written by Dong Xian Yan
Pediatrics
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What to eat for lactose intolerance as supplementary food?

Children with lactose intolerance should avoid adding foods containing lactose when introducing solid foods. Additionally, you can make some food at home for the baby, such as cooking thin porridge, boiling noodles for the baby, mixing a lumpy soup, etc. You can also give the baby small amounts of fruits and vegetables, but they need to be cut into small pieces or juiced before feeding. The main treatment for lactose intolerance is dietary therapy, which involves avoiding foods containing lactose to effectively control and alleviate the symptoms of lactose intolerance in babies, such as milkshakes, cheese, and other dairy products which should not be fed to the baby.