*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or see this week's feature P: Personality Disorders.

Lactose Intolerance

Lactose intolerance is when you get symptoms, such as tummy pain, after eating food containing lactose, a sugar found in dairy products. The symptoms can be prevented by eating smaller portions of foods that contain lactose or avoiding them completely.

Check if you have lactose intolerance

Symptoms of lactose intolerance can start a few minutes, or a few hours, after having food or drink containing lactose.

Common symptoms include:

tummy pain or discomfort
bloating
farting
diarrhoea or constipation
feeling sick or being sick

You may also have longer lasting symptoms including a rash (eczema), headaches, joint pain, feeling tired, and finding it hard to concentrate.

Foods that contain lactose

Lactose is found in foods containing animal milk (dairy products), includes milk from cows, goats and sheep.

Dairy products include:

milk
butter
cheese
cream
yoghurt
ice cream

Many processed foods can also contain lactose, including:

cereals
baked foods like bread, crackers, cakes, biscuits, and pastry
sauces and salad dressings
diet and protein shakes

Find out more about lactose intolerance and checking food labels on the Allergy UK website.

Food allergy

A food intolerance is different from having a food allergy, which can cause symptoms such as struggling to breathe, itchy skin, and swelling of the lips, face and eyes. A food allergy can be life threatening.

See your GP if:

You have symptoms of lactose intolerance and:

your symptoms keep coming back and often happen after eating
you've noticed changes in your poo that are not usual for you, such as looser poo, pooing more often, or constipation for 3 weeks
you've have blood in your poo for 3 weeks
you've had tummy bloating and discomfort for 3 weeks
you've been losing weight

Call 999 if:

your lips, mouth, throat or tongue suddenly become swollen
you're breathing very fast or struggling to breathe (you may become very wheezy or feel like you're choking or gasping for air)
your throat feels tight or you're struggling to swallow
your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
you suddenly become very confused, drowsy or dizzy
someone faints and cannot be woken up
a child is limp, floppy or not responding like they normally do (their head may fall to the side, backwards or forwards, or they may find it difficult to lift their head or focus on your face)

You or the person who's unwell may also have a rash that's swollen, raised or itchy.

These can be signs of a serious allergic reaction and may need immediate treatment in hospital.

Tests for lactose intolerance

If your GP thinks you have lactose intolerance, you may:

be asked to follow a lactose elimination diet - where you stop eating foods containing lactose to see if your symptoms improve
have blood tests
do a hydrogen breath test - where hydrogen gas in your breath is measured to find out how well you digest lactose

If your symptoms are severe and do not get better, you may need a gastroscopy. This is where a long, thin, flexible tube is passed into your mouth and down into your stomach. A very small sample of cells may be taken from your small intestine so it can be tested.

Before the test, you may be given painkillers to help with any discomfort, and a sedative to help you relax.

Treatment for lactose intolerance

For most people with lactose intolerance, the symptoms can be prevented by reducing the amount of food you eat that contains lactose, or by avoiding these foods completely.

If you think your child is lactose intolerant, see your GP before removing dairy products from their diet.

Taking a lactase supplement before having food or drink containing lactose may reduce or prevent symptoms for some people.

In some people, lactose intolerance is caused by another health condition, such as coeliac disease. Treating the underlying cause should help.

Causes of lactose intolerance

The most common cause of lactose intolerance is when the body does not make enough of an enzyme called lactase, which helps you digest lactose.

Lactose intolerance can start at any age and can also be caused by:

conditions such as inflammatory bowel disease and Coeliac disease
bowel infections
bowel surgery
an injury to the bowel

Some premature babies are unable to digest lactose because their bowel has not developed enough, but this usually gets better as your baby gets older.

Some people do not make any lactase at all, but this is very rare.

OutUK's A to Z of Gay Health continues and you can read this week's feature P: Personality Disorders. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this particular topic you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
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