Resolution of Lactose Intolerance and Colic in Breastfed Babies
Robyn Noble & Anne Bovey
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Resolution of Lactose Intolerance and “Colic” in Breastfed Babies Robyn Noble & Anne Bovey
January 1998 This paper was presented at the ALCA Vic (Melbourne) Conference on the 1st November, 1997
Abstract Primary lactose intolerance may arise only as an extremely rare congenital abnormality in babies, since lactose is crucial to normal health and development of human babies. Secondary lactose intolerance in babies results from damage to the brush border of the gastrointestinal tract and/or an inadequate fat intake during feeds “Lactose overload” may more correctly describe this secondary lactose intolerance. The resulting cascade of clinical features is often called “colic” by health professionals as well as the general community. Identification of causative management provides fast interruptions to breastfeeding. factors followed by appropriate resolution of symptoms without
Unfortunately, while practitioners continue to regard lactose overload in breastfed babies as a primary condition, mothers are commonly advised to wean their babies onto lactose-free or lactose-hydrolysed formulae. Ongoing use of lactose-free formulae may pose an unacceptable risk to babies’ long term mental and cognitive development. Accumulating research evidence shows a clear correlation between early weaning onto artificial baby milks and short-and long-term morbidity. Introduction Significant research describing the mechanisms of lactose overload in breastfed babies was published nearly ten years ago but has not become widely known amongst practitioners who work with breastfed babies and their mothers (1). Woolridge and Fisher described a type of lactose overload which is due entirely to low fat feeds. This may arise if babies are not permitted to nurse...