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Lactose Intolerance in Babies
Vetted By: Dt: Chanchal & Sakshi
Written By: Pinky Kharata
Lactose intolerance in babies can be a challenging concern for any parent. Lactose intolerance happens when a baby’s body struggles to digest lactose. It is a sugar compound found in both milk and milk products. It generally leads to discomfort, gas, bloating, and diarrhea.
The chance of a newborn baby being lactose intolerant is quite rare, but it could happen due to infection or digestive issues. It is essential for parents to understand the early signs that can help manage symptoms and choose suitable feeding options. If your baby shows signs of lactose intolerance, consult with a pediatrician. Let’s dive into this blog and know more about signs and ways to manage lactose intolerance in babies.
Signs of Lactose Intolerance in Infants
Infant lactose intolerance makes feeding time stressful for parents. It occurs when the body lacks enough lactase, an enzyme known to break down lactose. The below signs can be seen in an infant after consuming milk or dairy products within 2 hours of consumption.
1. Abdominal Pain
Babies with lactose intolerance often experience abdominal pain. It occurs due to undigested lactose fermenting in the gut. It leads to irritation and pain. It makes babies cry excessively, arch their backs, or clench their fists while experiencing discomfort. Parents can watch for these symptoms to help identify if dairy is the cause.
2. Bloating
Lactose intolerance can cause bloating in infants, which is caused by excess production of gas in the intestines. A bloated baby may have a firm or swollen belly and show signs of discomfort. They might also pass gas frequently. Parents can reduce dairy intake, which can help ease bloating and improve digestion.
3. Nausea
Nausea is another common symptom of lactose intolerance. A nauseated baby may appear unsettled, spit up more than usual, or refuse to eat. This happens when lactose triggers irritation in the stomach. While vomiting is rare, persistent nausea can affect feeding habits. Monitoring reactions to dairy can help in managing symptoms effectively.
4. Diarrhea
Lactose intolerance often leads to watery or loose stools. This happens because undigested lactose draws extra water into the intestines. The diarrhea can be frequent and may contain mucus. Prolonged diarrhea can lead to dehydration, so keeping your baby hydrated is crucial. Consulting a pediatrician is recommended if symptoms persist.
5. Gas
Excess gas is a common sign of lactose intolerance in babies. It results from bacterial fermentation of undigested lactose in the gut. A baby may experience frequent burping or passing gas. It makes them fussy due to discomfort. Parents can adjust their diet and track food intake to help manage this symptom.
6. Quick Onset of Symptoms
Symptoms of lactose intolerance usually appear soon after consuming milk or dairy products. Within 30 minutes to a few hours, a baby may show signs of discomfort like bloating, cramps, or diarrhea. Parents can keep a food diary to help pinpoint triggers. If symptoms persist, consult a pediatrician for guidance.
How to Test for Lactose Intolerance
If you suspect your baby has lactose intolerance, testing can help confirm it. A pediatrician may suggest eliminating dairy from their diet to see if symptoms improve. This is called the elimination test.
Another method is the hydrogen breath test, which measures hydrogen levels after consuming lactose. High levels of lactose in breath indicates poor digestion. Keeping a food diary and tracking symptoms can also provide useful insights. If you notice consistent reactions to dairy, consult a doctor for a proper diagnosis and advice.
Treating Lactose Intolerance in Toddlers
Lactose intolerance has no cure, but removing or reducing lactose-containing foods can help prevent discomfort. Here are some key things to consider:
- Tolerance Levels Vary: Every child reacts differently to lactose. Some can handle small amounts without issues, while others need to avoid it completely. Parents can observe how their child responds to different foods and can help determine their limits.
- Watch for Hidden Lactose: Many processed foods, such as bread, cereals, sauces, and even some medications, contain hidden lactose. Reading ingredient labels carefully can prevent accidental consumption.
- Meeting Nutritional Needs: Dairy is a key source of calcium and vitamin D, essential for strong bones and growth. If your child cannot consume dairy, consider lactose-free milk, fortified plant-based alternatives, or other calcium-rich foods like leafy greens, tofu, and nuts.
- Gradual Adjustments: Some children may build a slight tolerance over time. Introducing small amounts of dairy and monitoring their reaction can help determine what works best for them.
Best Milk for Lactose Intolerance
Finding the best milk for lactose intolerance is important for ensuring proper nutrition without discomfort. Many babies struggle to digest dairy, but lactose-free milk for infants provides a safe alternative. Several plant-based options offer essential nutrients while being gentle on sensitive stomachs. Here are some great choices to consider.
1. Soy Milk
Soy milk is a popular dairy alternative. It is high in protein, calcium, and vitamin D. Soy milk is a nutritious choice for babies. Many pediatricians recommend it as the closest substitute for cow’s milk. Always choose unsweetened, fortified versions for infants to avoid added sugars.
2. Nut Milk
Almond and cashew milk are common nut-based alternatives. They are naturally lactose-free and contain healthy fats. However, they have lower protein content than cow’s milk. Always check for fortified versions with calcium and vitamin D to ensure proper nutrition. Avoid it if the baby has a nut allergy.
3. Grain Milk
Oat and rice milk are mild and easy to digest. Oat milk contains fiber and is often fortified with essential nutrients. Rice milk is naturally sweet but has a lower protein content. Always choose fortified versions and consult a pediatrician before introducing grain milk to infants.
4. Coconut Milk
Coconut milk is a creamy and lactose-free option widely available in the market. It contains healthy fats that support brain development. However, it has lower protein and calcium levels than cow’s milk. It is best used as a part of a balanced diet rather than the main milk source.
Conclusion
Recognizing the signs of lactose intolerance in infants is essential for their comfort and well-being. While there’s no cure, managing their diet can prevent discomfort. Identifying triggers, choosing lactose-free alternatives, and ensuring proper nutrition can help. If symptoms persist, consult a pediatrician for guidance.
