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[Gastrointestinal and hepatic diseases].

Carlos Moctezuma-Velázquez1, Jonathan Aguirre-Valadez1

  • 1Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México.

Gaceta Medica De Mexico
|September 8, 2016
PubMed
Summary

Many people experience gastrointestinal issues from food, especially dairy. This review examines dairy intolerance in common gastrointestinal diseases and its link to symptoms.

Area of Science:

  • Gastroenterology
  • Nutrition Science
  • Clinical Medicine

Background:

  • Diet significantly impacts gastrointestinal symptoms, encompassing both inflammatory and functional disorders.
  • Perceived food intolerance affects 20-25% of the general population, rising to 50-70% in irritable bowel syndrome patients.
  • Milk and dairy products are frequently implicated in triggering gastrointestinal symptoms, leading to dietary restrictions.

Purpose of the Study:

  • To review the evidence on alterations and symptoms associated with milk and dairy consumption in prevalent gastrointestinal diseases.
  • To investigate the role of true dairy intolerance, specifically intestinal lactase deficiency, in these conditions.

Main Methods:

  • Literature review focusing on common gastrointestinal diseases.

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  • Analysis of existing evidence regarding symptoms and alterations linked to dairy intake.
  • Examination of the prevalence and impact of intestinal lactase deficiency.

    • Main Results:

    • Dairy consumption is a common trigger for gastrointestinal symptoms, particularly in functional gastrointestinal disorders.
    • While true dairy intolerance (lactase deficiency) explains many symptoms, its frequency across different gastrointestinal diseases requires further determination.
    • Dietary restrictions of dairy can lead to calcium deficiency, malnutrition, and bone decalcification.

    Conclusions:

    • Understanding the specific role of dairy in various gastrointestinal diseases is crucial for effective dietary management.
    • Addressing dairy intolerance, including lactase deficiency, can alleviate symptoms and prevent nutritional deficiencies.
    • Further research is needed to determine the precise frequency of lactase deficiency in different gastrointestinal conditions.