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What dietary advice should I provide to patients diagnosed with lactose intolerance?
Answer
Guideline-Aligned (High Confidence)
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 16 August 2025
Dietary advice for patients diagnosed with lactose intolerance:
- Advise patients to avoid or limit intake of lactose-containing foods such as cow's milk and dairy products, as these can trigger symptoms.
- Encourage the use of lactose-free milk alternatives or lactose-reduced products to maintain adequate calcium and vitamin D intake.
- Recommend ensuring a balanced diet that includes other sources of calcium and vitamin D, either through diet or supplements if necessary, to prevent nutritional deficiencies.
- Advise patients to read food labels carefully to identify hidden sources of lactose in processed foods.
- Suggest gradual reintroduction of small amounts of lactose-containing foods if tolerated, as some patients may tolerate low levels without symptoms.
- Refer patients to a dietitian for personalized dietary advice and to ensure nutritional adequacy, especially if multiple food restrictions are present.
Key References
- CKS - Cow's milk allergy in children
- NG20 - Coeliac disease: recognition, assessment and management
- CKS - Constipation
- CKS - Irritable bowel syndrome
- CG61 - Irritable bowel syndrome in adults: diagnosis and management
- CG99 - Constipation in children and young people: diagnosis and management
- CG49 - Faecal incontinence in adults: management
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