Mother puts in the feeling of happiness in breastfeeding baby, but the baby has pulled up the thin stool, like water? Is it diarrhea? Is it a problem with mother's breast lactose milk? how lactose free milk is made?Fortunately, the doctor told her mother not to worry, this is due to the lack of lactase in the baby body and the lactose in the breast milk can not be digested, is the baby's intolerance to lactose. Mother asked again, why is the baby not lactose intolerant? Can you still eat breast milk?
Why does baby have infant lactose intolerance?
Lactose is the main carbohydrate found in dairy products and is also a unique sugar in milk. Lactase is the enzyme necessary for the body to digest lactose. Since lactose is a disaccharide, the molecule is relatively large, and it needs to be hydrolyzed by lactase in the small intestine to form smaller glucose and galactose to pass through the intestinal wall and enter the blood vessel to be absorbed.
However, because some small intestinal mucosa in the baby can not produce enough lactase, lactose is directly transported from the small intestine to the large intestine. Under the action of intestinal bacteria, lactose is fermented, producing a large amount of gas and organic acid, causing the baby to eat about half of the lactose. Abdominal swelling, bowel sounds, abdominal pain, vomiting, and even diarrhea may occur within an hour to 2 hours.
The severity is related to the individual's constitution and the amount of lactose eaten. In addition to the congenital constitution, gastrointestinal diseases (such as gastrointestinal resection, gastroenteritis) may also cause lactase deficiency, resulting in lactose intolerance. There is also a lot of disposable milk, or drinking on an empty stomach may induce lactose intolerance.
Baby type of lactose intolerance?
Type 1: Congenital lactase deficiency
It means that when the baby is born, the body's lactase activity is low or lacking. Judgment method: Regardless of drinking breast milk or milk, it can cause obvious diarrhea, stop feeding or replace it with rice soup, and diarrhea disappears, that is, congenital lactose is missing or low.
For infants who are exclusively breastfed for less than 6 months, because the baby's ability to remove large intestines is worse than that of older children and adults, the effect of diarrhea caused by lactase deficiency is more obvious after eating breast milk. The typical feces are watery stools, 4 to 6 times a day, often after defecation after feeding, may have milk, foam, acrid odor, but regular stool examination is often negative.
It can also be expressed as diarrhea soon after birth, which can last for weeks to months. But in addition to diarrhea, the baby has no other abnormal conditions, happy spirit, normal appetite, stable sleep, weight increase at a normal rate, no dehydration performance, which is often referred to as "physiological diarrhea."
This condition is temporary and is common in the first few weeks after the baby is born, sometimes for several months, but without treatment. As long as the weight of the baby continues to increase, his body will have no problem. After adding the complimentary food with the increase of age, the problem will gradually disappear naturally. If it is breastfeeding, it is recommended that Mommy try to let the baby suck one side of the breast and then change the breast on the other side to ensure that the baby can drink the fat-rich back milk, which helps to relieve the diarrhea in babies.
Tips: Need to be reminded that the mother needs to change the diaper and clean the buttocks in time when nursing such a baby, otherwise it will cause diaper rash and even local infection. Therefore, every time you change your baby's diaper, you should first clean your buttocks and apply it with a disinfectant to protect your skin.
Type 2: Primary lactase deficiency
Also known as adult lactase deficiency, the incidence rate is related to age and race. Among all types of lactose intolerance, the lack of adult lactase is the most common.
Baby is the only food source from the birth of breast milk. This is because the amylase in the baby's intestine is insufficient to break down the starch in the food and cannot digest and absorb food other than breast milk. After the baby gradually grew up, he began to add non-staple foods such as some fruit puree, rice flour, mashed potatoes... until the milk was gradually weaned.
In a traditional Chinese diet, dairy products are not the main food. Since weaning, Chinese children have gradually decreased in age as their children have grown older, leading to a gradual decline in lactase tolerance. So many people will develop lactose intolerance when they grow up.
When the baby produces a lack of primary lactase, if he does not drink milk because of his discomfort, and does not provide substitutes, it may cause baby calcium, vitamin D, vitamin B2, protein deficiency, affecting its growth and development. Therefore, for the health of the baby, Mommy should cultivate his habit of drinking milk every day, and treat milk as an equally important thing to eat and eat.
Type 3: secondary lactase deficiency
It refers to the temporary lactase activity caused by damage to the intestinal epithelium due to various reasons, such as infectious diarrhea and severe malnutrition. After recovery from the body's disease, lactase deficiency may persist or gradually return to normal.
For the baby, autumn diarrhea and bacterial diarrhea can cause a temporary decrease in gastrointestinal function, decreased lactase secretion or decreased activity. At this time, the continuous drinking of milk can cause secondary lactose intolerance.
In addition, the baby will also cause secondary lactose intolerance after receiving high-dose head cell antibiotics. This is because antibiotics destroy the inner membrane of the digestive tract and prevent it from producing enough lactase in a few days or weeks. In this case, Mommy can consult the doctor whether to temporarily replace the breast milk with lactose-free formula and even stop the baby for a while until he recovers.
How to feed if baby has lactose intolerance?
In addition to causing abdominal discomfort, abdominal distension, abdominal pain, diarrhea and other gastrointestinal symptoms, lactose intolerance can also cause malnutrition, resulting in iron deficiency and zinc deficiency, affecting brain development. Therefore, even if you know that baby lactose intolerance, Mommy must find ways to make the baby overcome difficulties and reduce the loss caused by lactase deficiency. In general, as long as you grasp the principle of eating a small amount and eating with other foods, you can reduce the occurrence of lactose intolerance and train to increase the tolerance to lactose.
1. A small amount of dairy products
It can reduce or not show symptoms of lactose intolerance. Even a baby with a lack of lactase can tolerate a small amount of milk (120-240 ml) without symptoms of dairy intolerance.
Therefore, the mother breastfeeds the baby, but also can take a small amount of food, the amount of food should not exceed 250 ml. At the same time, it is necessary to limit the total amount of lactose intake in a day. The average lactose limit is 12 grams. In short, as long as the mother can control the reasonable interval and daily intake of milk every time breastfeeding, it can avoid the symptoms of lactose intolerance.
Drink a few more times a day and still reach the recommended amount of milk. Over time, the baby gradually adapts to reduce the reaction of lactose intolerance, or avoid the symptoms of lactose intolerance.
2. Add a piece of lactase or eat lactose-free milk powder
Foreign aid lactase can also increase the digestion and absorption of lactose. Therefore, if the newborn baby has symptoms of lactose intolerance, Mommy can suck the milk out with a breast pump, add a piece of lactase (available at the pharmacy), and then feed the baby with a bottle.
If the baby lactose intolerance, you can also choose the formula for the lactose intolerance baby. This formula contains no lactose and is suitable for the baby who lacks lactase or chronic diarrhea to cause loss of lactase in the intestinal mucosa. When the baby is diarrhea, the original formula can be deactivated and directly replaced with this formula. It should be noted that diarrhea milk powder should not be eaten for a long time. When the diarrhea condition improves, it should be gradually replaced back to the original infant formula.
What is the difference between physiological diarrhea caused by lactose intolerance and common diarrhea?
Baby's physiological diarrhea is essentially different from diarrhea. Physiological diarrhea appears soon after birth, more common in the allergic constitution, often with eczema baby, which is characterized by increased frequency of stools, up to 4 to 5 times a day, thin yellow or green loose stools. However, the appetite is good, without vomiting, no fever, and weight gain are not affected.
Ordinary diarrhea is a syndrome caused by a variety of causes, mainly diarrhea, vomiting, severe dehydration, electrolyte imbalance and so on. Diarrhea caused directly by pathogenic microorganisms is called enteritis. Diarrhea caused by viral infection is more common in autumn and winter; pathogenic E. coli is more common in summer. In addition, diarrhea can also be caused by factors such as climate, physical fitness, improper diet and parenteral infection.