Lactose malabsorption, irritable bowel syndrome and self-reported milk intolerance
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Cited by (57)
Country, regional, and global estimates for lactose malabsorption in adults: a systematic review and meta-analysis
2017, The Lancet Gastroenterology and HepatologyCitation Excerpt :From a clinical perspective, substantial overlap between lactose intolerance and other gastroenterological diseases has been observed.48 This especially applies for irritable bowel syndrome, which has a similar symptom profile to lactose intolerance, but also for inflammatory bowel disease.48–51 For irritable bowel syndrome, lactose is often among the main stressors causing symptoms, with consequences for management, and dietary changes including limited lactose consumption have shown benefits in several studies.51,52
Dietary calcium intake in patients with inflammatory bowel disease
2014, Journal of Crohn's and ColitisThe Role of Diagnostic Testing in Irritable Bowel Syndrome
2011, Gastroenterology Clinics of North AmericaCitation Excerpt :In affected individuals, ingestion of significant quantities of lactose can result in a syndrome of diarrhea, abdominal pain, flatulence, and/or bloating. A study conducted by Vernia and colleagues54 prospectively assessed the prevalence of lactose malabsorption among patients diagnosed with IBS. They compared the results of breath tests in 503 patients with IBS with those in 336 patients who subjectively identified themselves as lactose intolerant and found comparable rates of positive test results between the 2 groups, with 337 patients with IBS (66.9%) and 240 patients with reported lactose intolerance (71.4%) having greater than 20 ppm rise in hydrogen concentration in the expired breath after lactose ingestion.
Diagnosis of lactose intolerance and the "nocebo" effect: The role of negative expectations
2010, Digestive and Liver DiseaseCitation Excerpt :The present data support the hypothesis that a proportion of subjects attributing abdominal symptoms to lactose, indeed display normal absorption of the carbohydrate. In a previous report, we suggested that self-reported lactose intolerance is not helpful in predicting the positive or negative outcome of a lactose tolerance test [25]. Data emerging from the present study demonstrate the role of the “nocebo effect” in inducing abdominal symptoms in subjects with a negative lactose H2BT.
Belgian consensus on irritable bowel syndrome
2022, Acta Gastro-Enterologica Belgica