Condition Info - BotMed Application

ConditionName

Lactose Intolerance (Carbohydrate Malabsorption)

ConditionDescription

Symptoms

Intermittent symptoms; Very common; 
Generalized abdominal pain (100%);
No weight loss; Normal vitamins level; 
Flatulence (100%); Bloating; 
Watery Diarrhea (70%); Constipation (30%); 
EVER BLOOD OR FEVER; 
Nausea (78%); Vomiting (78%); 
Rumbling or gurgling sounds in the bowel - borborygmi (100%); and an urgent need to have a bowel movement between 30 minutes and 2 hours after eating a meal containing lactose.
Usually chronic, the symptoms may be acute or subacute in the setting of recent infection or dietary changes.

PhysicalFindings

ClinicalTests

Best initial: stool osmolarity test (>5 days diarrhea);
Most accurate: cessation of symptoms after diet change;
Lactose tolerance test;

RiskFactors

IsRedFlag

IsNPLEX

Consequence

Headache and light headedness (86%); loss of concentration and poor short term memory (82%); chronic fatigue (63%); skin rash (40%); sinusitis (40%); joint pain (71%); muscle pain (71%).

ProgressionFromCondition

Abdominal pain, bloating, flatulence, nausea, or diarrhea occurring within a few hours after ingestion of a lactose-containing meal and resolve after five to seven days of avoidance of lactose-containing foods.
Recent infection, course of antibiotics or dietary changes.

TreatmentOptions

Stop to eat milk or lactose replacement
Calcium supplement

PharmOptions

WebLink

https://www.merckmanuals.com/professional/gastrointestinal-disorders/malabsorption-syndromes/carbohydrate-intolerance | https://www.merckmanuals.com/en-ca/professional/gastrointestinal-disorders/malabsorption-syndromes/carbohydrate-intolerance