From: Jim Barron <jdbarron@cphl.mindspring.com>
Lactose intolerance is often a result of celiac disease. The lining of
the intestine is damaged so that it cannot produced enough lactase, the
enzyme necessary to digest lactose. The possibility of celiac disease
should be considered in anyone who cannot tolerate lactose. Celiac
disease is over 90% UNdiagnosed, so the index of suspicion is far too
low.
For information on celiac disease, see:
http://www.celiac.com/
Classic symptoms include pale, floating, unformed frequent stools, gas,
below normal weight (although some may be overweight), often a number of
nutrient deficiencies, etc.
Every time you diagnose a celiac patient you are saving them years of
ill health, and small fortunes in wasted office visits searching
endlessly for a correct diagnosis. The typical patient is diagnosed
only after YEARS of seeing many doctors and spending small (and not so
small) fortunes.
jdbarron@cphl.mindspring.com