Jay W. Marks, MD, is a board-certified internist and gastroenterologist. He graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.
Sometimes people become sick from eating a particular
food, because they cannot properly process or digest the food, or because they
have a true allergic (immune) reaction to the food. Food allergies
and food intolerance are sometimes
confused with each other, but they are quite different in terms of their origin,
symptoms and treatment.
Food Allergies
True allergic reactions to food involve the body’s immune system. When the
body identifies a food as harmful, it produces antibodies directed against that
food. The next time the food is consumed, the body mounts an immune response
with the release of histamine and other chemicals that trigger allergic symptoms. A common
example of a food allergy is to peanuts.
With a food allergy, symptoms may occur almost immediately or up to hours after consuming the
particular food. These symptoms may affect the respiratory
system, gastrointestinal tract, cardiovascular system, or the skin.
Food allergy symptoms can include:
skin rash or
hives,
swelling of the tongue and
throat,
breathing problems including
asthma,
vomiting or
diarrhea, and
abdominal
pain
and cramping.
Severe allergic reactions may result in a
drop in blood pressure,
loss of consciousness, or even death.
Lactose intolerance is the inability to digest and absorb
lactose (the sugar
in milk) that results in gastrointestinal symptoms when milk or food products
containing milk are consumed.
What causes lactose intolerance?
Lactose is a large sugar molecule that is made up of two smaller sugars, glucose and galactose. In order for lactose to be absorbed from the intestine and into the body, it must first be split into glucose and galactose. The glucose and galactose are then absorbed by the cells lining the small intestine. The enzyme that splits lactose into glucose and galactose is called lactase, and it is located on the surface of the cells lining the small intestine.
Lactose intolerance is caused by reduced or absent activity of lactase that prevents the splitting of lactose (lactase deficiency). Lactase deficiency may occur for one of three reasons, congenital, secondary or developmental.
Congenital causes of lactose
intolerance
Lactase deficiency may occur because of a congenital absence (absent from birth) of
lactase due to a mutation in the gene that is responsible for producing lactase.
This is a very rare cause of lactase deficiency, and the symptoms of this type
of lactase deficiency begin shortly after birth.
Secondary causes of lactose intolerance
Another cause of lactase deficiency is secondary lactase deficiency. This
type of deficiency is due to diseases that destroy the lining of the small
intestine along with the lactase. An example of such a disease is
celiac sprue.
Developmental causes of lactose intolerance
The most common cause of lactase deficiency is a decrease in the amount of lactase that occurs after childhood and persists into adulthood, referred to as adult-type hypolactasia. This decrease in lactase is genetically programmed, and the prevalence of this type of lactase deficiency in different ethnic groups is highly variable. Thus, in Asian populations it is almost 100%, among American Indians it is 80%, and in blacks it is 70%; however, in American Caucasians the prevalence of lactase deficiency is only 20%. In addition to variability in the prevalence of lactase deficiency, there also is variability in the age at which symptoms of lactose intolerance appear. Thus, in Asian populations, the symptoms of lactase deficiency (intolerance) occur around the age of 5, among Blacks and Mexican-Americans by the age of 10, and in the Finnish by age 20.
It is important to emphasize that lactase deficiency is not the same as
lactose intolerance. Persons with milder deficiencies of lactase often have no
symptoms after the ingestion of milk. For unclear reasons, even persons with
moderate deficiencies of lactase may not have symptoms. A diagnosis of lactase
deficiency is made when the amount of lactase in the intestine is reduced, but a
diagnosis of lactose intolerance is made only when the reduced amount of lactase
causes symptoms.
Lactose Intolerance - Symptoms at Onset of DiseaseQuestion: The symptoms of lactose intolerance can vary greatly from patient to patient. What were your symptoms at the onset of your disease?
Abdominal pain is pain in the belly and can be acute or chronic. Causes include inflammation, distention of an organ, and loss of the blood supply to an organ. Abdominal pain can reflect a major problem with one of the organs in the abdomen such as the appendix, gallbladder, large and small intestine, pancreas, liver, colon, duodenum, and spleen.
Diarrhea is a change is the frequency and looseness of bowel movements. Cramping, abdominal pain, and the sensation of rectal urgency are all symptoms of diarrhea. Absorbents and anti-motility medications are used to treat diarrhea.
Gas or "intestinal gas" means different things to different people. Everyone has gas and eliminates it by belching or farting (passing it through the rectum).
Crohn's disease is a chronic inflammatory disease,
primarily involving the small and large intestine, but which can
affect other parts of the digestive system as well. Abdominal pain, diarrhea, vomiting, fever, and weight loss are
common symptoms.
Nausea is an uneasiness of the stomach that often precedes vomiting. Nausea and vomiting are not diseases, but they are symptoms of many conditions. The causes of vomiting differ according to age, and treatment depends upon the cause of nausea and vomiting.
Celiac disease is a result of an immune reaction to gluten, a protein found in wheat or related grains and present in many foods that we eat. Celiac disease causes impaired absorption and digestion of nutrients through the small intestine. Signs and symptoms of celiac disease include malabsorbption (diarrhea, foul smelling gas, bloating, and increased amounts of fat in the stool) and malnutrition (weight loss, edema, anemia, bruising easily, neuropathy, and infertility). Treatment for celiac disease is a gluten free diet, and at times if necessary, medications
Learn about osteoporosis, a condition characterized by the loss of bone density, which leads to an increased risk of bone fracture. Unless one experiences a fracture, a person may have osteoporosis for decades without knowing it. Treatment for osteoporosis may involve medications that stop bone loss and increase bone strength and bone formation, as well as quitting smoking, regular exercise, cutting back on alcohol intake, and eating a calcium- and vitamin D-rich balanced diet.
Dyspepsia (indigestion) is a functional disease in which the gastrointestinal organs, primarily the stomach and first part of the small intestine, function abnormally. It is a chronic disease in which the symptoms fluctuate infrequency and intensity. Symptoms of dyspepsia include upper abdominal pain, belching, nausea, vomiting, abdominal bloating, early satiety, and abdominal distention (swelling). These symptoms are most often provoked by eating.
The most common food allergies are to eggs, nuts, milk, peanuts, fish, shellfish, strawberries and tomatoes. Symptoms and signs include nausea, vomiting, diarrhea, abdominal pain, itching, hives, eczema, asthma, lightheadedness, and anaphylaxis. Allergy skin tests, RAST, and ELISA tests may be used to diagnose a food allergy. Though dietary avoidance may be sufficient treatment for mild allergies, the use of an Epipen may be necessary for severe food allergies.
There are a number of different methods of birth control to include: barrier methods, IUDs, hormonal methods, natural methods, and surgical sterilization. Birth control methods can be reversible or permanent. In simple terms, all methods of birth control are based on either preventing a man's sperm from reaching and entering a woman's egg (fertilization) or preventing the fertilized egg from implanting in the woman's uterus (her womb) and starting to grow.
Digestion is the complex process of turning food you eat into the energy you need to survive. The digestive process also involves creating waste to be eliminated, and is made of a series of muscles that coordinate the movement of food.
Setting a good example for your children when it comes to diet and exercise will help them to make healthy decisions about nutrition and fitness. Eating calcium-rich foods and performing weight-bearing exercise will help your children prevent osteoporosis and fractures later in life.
Diarrhea
is an increase in the frequency of bowel movements or a decrease in the form
of stool (greater looseness of stool). Although changes in frequency of
bowel movements and looseness of stools can vary independently of each other,
changes often occur in both.
Diarrhea needs to be distinguished from four other conditions. Although these conditions may accompany
diarrhea, they often have different causes and different treatments than
diarrhea. These other conditions are:
incontinence of stool, which is the inability to
control (delay) bowel movements until an appropriate time, for example, until one can
get to the toilet
rectal urgency, which is a sudden urge to have a
bowel movement that is so strong that if a toilet is not immediately available
there will be incontinence
Digestion RSS
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