Children // Childhood diseases

Lactase deficiency

Lactase deficiency

Lactase deficiency is a reduced content of the enzyme lactase, which helps the absorption of lactose - milk sugar.Lactose is present in large amounts in human breast milk and infant formula, and bovine milk and dairy products, it is much less.

Lactose lot in human milk, and it is directed to meet the energy needs of the growing child's body.Once in the body of the child, lactose is split into galactose and sucrose.Milk sugar, remaining unsplit, is sent to the intestine where it creates a favorable environment for the reproduction of bifidobacteria and lactobacilli.With an excess of undigested lactose in the intestines of the baby developing fermentation processes that trigger diarrhea, flatulence, abdominal pain, altered composition of the children's stools.

Lactase deficiency can be of two types

  • primary lactase deficienc

    y may be congenital (very rare - 1 in 20,000 births) and transit (usually observed in preterm infants who have not developed an enzymatic system);

  • Secondary lactase deficiency occurs in children after an allergy, infectious intestinal diseases and other disorders of the gastrointestinal tract.

symptoms of lactase deficiency in infants

  • whiny child, suffers from excessive flatulence, poorly gaining weight during feeding bends;

  • Although outwardly healthy appearance and good weight gain, the child irregular bowel liquid, which contains mucus, green, undigested lumps.

  • Fecal shows a high percentage of sugar, fatty acids and total acidity.

The fatter the milk, the lower the milk sugar.When a mother breastfeeding her child in the first hours and days after birth, his food is fat colostrum with low sugar content.After about 2 weeks after the birth mother's milk matures, and the baby starts bowel problems, stomach swells, increased flatulence.

See also: intestinal cramps in the stomach in the newborn

enzyme system kid can not cope with excess lactose and milk sugar gets unsplit the intestine, becomes the cause of fermentation, distorting the intestinal microflora, causing skislenie chair that becomes a yeast smell.If the normal amount of lactose is food for bifidobacteria and lactobacilli, it also stimulates excess growth of pathogenic flora in the gut of the child, causing the development of dysbiosis.About dysbacteriosis the child signals a chair with the content of greens and slime, as well as weight loss.

When the child's body there is a surplus of lactose?

  • When feeding your baby 6-7 times during the day, and from 2 breasts immediately.Mother's milk is of two types - front and rear.The kid who give chest first gets out of her front milk.Ideally, the mother should wait until the child is completely devastate one breast, sucked out of her rear milk, and only then give him a second rear breast milk is higher in fat composition and low in lactose.And if the baby sucks on each breast only front, rich in lactose, milk, its enzyme system can not handle the excess sugar.

  • When feeding your baby 6-7 times during the day and only one breast, but for 15-20 minutes.It often happens that this time the baby is not enough to completely empty the breast and suck the fat out of her rear milk.As a result, the baby is gaining weight poorly.If a child sucks poorly, you need to increase the period of feeding, the baby properly filled.Some babies one such meal can last for 1.5-2 hours.It is useful to feed the baby at night because at night the mother's body produces a lot of milk fat.

  • baby sucks briefly from his chest, and his mother often gives him one and then the other breast.Error mother is that it gives the baby to suck alternately from both breasts.If the baby is applied to the chest briefly, then in the subsequent feeding mother should again give him the same breast.Change the breast is allowed only after 3 hours.Sometimes, such a measure may lead to a lack of mother's milk, but soon the situation is normalized, and milk will be produced in the required amount of the child.

  • mother to express the milk front to rear the baby sucking only.In such cases, the mother can develop giperlaktatsiya.But this is a temporary phenomenon.For the baby is feeding well will be very useful.He will recover very quickly thanks to the rear feeding milk, and the need for pre-racking gradually disappear.

If the change of the method of feeding did not improve the condition of the baby, the doctor may prescribe intake of lactase in the form of drugs or recommend the mother to express milk, ferment it and then drink it baby.

If the child suffers from congenital lactase deficiency, all these methods have not led to the recovery of his mother will have to stop breast-feeding breast milk to feed the baby and start a lactose-free formula.Fortunately, the situation in the practice of feeding infants is rare.