When the baby has diarrhea, parents will not dare to feed the baby anymore, or only give some diluted milk, because it is easier to digest. In fact, during and after the child suffers from diarrhea, it is even more important to ensure the supply of nutrients. Do not disturb the previous dietary pattern. Eat as much as you need, eat less and more. Breastfeeding babies: You can continue breastfeeding. If the diarrhea does not get better for more than 1 week, you can switch to lactose-free or low-lactose formula milk, and continue breastfeeding after the condition improves. Formula-fed babies: You can switch to lactose-free or low-lactose formula milk. After the diarrhea improves, gradually switch back to regular formula milk. The baby can continue to add complementary foods. When your baby has diarrhea, you need to pay attention to a light diet. You can eat steamed apples. The tannic acid and pectin contained in apples can relieve diarrhea. You can also eat rice soup, rotten noodles, etc. These foods are easy to digest and absorb and will not increase the burden on the gastrointestinal tract. During diarrhea, try to avoid: high-oil foods (such as fatty meat, fried chicken, etc.), high-sugar foods (such as juice, candy, etc.), foods rich in dietary fiber, and promote intestinal peristalsis (such as prunes, dragon fruit) Etc.), lactose-containing dairy products (cream, condensed milk, etc.). The feces of children with acute viral diarrhea contain a large amount of virus, and the largest amount of virus is excreted in the first 3-4 days after illness. Therefore, it is necessary to clean up the baby’s vomit and excrement in time to avoid the spread of the virus. In addition, adults are also invisible spreaders of rotavirus. They are not easy to get sick, but they are easy to infect children. Therefore, parents should do a good job of hygiene, especially in the epidemic season.
. . . . . . . .Lactose intolerance is a non-infectious diarrhea caused by the secretion of lactase and the inability to completely digest and decompose lactose in breast milk or milk, also known as lactase deficiency disease. In our country, it can occur in infancy, childhood and adulthood. Generally, the diagnosis can be confirmed based on its clinical manifestations and clinical auxiliary examinations. 1. Judging by clinical manifestations symptoms may include abdominal pain, bloating, diarrhea, gas production, and vomiting. They usually start to occur between half an hour and two hours after drinking milk. The severity depends on the amount the patient eats or drinks. If there are no corresponding symptoms after eliminating lactose in the diet, the diagnosis can be initially confirmed. 2. Judging according to auxiliary examination (1) Hydrogen breath test: Fasting for 12 hours before the test, and then ingesting 25g of lactose. If the patient’s breath of hydrogen or methane content is high, it means that the chance of lactose intolerance is high. This is the most accurate detection method for lactose intolerance. However, because this test may cause severe diarrhea and requires a long fasting time, it is usually not used for infants and young children; (2) Other tests: stool acidity and alkalinity, stool reducing sugar, urine galactose, intestinal pathological sections, etc. Can be used to diagnose lactose intolerance. Patients with lactose intolerance can be treated in the following two ways: 1. General treatment: If the frequency of bowel movements does not increase significantly and does not affect growth and development, it can be temporarily observed; mild patients can reduce breast milk or formula milk intake, serious People with lactose intolerance should avoid eating lactose-containing dairy products, and choose milk replacers and lactose-free dairy products, and pay attention to ensuring nutritional intake; if symptoms improve, you can gradually increase the frequency of breastfeeding according to the child’s tolerance; 2. Drug treatment: Properly taking lactase is beneficial to the digestion and absorption of lactose, thereby alleviating the symptoms of lactose intolerance.
Many people experience colic and diarrhea after drinking milk, which is actually caused by lactose intolerance. What is lactose intolerance: lactose, as the name implies, is the sugar in milk. Lactose is a disaccharide, which refers to a sugar composed of two monosaccharide molecules. After entering our body, lactose cannot be directly absorbed. It needs to be processed in the small intestine first, and then absorbed by the lactase/β-galactosidase enzyme on the brush border of the small intestine mucosa to hydrolyze it into monosaccharides. Therefore, the lactase secreted by the mucosa of the small intestine is the key to determine whether lactose can be fully absorbed and utilized by the body. Once the secretion of lactase is insufficient, there is no way to deal with the corresponding amount of lactose in time, causing lactose to enter the colon and be used by colon bacteria, and symptoms of lactose intolerance will appear. What are the symptoms of lactose intolerance? There are a large number of intestinal bacteria living in the colon. Lactose is just a food ingredient that some intestinal bacteria like. However, when some of these bacteria “eat” lactose, they do not eat well and often produce a lot of gas, causing people to experience discomfort such as flatulence, abdominal pain, and gas. Excessive lactose will also increase the osmotic pressure inside the intestines, prevent the absorption of water, and cause diarrhea. Can lactose intolerance make it impossible to drink milk? According to international statistics, the incidence of lactose intolerance varies significantly in different regions, with the lowest incidence in Northern Europe, slightly more Caucasians in Central Europe and the United States, and the highest incidence in Asians, such as Japan and China . In fact, people with lactose intolerance may gradually drink milk normally. ●Reduce the amount of milk you drink each time. Most people can tolerate 200-250 ml of fresh milk. You can start with 50-100ml, as long as there are no symptoms, you can gradually increase the amount. ● Drink yogurt and cheese instead. Most of the lactose in yogurt and cheese has been decomposed by lactic acid bacteria, and the remaining small amount of lactose can basically be tolerated. ●Enzyme treatment. The lactose in the milk is treated with enzymes in advance to prevent the lactose from exceeding the working capacity of the small intestine. Or take lactase exogenously before drinking milk, but it takes time for it to work and it cannot be seen immediately. ●Dilute lactose. Training the body to develop tolerance by mixing milk with other foods. For example, eat it with steamed bread, bread or cereal. It should be reminded that for people with irritable bowel syndrome (IBS), because the intolerance symptoms are relatively more serious, it is not recommended to bite the bullet to cultivate tolerance. You need to find a gastroenterologist first to determine a reasonable Treatment plan, then consider diet recovery. “Health Expo”
In the past, there was an article “The Hundred Years of Yogurt Scam! The article of Nobel Prize Winner, Shocking Lies Create a Trillions of Industries, is very popular on the Internet, and has caused the public to panic about yogurt. It’s as if there is no benefit to drinking yogurt, is that really the case? In fact, yogurt is a product made from raw bovine (goat) milk or milk powder, sterilized, inoculated with Streptococcus thermophilus and Lactobacillus bulgaricus (Lactobacillus delbrueckii subsp. Bulgaria). It contains almost all the nutrients needed by the human body, and can provide people with rich nutrition like milk.  . . . Next, let’s count the nutrients in yogurt: . . .First, there are two main types of protein in protein yogurt, one is whey protein (about 20% ), the other is casein (about 80%). Both of these proteins are high-quality nutrients, rich in essential amino acids, which are not only easy to digest, but also increase the body’s exposure to minerals such as calcium and phosphorus. absorb. Especially whey protein is also rich in branched chain amino acids, such as valine, leucine and isoleucine. Because branched-chain amino acids help increase muscle mass, whey protein has always been popular among weight loss, bodybuilders and athletes.  . . . . . In addition, it is worth mentioning that the protein content in yogurt is not low! If you use whole milk to make a cup of plain yogurt (245 grams), it contains approximately 8.5 grams of protein.  . . . . . . . . . . . . . . . . . . . .Second, vitamin yogurt is also rich in B family Vitamins, especially vitamin B12 and vitamin B2; these two vitamins have been reported to help us prevent heart disease and certain neural tube birth defects.  . . . Third, mineral yogurt is famous for containing a lot of calcium. Calcium is a mineral that is good for teeth and bone health. A cup of yogurt can provide 49% of our daily calcium requirement. In addition to calcium, each cup of yogurt can provide 38% of phosphorus, 12% of magnesium and 18% of potassium that we need every day. These minerals are essential for the regulation of key biological processes such as blood pressure, metabolism and bone health.  . .In addition, yogurt attracts us, there is another big factor: the microorganisms in yogurt, which is the “probiotics” we often hear. So, what are the microorganisms in yogurt? Lactobacillus and bifidobacteria are mainly used in the production of yogurt. You must not underestimate these invisible microbes, they may have many benefits to our health: . . .Promote digestive health: Fermented products containing bifidobacteria can promote digestive health and relieve intestines The symptoms of irritable syndrome (IBS) have a certain effect; . . .Helps prevent constipation: A number of studies have shown that eating yogurt fermented by bifidobacteria can reduce constipation; . . .Improve lactose digestion : Certain microorganisms in yogurt, such as Bifidobacterium longum, have been shown to improve lactose digestion and reduce the symptoms of lactose intolerance;  . . . may reduce cholesterol: studies have shown that regular intake of fermented dairy products may be Lower blood cholesterol.  . . .Of course, the above health benefits do not necessarily apply to all yogurt. For example, the normal temperature yogurt products on the market will be pasteurized after fermentation. This is a heat treatment that will kill the beneficial bacteria contained in it. The yogurt containing live bacteria is a short shelf life yogurt that requires cold chain transportation and storage. Only in this way can the activity of the bacteria be guaranteed. If the storage environment is poor and the shelf life is long, this yogurt will lose its effect. However, this does not mean that the normal temperature yogurt products on the market cannot be drunk. I have encountered someone who said that the elderly are not suitable for drinking yogurt.
55%-65% of human body energy is provided by carbohydrates, and its food sources are abundant. For example, cereals are used as staple food for human beings, and the consumption is large. The carbohydrate components are mainly starch polysaccharides. Vegetables and fruits are an important source of dietary fiber in carbohydrates, and fruits are also rich in fructose. The digestion process of carbohydrates starts from the oral cavity. After food enters the oral cavity, food stimulation and chewing can promote the secretion of saliva. The amylase in saliva hydrolyzes starch into short-chain polysaccharides and maltose. After food enters the stomach, saliva amylase is inactivated by the action of stomach acid. All kinds of foods in the stomach are mixed with gastric juice through gastric peristalsis to form chyme. The chyme enters the small intestine, along with the pancreatic amylase secreted by the pancreas. In the small intestine, the starch continues to be broken down into disaccharides, such as sucrose, lactose, and maltose. . The maltase, sucrase, and lactase on the brush border of the small intestinal mucosa cells further break down the corresponding disaccharide into the form of glucose in the monosaccharide, and enter the small intestinal mucosa cells through active transportation, and transport it to the liver with the blood circulation for the next step. Metabolized, or transported to other organs to be used directly. Fructose is a type of monosaccharide, mainly present in fruits and honey. It is passively absorbed in the intestine and enters the liver. After the liver is converted into glucose, it is used by the body. Lactose is a type of disaccharide, which is mainly present in dairy products, but some people are congenitally lacking or unable to secrete lactase, or the level of lactase continues to decline with age, so that lactose is not broken down and absorbed in the small intestine When it enters the large intestine, it produces acid and gas under the action of intestinal bacteria, increasing the intestinal osmotic pressure, causing gastrointestinal discomfort, flatulence, cramps, and diarrhea. This is called lactose intolerance. Such people can choose fermented milk Instead of products such as yogurt.
Milk is one of the oldest natural drinks, known as white blood. In order to supplement nutrition, everyone now drinks a glass of milk every day. However, many kidney friends will always ask the doctor: I have kidney disease, can I drink milk? Doctor, I drink milk and diarrhea, can I drink it again? Doctor, there are so many types of milk, what kind of kidney patients should drink? For kidney As far as friends are concerned, milk is also a good choice for supplementing nutrition. Milk is rich in nutrients such as protein, fat, vitamins, and minerals, and moderate consumption of kidney friends can not only meet their own nutritional needs, but also not increase the burden. The content of high-quality protein in milk is about 80%, the protein structure is very close to the human body, and it contains a complete range of essential amino acids and a sufficient amount. The other nutrients in milk are also very friendly to kidney friends. The proper calcium and phosphorus ratio in milk can correct the imbalance of calcium and phosphorus in kidney friends. However, in the face of the market, with a wide variety of shelves and a wide variety of “milk”, how many people are confused and can’t help but ask the soul: As a kidney friend, how should I choose? Fresh milk can be divided into full fat according to fat content Milk, low-fat milk and skimmed milk. Whole milk contains about 3% animal fat, which is saturated fat, suitable for kidney friends with normal blood lipids. Skimmed milk or low-fat milk removes most or half of the fat in the milk, and also loses some of vitamins A and D. Therefore, compared with full-fat milk, calcium supplementation is slightly less effective, but it is more suitable for dyslipidemia. Kidney friend. Lactose intolerant kidney friends can choose “low lactose milk”, that is, Shuhua milk, which is artificially added lactase to hydrolyze lactose in milk and preserve all nutrients. In addition to the advantages of fresh milk, yogurt also added lactic acid bacteria for fermentation. Yogurt contains a lot of active lactic acid bacteria, which can improve the intestinal bacterial flora, regulate the body’s immune function, and increase resistance. Lactic acid bacteria will break down some of the proteins in yogurt into amino acids, which is more conducive to human digestion and absorption. Laccase is produced during the fermentation of yogurt, and kidney friends with lactose intolerance can also drink with confidence. When choosing yoghurts, kidney friends should pay attention to the selection of only yogurt with fresh milk and various lactic acid bacteria. Add up to white sugar or sweeteners. Don’t be fooled by the colorful milk drinks. Lactic acid bacteria beverages are milk beverages made from milk, water and additives. The nutritional content cannot be compared with milk and can only be regarded as beverages. It should be noted that fresh milk and yoghurt are very rich in water, and about 90% of them are water. Nephrologists who need to limit water need to count this part of the water for a day. In addition, milk should not be cooked or heated too many times. Because when the milk is boiled and then continue to heat, the lactose in the milk begins to scorch and gradually decompose into lactic acid and a small amount of formic acid. The vitamins are also destroyed, and even the color, aroma and taste are significantly reduced.
Nutritionally, soy milk and milk are very important drinks, which usually appear in the diet of nutritionists. Although both belong to high-quality protein sources, the two cannot replace each other. The protein content of milk is about 3%, which is composed of 80% casein and 20% whey protein, and the biological value is 85%, which is easy to be absorbed by the human body; the soybean protein content is more than 30%, only 2% after processing into soy milk, contains All the amino acids required by the human body are high-quality proteins, but the lysine content is high and the methionine content is low, which affects the absorption rate. The fat in milk is mainly saturated fatty acids, while the soy milk is mainly unsaturated fatty acids, more suitable for patients with hypertension and atherosclerosis, such patients want to drink milk, it is recommended to drink skim milk. The carbohydrates in milk are mainly lactose, with a content of 4.6%-4.7%, which can regulate stomach acid, promote gastrointestinal motility and digestive gland secretion, but some people will suffer from lactose intolerance symptoms such as bloating and diarrhea due to lactase deficiency. It is more suitable for people who drink yoghurt containing lactic acid bacteria; while the carbohydrate in soy milk is only 1%, the composition is complex, mostly cellulose and soluble sugar, which is more difficult to digest in the body, which can be caused by excessive gas under the action of intestinal bacteria. Flatulence.
Some babies cry inexplicably shortly after birth. What is going on? The baby may have abdominal cramps. The word “abdominal colic” is used here instead of “intestinal colic”. These two words have different expressions. Intestinal colic can be seen at any age. It is a pain caused by the stretching of the striated muscle of the intestinal wall. It is a pain that is really felt. The term abdominal cramps used here only occurred in the early stage of infants (the first 3 months). It is a common manifestation. Infants who have pain can not complain of themselves. Therefore, abdominal cramps are only a speculative abdominal “pain” . So, how does baby’s abdominal cramps behave? Sudden crying of the baby is often the most common manifestation of abdominal cramps. According to the American Academy of Pediatrics, approximately 10%-25% of babies have abdominal cramps. This abdominal cramps initially occurs 2 to 3 weeks after the baby is born, the most frequent around 6 weeks, and then gradually relieves, and most of them disappear naturally by March to April. The baby can have abdominal cramps 1-2 times a day, and sometimes can last for more than 2-3 hours. Between each episode of abdominal pain, the baby’s behavior is normal. The cause of baby’s abdominal cramps is not very clear. Although pediatric experts have observed the occurrence of infant colic, the causes of its occurrence are not yet clear. It is speculated that there may be the following reasons: Viewpoint 1: The earliest speculation of abdominal cramps is that abdominal pain caused by intestinal cramps, the cause of intestinal cramps may be caused by milk powder allergy, lactose intolerance or dyspepsia. 1. Abdominal pain caused by intestinal cramps can occur in children of all ages, but infants with abdominal cramps 3. The symptoms will naturally disappear in April, which is not consistent with intestinal cramps. 2. Milk protein allergy, manifested in crying and noise, vomiting and diarrhea 30 to 60 minutes after breastfeeding, and weight gain is not very good. These babies can eat soy milk powder, protein hydrolyzed milk powder or amino acid milk powder. It is worth noting that only one-tenth of babies who switch to hypoallergenic milk powder will improve symptoms. The American Academy of Pediatrics also does not recommend soy milk powder for babies with abdominal cramps because soy protein allergy is still very high. 3. Lactose intolerance, the fermentation of lactose produces gas, which can cause flatulence and colic. However, only a few milk powders with low lactose will improve. It can be seen that the above points of view do not fully explain the phenomenon of infant colic. Opinion 2: New explanation, according to the circadian clock theory, the occurrence of abdominal cramps may be related to the baby’s psychological unrest. Psychological anxiety period refers to the first two or three weeks after the baby is born, and feels uneasy about the coming of the night. When the baby is still in the fetal period, she is subject to the changes of the maternal hormones during the day and night. Therefore, there is a fixed physiological clock in the mother’s body. After birth, her endocrine function is immature, and she cannot adjust the physiological clock by herself, which can cause crying at night and sleep during the day. As the growth and development, the endocrine function gradually matures, this psychologically uneasy situation will naturally improve. Most infants with abdominal cramps will improve on their own before 3 to 4 months, so it is presumed that the newly born baby cannot adapt to the external environment. Viewpoint 3: There may be other medical problems. Babies cry and quarrel all day, and usually have to consider their medical issues, such as: 1. Reflux esophagitis, babies often cry during or after feeding, and often have galactorrhea. 2. Mother’s food problem, although breastfeeding baby. When your mother eats certain foods, she always cries and tries to stop using such suspicious foods. Mothers who stop eating suspicious foods such as milk or coffee for 2 weeks may improve the baby’s crying symptoms.
Not long ago, the deeply misunderstood medicine received a medication consultation phone call from a Mr. Shen. Because of recent constipation, a friend recommended him a lactulose oral solution. When the pharmacy clerk learned that he had diabetes, he did not recommend it. He bought lactulose, afraid of affecting Mr. Shen’s blood sugar. The so-called diabetes, in simple terms, is a disease in which sugar is present in the urine. Persistent hyperglycemia is its basic feature. So what kind of sugar are we talking about? When we ingest food, the sugar in the food is converted into glucose through digestion. Diabetes is actually the amount of glucose in the blood exceeding the standard. Excess sugar is not absorbed into the muscles and liver and becomes glycogen stored, and from the kidney With the excretion of urine, sugar appears in the urine. Let’s take a look at whether lactulose contains glucose or not. Every 100ml of lactulose oral solution contains 67g of lactulose, galactose ≤10g, and lactose ≤6g. We see that it contains no glucose. But will these things be converted into glucose? Let’s look down: Lactulose is a synthetic disaccharide composed of one molecule of galactose and one molecule of fructose. Since the body does not have enzymes that hydrolyze lactulose, it is not easily hydrolyzed in the body and can reach the colon in a prototype. In the colon, it is converted into organic acids (lactic acid and acetic acid) by the digestive tract flora. As a result, the pH value in the intestine decreases, that is, the acidity increases, retains water, increases fecal volume, stimulates the peristalsis of the colon, keeps the stool smooth, and relieves constipation. Galactose is a type of monosaccharide, a component of lactose in mammalian milk, and an important component of certain glycoproteins. It is directly absorbed in the intestine and has no effect on blood sugar. Lactose is a disaccharide composed of glucose and galactose, which is hydrolyzed into glucose and galactose by the lactase of the small intestine after entering the body. For patients with constipation, the recommended daily dose is no more than 30ml, and the lactose content is estimated to be 1.8 grams, and glucose is decomposed. The daily amount is not much, so it has little effect on blood sugar. I believe that through the above analysis, we can eliminate the misunderstanding of lactulose by the majority of sugar friends. In our daily life, we often encounter some misunderstood medicines. Today I will also give you a little introduction: “Atorvastatin calcium” can Is calcium supplemented? ——Even if the maximum daily dose of atorvastatin calcium & nbsp.80mg is taken, it can only supplement 2.4mg of calcium every day. Infants and children of 0-6 months need to add 300mg/day of calcium, 2.4mg for At 300mg, it’s just nine pounds, so atorvastatin calcium cannot be used for calcium supplementation.  . Shuanghuanglian oral liquid contains Coptis chinensis? ——Shuanghuanglian oral liquid does not contain Coptis chinensis, its components are: honeysuckle, skullcap, and forsythia. Why is it called Shuanghuanglian? Because honeysuckle is also called double flower, this Coptis is a general term for Scutellaria and Forsythia, so it is called Double Coptis. “Amoxicillin” = “anti-inflammatory drug”? Broadly speaking, this statement is correct because these antibiotics are effective against inflammation caused by certain bacteria. But in a narrow sense, amoxicillin should be classified as an antibacterial drug. The name “anti-inflammatory drug” is easily misleading that any inflammation can be matched, resulting in a lot of abuse. In fact, it is not effective for every “bacterium”, and it is helpless for other inflammations. Unreasonable use causes many side effects that can be avoided, and the subsequent drug resistance also makes patients who really need antibiotic treatment have no medicine.  . Through some simple literal understanding, many drugs are easily misunderstood. The key moment is still to find a professional pharmacist to answer for you! Zhang Minhua: Clinical pharmacist, competent pharmacist, senior public lecturer of Jiashan Traditional Chinese Medicine Hospital in Zhejiang Province. Engaged in professional work for more than 20 years, good at clinical drug guidance. He has won the second prize of the Jiaxing Pharmacy Association Young Pharmacist Speech Contest, and the third prize of the “Two Studies, One Do” health education speech skill competition. In recent years, he has been active in various communities, and his knowledge of rational drug use and family safe drug use for community residents has been well received by the masses. Amateurs like fitness, baking, and like to share good things with everyone! Zhu Mingang, Chief Physician of Dermatology, Chief Physician of Medical Beauty of Zhejiang Province, 2016 Outstanding Dermatologist of Zhejiang Province. Engaged in skin venereal disease for more than 20 years, he has accumulated rich clinical experience and theoretical knowledge. In addition to being proficient in the diagnosis and treatment of common diseases in dermatology, in recent years, we have focused on and explored allergic skin diseases and facial skin diseases that affect beauty.  .&nb
Have you or your family members or friends had diarrhea after drinking milk? If so, please pay attention to the possibility of the following two diseases. The first and most common is lactose intolerance, followed by milk protein allergy. Lactose intolerance is a decrease in the secretion of lactase in the body. Lactose in milk cannot be digested and absorbed and fermented in the intestine to produce lactic acid to stimulate the intestinal motility and cause diarrhea. Milk protein allergy is a disease of the immune system. The human immune system produces an excessive immune response to milk protein, causing abnormal intestinal function and causing diarrhea. Lactose intolerance and milk protein allergy are not easily distinguishable in clinical symptoms. The common symptoms of the two are diarrhea, abdominal pain, mucus stool, nausea, and vomiting. But you can go to the hospital for laboratory tests to make a differential diagnosis. Hydrogen breath test and abnormal urine lactose or galactose measurement can diagnose lactose intolerance. Determination of increased levels of milk protein-specific antibodies in human blood can diagnose lactic protein allergy. If diagnosed as one of these two diseases, it is recommended to stay away from cow milk powder or milk products. Patients with lactose intolerance can eat milk powder supplemented with lactase or lactose-free. Patients with lactose protein allergy can eat hydrolyzed milk powder or amino acid milk powder. But the most effective and reliable way is not to eat milk powder and milk products.
Which food is the most calcium supplement? Naturally, it ’s milk, and two boxes can easily fill more than half of the calcium requirement throughout the day. But my friends often complained to me that they were allergic to milk and had diarrhea after drinking milk, so they dared not drink milk. Teacher Gu wants to say that you are probably not allergic to milk, but tolerant to milk. Why do you say that? This article will give you a systematic explanation. 1. The cause of different milk allergies is that the undigested protein in the milk is directly absorbed into the blood, “irritating” the body, and the immune system “attacks” the protein for self-protection, which causes various symptoms. Milk intolerance refers to intolerance to lactose in milk. The specific reason is the lack of lactase or lack of lactase activity in the body. The indigestible lactose enters the large intestine and is fermented by bacteria to produce acid and gas, which in turn causes various symptoms. 2. Symptoms are different. Milk allergies can cause gastrointestinal symptoms such as nausea, vomiting, abdominal pain, diarrhea, itchy nose, nasal congestion, sneezing, runny nose and other respiratory symptoms, lip and tongue swelling, skin flushing, eczema and other skin symptoms. May be shocked or even fatal.  The symptoms of lactose intolerance are much lighter, but only cause abdominal distension, diarrhea, and abdominal pain. 3. High incidence of different ages The highest incidence of infants and young children with milk allergies up to 1 year old will improve with age. 75% of children by age 3 and 90% of children by age 6 will not be allergic.  Lactose intolerance increases with age, this is because lactase activity decreases with age. A survey of 1168 children aged 3-13 years showed that the incidence of lactase deficiency among children aged 3-5 years was 38%, and that among children aged 7-13 years was 88%.  In addition, Asian yellow races are more susceptible to lactose intolerance, which may be related to Asians drinking less milk, less milk consumption does not require so much lactase work, lactase will become less or less active, that is used into Scrapped. The survey shows that the incidence of lactase deficiency is 75% to 100%,> 30%, and 12% among whites in Asia, Europe, and the United States; the incidence of lactase deficiency in children aged 3-13 in China is 87.5%, of which lactose is not The incidence of tolerance was 30.5%.  Four diagnostic methods are different. Diagnosis of milk allergy requires food challenge test . Diagnosis of lactose intolerance is often done hydrogen breath test, but if there is no hydrogen-producing bacteria in the large intestine, this test will produce false negative results , That is obviously lactose intolerance but not detected, this situation requires another methane breath test. V. Solutions If children with milk protein allergies drink formula milk powder, they should choose deep hydrolysis formula or amino acid formula under the guidance of a doctor. Do not drink milk directly after weaning, it is best not to drink goat milk, because allergic to milk protein is also susceptible to goat milk protein allergy. In addition, if you buy food, you have to choose if there are no dairy products in the ingredients. If there is a prompt “May bring milk during processing” around the ingredients list, you can’t buy it. It can be seen that milk protein allergies need to be avoided when eating and drinking milk to avoid causing symptoms. Lactose intolerance solutions are much easier, including the following four. 1. A small amount of multiple times, less need of lactase for each drink of cereals, and cereals can delay the time of lactose passing through the small intestine, and lactase can function more fully. Improve lactose intolerance. However, if a 250 ml 1 pack of milk is consumed multiple times, for example, 50 ml each time, then the score can only be completed 5 times, which is really inconvenient for us who are fast-paced. 2. Yogurt fermentation bacteria can ferment part of the lactose in milk into lactic acid, so the lactose content of yogurt is low, the test data shows that the lactose content in yogurt is 2.58 ~ 3.75 mg / 100 g , which is about 40% less than pure milk About, so friends with lactose intolerance can try it, but it may not work, after all, the lactose content in yogurt is still quite a lot. In addition, most commercially available yoghurts add 6% to 7% of sugar . If you use such yoghurt to completely replace pure milk, drinking 300 grams a day will probably consume 18-21 grams of sugar, so you must choose yoghurt carefully. No sugar yogurt. 3. Cheese Cheese and yogurt have reduced lactose content after fermentation, but they also contain lactose like yogurt. In addition, the sodium content of cheese is often very high. Some commercial cheeses have a sodium content of up to 1600 mg / 100 g. Taking 30 g (equivalent to 300 g of pure milk), the sodium intake is equivalent to 1.2 g of salt, which has reached the daily salt.
& nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. Recently, several “big head dolls” have appeared in Yongxing County, Chenzhou, Hunan. According to media reports, many children were diagnosed with “rickets” after eating a solid beverage called “Beamamine” pretending to be a “specialist milk powder”. They had eczema, severe weight loss, and non-stop head shots. “. At present, the local market supervision department has formed a special work group to carry out a comprehensive investigation and arranged free medical examinations for children. This unhealthy event of a solid drink posing as milk powder for special doctors has aroused people’s attention. The term “special milk powder” has also become the focus of attention. What is special milk powder? Special medical milk powder is the abbreviation of infant formula milk powder for special medical use. The state implements strict supervision and management of special foods, and products have special labels. We now know that the best food for newborns is breast milk, and breast milk is the best gift mothers give to newborns. But some newborns are not so lucky, because of their own defects, they can’t eat ordinary dairy products. The most common is lactose intolerance. Lactose intolerance refers to the condition of non-infectious diarrhea caused by lactose in the baby’s body and the inability to fully digest lactose in breast milk or cow’s milk. It is called lactose. Intolerance. The presence or absence of this symptom is related to genetic variation and is not contagious. Some babies’ symptoms will alleviate or worsen over time. & nbsp. & nbsp. & nbsp. & nbsp. If the newborn suffers from lactose intolerance, eating mother ’s breast milk diarrhea can be solved by taking lactase to the baby, if you ca n’t continue breastfeeding, you need to change to lactose-free formula or hydrolyzed Egg milk and milk to protect the baby’s nutrition. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. In addition, there are some children with keturia. Ketouria is an autosomal recessive genetic disease that requires the use of restricted diet therapy, and must start from a newborn or infant early to avoid damage to the nervous system. & nbsp. & nbsp. & nbsp. & nbsp. There are newborns with protein allergies. For babies with milk protein allergies, mothers can continue breastfeeding, but in the usual diet, they should avoid milk and its products, and add calcium. & nbsp. & nbsp. & nbsp. & nbsp. In 2010, the World Allergy Organization and the European Society for Gastrointestinal Nutrition, Liver Diseases, and the European Society of Gastrointestinal Nutrition, Liver Diseases, respectively issued “Guidelines for the management of infants and young children with milk protein allergy. & nbsp. & nbsp. & nbsp. & nbsp. In these two guidelines, it is recommended that breastfeeding babies, if milk protein allergies occur, the mother can continue to breastfeed, but the mother ’s diet should avoid milk products and supplement calcium 800 ~ 1 & nbsp. 000 & nbsp.mg / day. If the mother’s diet avoids milk products and the baby’s symptoms have not been relieved, you can go to the hospital to ask a pediatrician for diagnosis and treatment. Special customized milk powder can also be selected according to needs. In addition to these conditions, newborn mothers still have to breastfeed their babies. Don’t listen to the promotion of some marketing agencies and choose supplements for your baby. Normal breast milk and milk powder approved by the state can satisfy the baby’s nutrition. There are also some parents who are always worried about whether their little baby is deficient in trace elements, always thinking about supplementing their children with calcium, iron and zinc. In fact, the trace elements in the human body, the original content is very small, if there is no accurate detection, the value is difficult to say accurate. The result will be affected by objective conditions such as the amount of specimens taken and the physical condition of the child, and there will be interstitial fluid mixed in, the result is low. Even the trace element value obtained by intravenous blood collection is only the blood level and does not represent the content in the corresponding tissue. For example, calcium is mainly deposited in bones, and blood calcium level does not represent the level of calcium in bones. The calcium content in blood calcium only accounts for 1% of human calcium. If the blood is checked by blood and found to be lacking, this is not Reliable. Generally speaking, as long as the babies and children are well-nourished and balanced, there will be no deficiency of trace elements. Some children ’s elders see that their grandchildren and grandchildren are hyperactive and have poor appetite. Children eat iron supplements, in fact
Is there a difference between drinking milk on an empty stomach and drinking milk after a meal? Because water accounts for a large proportion of milk, drinking more milk on an empty stomach dilutes the gastric juice, which is not conducive to the digestion and absorption of food. In addition, the intestinal motility is fast when fasting, milk passes through the gastrointestinal tract quickly, and the retention time is very short. Its nutrients are often too late to be absorbed, so it rushes into the large intestine. The protein in milk needs to be digested by the stomach and small intestine to be decomposed into amino acids to be absorbed in the small intestine, and the stomach is emptied quickly when drinking milk on an empty stomach, and the protein is discharged into the large intestine before the protein is absorbed, which not only causes a waste of nutrition, but also protein Corruption in the large intestine becomes a toxic substance. Some people think that the reason why you can’t drink milk on an empty stomach is because drinking milk on an empty stomach can cause gastrointestinal discomfort and cause diarrhea. This view seems reasonable, but there are also problems, because it is often not because you drink a glass of milk on an empty stomach, but because you “lactose intolerance.” Milk generally contains lactose, and lactase secreted by the human body will decompose lactose. If some people lack lactase, lactose will not be easily digested after drinking milk, which will cause problems such as bloating, diarrhea, and fart. If a person lacks dairy products during the growth process, it is easy to reduce the ability to digest lactose, and then gradually appear “lactose intolerance” phenomenon. Therefore, whether you can drink milk on an empty stomach is completely different from person to person. If you usually drink milk on an empty stomach without any discomfort, you can drink it at will, but if you feel unwell, it is recommended to drink a small amount, slowly adapt to it, or choose not to drink Lactose milk. For example, yogurt, which contains almost no lactose, is more suitable for consumption by these people.
We all know that children’s bones grow rapidly, and proper calcium and phosphorus intake is very important. Mothers have already actively supplemented their children with vitamin D. Most artificially fed children eat 700-800 ml of milk per day, calcium and Is phosphorus enough? Why do other children show signs of rickets? This confuses most mothers. The absorption of calcium and phosphorus is not only related to vitamin D, but also positively related to the birth age of infants, calcium, phosphorus, lactose and fat intake. Therefore, for the healthy growth of the baby’s bones, in addition to paying attention to the child’s vitamin D intake, it should also pay attention to whether the child is born prematurely. Reasonable bone health management allows children to maintain adequate and not excessive calcium and phosphorus supplements, so that children can grow healthy bones! Welcome to pay attention to Dr. Aishen-Doctor Xu Shupeng’s consultation room and my Weibo for consultation.
In the usual outpatient clinic, a mother often holds her baby and comes to me to consult various questions about breastfeeding: Doctor, my baby is now exclusively breastfed, but why is it always diarrhea after drinking milk? ? Doctor, my baby always cries and kicks his legs after drinking milk, is it colic? Doctor, my baby is not drinking well. Can you help me see if the rib under the tongue is short? (The picture is from the Internet) In fact, these are some common problems in breastfeeding ↓ How to breastfeed lactose intolerant babies? How to breastfeed a baby with colic? How to breastfeed a baby with a short tongue Today I will come to systematically review the breastfeeding problems mentioned above for everyone. I hope to help novice mothers who are troubled by these breastfeeding! 01 How to breastfeed a lactose intolerant baby? What is lactose intolerance? Lactose intolerance is a non-infectious diarrhea caused by the body’s digestive system with little lactase secretion, unable to fully digest and break down lactose in breast milk or cow milk, also known as lactase deficiency. Why is there lactose intolerance? The sugars in breast milk and cow milk are mainly lactose, and lactose needs to be decomposed by lactase to be absorbed. When the secretion of lactase at the tip of the villi on the surface of the small intestine, especially the jejunum mucosa, is reduced, or the activity is not high, the lactose in the milk cannot be completely digested and decomposed, then part of the lactose will be digested by the colonic bacteria into lactic acid and gas. At this time, the baby will show the following two conditions: Lactic acid in the small intestine will stimulate the intestinal wall and increase intestinal peristalsis, resulting in the “diarrhea” that we see, and some “red ass” problem. The gas produces flatulence and increases intestinal motility in the intestine, and occasionally may induce intestinal cramps and intestinal colic, so it will make the child show anxiety and crying. (Pictures are from the Internet) Some Bao Ma will ask, since it is caused by breast milk in the baby’s lactose intolerance, am I unable to breastfeed? Do breastfeeding babies stop lactating if they have lactose intolerance? Of course, do not stop breast milk. Breast milk is the most optimized ration for babies. The natural immunity provided to babies cannot be surpassed by any milk substitute. Lactose in breast milk is extremely important for early infant development, especially for the development of the brain and nervous system, and the promotion of calcium absorption, which will be affected by the avoidance of lactose intake. Therefore, choosing to give up breastfeeding instead of lactose-free formula milk, in addition to increasing the cost of feeding, is completely outweighing the baby’s early development. How to breastfeed a lactose intolerant baby? Baby lactose intolerance? Breastfeeding does this ↓ 1. First of all, it is recommended to go to the children’s specialty hospital for professional diagnosis and treatment: parents will pay special attention to the feces of the baby. , And then take measures to suspend breast milk or buy lactase online for children. But these are undesirable. It is recommended that you should go to the children’s professional hospital for related examinations and diagnosis, and then treat them as directed by your doctor. (Pictures are from the Internet) 2. Lactose intolerance baby feeding intervention: add lactase drops to the baby’s breast milk according to the doctor’s order, add enough lactase to decompose and digest lactose, and help stimulate the baby’s intestinal wall to secrete milk Lactase promotes correction and improvement of the ability of the baby’s digestive system to adapt to lactose. 3. Adapt to breastfeeding as needed: Breastfeeding needs to be in accordance with the child ’s feeding needs and to comply with the child ’s digestive function. Overfeeding will cause excessive milk intake and increased lactose intake, exacerbating lactose intolerance. 4. Reasonably add supplementary foods: When the baby reaches the age of months, supplementary foods can be added step by step, from less to more, from thin to thick, from thin to thick, with meat vegetarian, rice noodles, thick and thin. 02How do I breastfeed my baby who has colic? In fact, breastfeeding babies are less prone to intestinal colic. Because the various nutrients in breast milk are very suitable for the delicate intestines of newborn babies, it can be said that breast milk is the most optimized ration for babies. However, incorrect breastfeeding can cause baby’s intestinal colic. (Pictures are from the Internet) So when breastfeeding, mothers should master the correct feeding methods to avoid the baby’s intestinal colic! Is baby prone to colic? Breastfeeding does this ↓ 1. Adapt to feeding as needed: many mothers will like to compare the amount of milk their babies drink – how many babies will drink at a time
There is a surgical patient on the bed today. In order to allow him to control bowel movements after the operation, he was given a nutrition solution specially formulated for the hospital. However, before leaving work at night, he told us that he had had diarrhea three or four times. The original patient had lactose intolerance. Chinese people have more lactose intolerance than Western countries, but few people actually show significant diarrhea. Although many people find allergies to milk after testing for allergens, they have no special discomfort after drinking milk and eating dairy products. Therefore, patients often ask what to avoid after surgery. I often tell patients that they can eat anything without diarrhea, constipation, or even other discomforts after eating, because the sweet and sour, bitter and spicy, each taste is suitable for different people, and the most suitable for them is The best food, of course, is limited to normal food. Dark dishes and snacks with obvious health risks cannot be considered.