Lactose Intolerance: Snohomish Health District
What Can I Eat? Mission Statement CHILD CARE HEALTH
Limit the number of dairy foods at one meal.
Replace fluid milk with cheese, yogurt, but- To improve the health of individuals,
termilk, kefir, or acidophilus milk. families and communities through
Combine milk with other foods such as disease prevention, health promotion,
cereal, smoothies, or baked goods to slow
and protection from environmental
down the stomach’s emptying time.
lactose-free milk, which is available at
grocery stores in 2% and nonfat.
Remember the degree of lactose intoler-
ance varies from person to person.
The Child Care Health and Intolerance?
Nutrition Consultant offers
STARS training and mealtime
assessments to the child care
community. These special services are
designed to help child care providers ensure
the health and safety of children in out of home
Cow’s Milk Allergy:
What Can I Eat?
Become a food ingredient reader.
Omit all dairy products including milk,
cheese, yogurt, ice cream, and any food
containing casein or whey.
Drink calcium-fortified orange juice, rice, or
Substitute soy cheese, soy yogurt, tofu, and Child Care Health and Nutrition Consultant
tempeh for dairy products. 3020 Rucker Avenue, Suite 206
Everett, WA 98201-3900
other calcium rich foods such as
425.339.8697, Direct Line
broccoli, canned salmon, leafy greens, and 425.339.5230 Community Health
Snohomish Health District 2/2010 pac
People often confuse the words Milk allergy or lactose intolerance?
"allergy" with "intolerance", es- What is cow’s milk allergy? What is lactose intolerance?
Allergy is an abnormal reaction to substanc- Lactose intolerance occurs when a person
pecially when referring to milk. A es that are usually harmless. Some children cannot digest lactose, the major sugar in milk.
This happens because of the loss or absence
milk allergy is very different from have an allergic reaction to the protein in
of the enzyme, lactase. Lactase is an en-
milk intolerance. Many factors zyme that breaks down lactose so it can be
digested. Lactose intolerance is found more
can affect the body's reaction Cow’s milk allergy has many symp-
often in African Americans, Asians, and South
to milk, such as the amount of toms such as skin rash, cough, runny
nose, asthma, vomiting or diarrhea.
milk or milk product ingested at The allergy may lessen or even dis- What occurs?
appear as children grow older. The symptoms of lactose intolerance
one time, how often the product occur most often two to four hours after
is ingested, and the degree of a drinking milk or eating a dairy product.
What can I do?
Due to a deficiency of the lactase en-
When cow’s milk allergy is the
person's sensitivity to protein or problem, all milk products should be
zyme, the milk sugar goes undigested
into the large intestine and causes
lactose. removed from the diet. It is important
symptoms. Lactose intolerance symp-
to read labels because milk is used in
toms include stomach ache, bloating, gas, and
making many foods and may be listed as an
ingredient using a different name other than
What can I do?
When lactose intolerance is the problem,
What do I look for on a label? milk should be limited. The degree of lac-
Watch for milk, non-fat milk, milk protein, tose intolerance varies with different people.
casein, sodium caseinate, whey and dried Many people with lactose intolerance can eat
milk. They are all milk in some form. Watch cheese, yogurt, and ice cream or drink small
out for non-dairy products, because they may amounts of milk without symptoms.
contain whey and/or sodium caseinate.
A child’s doctor can help determine whether a child has a milk allergy or intoler-
ance. Keeping track of the child’s symptoms and when they occur may be neces-
sary to give the doctor the information needed to make a diagnosis.
Milk and dairy products give us calcium, protein, B vitamins, and vitamins A and
D. If dairy products are omitted from or limited in a child’s diet, the diet could
be lacking in these nutrients. It is important to get these nutrients from other
Some insurance companies cover nutrition services for certain medical condi-