Ever really feel bloated, gassy, or simply typically icky after you eat? You’re not alone. Abdomen discomfort is extremely widespread, and figuring out the trigger behind it may be maddening. Two of the commonest perpetrators of those signs are lactose intolerance and small intestinal bacterial overgrowth (SIBO). Whereas they might sound comparable, they’re fairly completely different—and realizing which one you may have could make all of the distinction in the way you handle it.

Understanding Lactose Intolerance
Lactose intolerance is when your physique can not digest lactose, which is the pure milk sugar present in milk and milk meals like cheese, ice cream, and yogurt. Usually, an enzyme referred to as lactase digests lactose. However in the event you produce too little lactase, lactose strikes by your digestive system undigested. When it enters your gut, micro organism in your gut feed on it and trigger gasoline, bloating, abdomen cramps, diarrhea, constipation, or nausea.
Some others additionally get fatigue, complications, or hassle concentrating, however these are much less widespread. Lactose intolerance shouldn’t be the identical as a dairy allergy, nonetheless. A milk allergy may cause very harmful, life-threatening reactions. Lactose intolerance, whereas uncomfortable, shouldn’t be as harmful.
What If It’s Extra Than Simply Dairy?
In case your signs will not be confined to dairy, you might have SIBO. Your intestine well being occurs to incorporate trillions of micro organism, the vast majority of which reside within the massive gut. In SIBO, although, these micro organism overgrow or migrate into the small gut, the place they don’t belong.
When that happens, they start fermenting the sugars and carbs you eat too early within the digestive course of, producing the identical signs: bloating, gasoline, ache, and modifications in bowel habits. SIBO might even disrupt your nutrient absorption, inflicting you to shed some pounds, really feel fatigued, or grow to be vitamin-deficient.
Diagnosing the Drawback: The Hydrogen Breath Take a look at
So, how are you going to inform which one you may have? One factor many docs use to diagnose each lactose intolerance and SIBO is the hydrogen breath check—a fast, painless check that may diagnose each circumstances.
Right here’s the way it goes: You’ll ingest an answer of sugar, then take breaths in at common intervals right into a particular gadget. When micro organism in your digestive tract ferment undigested sugars, they launch hydrogen (and infrequently methane), which passes into your bloodstream and escapes if you exhale. How a lot and when the gasoline seems in your breath assists physicians in deciding if lactose isn’t being damaged down appropriately, or if micro organism in your small gut are fermenting meals too quickly (a symptom of SIBO).
Prepping for the Take a look at
Preparation is the important thing to receiving correct outcomes. For the times main as much as your check, you may need to exclude some meals, medication, and even actions which will affect the outcomes. Additionally, you will be fasting for roughly 12 hours earlier than the check. The check itself sometimes takes just a few hours, and as uncomfortable as it could be, it’s not painful and may solely induce delicate signs of what you’re already coping with.
Learn how to Handle Lactose Intolerance
In the event you’re recognized with lactose intolerance, step one is often adjusting your food regimen. That may imply limiting or avoiding dairy, or attempting lactase dietary supplements earlier than meals to assist digest lactose. Some folks can tolerate small quantities of dairy, particularly yogurt or arduous cheeses, whereas others may have to chop it out utterly. In case your baby is displaying indicators of lactose intolerance, it’s finest to speak to their physician earlier than making main modifications.
Treating SIBO
SIBO therapy often begins with antibiotics to lower bacterial overgrowth, adopted by food regimen modification and generally dietary supplementation, significantly if the situation has prompted weight reduction or vitamin deficiency. In just a few circumstances, people with SIBO additionally would possibly require avoiding lactose for some time, as harm to the small gut might affect how your physique processes milk sugar.
When to See a Physician
In the event you’re experiencing persistent digestive issues, don’t undergo by them quietly. Your signs could also be a results of one thing so simple as lactose intolerance or one thing extra intricate, similar to SIBO. Consulting with a healthcare skilled can help you in monitoring signs, acquiring the right assessments, and growing a therapy resolution that fits your lifestyle.
Digestive well being is commonly advanced, however the correct analysis and therapy can do lots to make you are feeling your finest.
Associated
