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Lactose Intolerance or Cow’s Milk Protein Allergy?

What are the differences

⠀⠀ Lactose intolerance (ln) is often confused with cow’s milk protein allergy (abcm)

⠀⠀ Main differences:

⠀⠀ Mechanism of occurrence:
Ln: lack of enzyme
Abkm: an immune-mediated response

⠀⠀ Symptom Manifesto:
Ln: over 12 years old (for Ln adult). Transient FN in children in the first year of life.
Abkm: peak manifestations in the first year of life

⠀⠀ Disappearance of symptoms:
Ln: irreversible condition (but usually up to 12 grams per day can be tolerated)
Abkm: According to studies, up to 80% of children by the age of 5 years can achieve tolerance to this allergen. However, 35% of children develop allergies to other foods.

⠀⠀ Food ingredients that trigger the reaction:
Ln: lactose, a carbohydrate found in milk
ABCM: Protein from cow’s milk

⠀⠀ Doses causing reactions:
Ln: grams
Abkm: milligrams

⠀⠀ Symptoms from the gastrointestinal tract:
Ln: pain, bloating, loose stools including after use
Abkm: vomiting, diarrhea, stools with blood and / or mucus, abdominal pain,

⠀⠀ Extraintestinal symptoms:
Ln: headache, drowsiness
Abkm: skin rash, itching, sneezing, cough, runny nose, difficulty breathing

⠀⠀ Confirmation of the diagnosis:
Ln: mucosal biopsy using the quick lactase test, breath test using the Gastrolizer, genetic testing, feces for lactose deficiency (for children)
Abkm: skin prick tests, determination of specific IGE, elimination diet. The provocative test is not used in Russia

⠀⠀ Diet therapy:
Ln: a low lactose diet
Abkm: a diet free of cow’s milk proteins.