[Effect of a lactose-free diet on irritable bowel syndrome].
Pathological lactose-H2-breath test is a frequent finding in patients with suspected irritable bowel syndrome. We found it in 33 of 55 patients (60%) with chronic non-specific abdominal symptoms. Follow-up examinations after 15 months (mean) exhibited that lactose-free diet relieved symptoms in 57% of these patients completely or nearly completely. In contrast, only 12% of the patients without lactose malabsorption showed equal amelioration on the various unspecific diets and medications. The lactose-free diet succeeded particularly in young patients and patients with a short history of complaints. Therefore, we recommend lactose-H2-breath test in all patients with suspected irritable bowel syndrome for optimizing therapy.
Schöfl
R
R
Klinische Abteilung für Gastroenterologie und Hepatologie, Medizinische Universitätsklinik IV, Wien.
Ferenci
P
P
Vogelsang
H
H
Gangl
A
A
D000328:Adult; D000368:Aged; D001944:Breath Tests; D003109:Colonic Diseases, Functional / Q000175:diagnosis / Q000178:diet therapy*; D005260:Female; D006801:Humans; D006859:Hydrogen / Q000502:physiology; D007785:Lactose / Q000008:administration & dosage*; D007787:Lactose Intolerance / Q000150:complications / Q000175:diagnosis / Q000178:diet therapy*; D008297:Male; D008875:Middle Aged
D006859:Hydrogen; D007785:Lactose
Einfluss einer laktosefreien Ernährung auf das Reizdarmsyndrom.