Abstract
Lactose tolerance test (LTT) was performed in 70 children with idiopathic recurrent abdominal pain (IRAP) and 50 matched controls. The prevalence of lactose malabsorption in the IRAP patients (47.1%) was significantly higher than in controls (18%). When milk was withheld fora 4 week period, 33% (11/33) of lactose malabsorbers and 16.2% (6/37) of lactose absorbers were relieved of their symptoms, the difference being insignificant. The limitations of standard oral lactose tolerance test are discussed.
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Apley J: The child with abdominal pain, 2nd ed. Oxford Blackwell Scientific Publication, 1975
Barr RG, walkins JB, Levine MD: Recurrent abdominal pain (RAP) of childhood due to lactose intolerance. A prospective study. Pediatr Res 12: 429, 1978
Liebman WM. Recurrent pain abdomen in children. Lactose and sucrose intolerance, a prospective study. Pediatr 64: 43,1979
Bayless TM, Tothferd B, Massa L: Lactose and milk intolerance Clinical implication: N Eng J Med 292: 1156, 1975
Reddy V, Prasad J: Lactose deficiency in Indians. Am J Clin Nutr 25: 114,1972
Murthy MS, Howarth JC: Intestinal lactose deficiency in Eastern Indians. Am J Gastroenterology 53: 245, 1970
Gadyar BN, Taneja PN, Ghai UP: Recurrent pain in children. Ind J ch Health 12: 289. 1963
Reddy YR. Reddy: Recurrent abdominal pain in children. Ind Pediatr 26: 277, 1969
Lebenthal E, Rossi TM, Nord KS, Bransk D: Recurrent abdominal pain and lactose absorption in children. Pediatr. 67: 828, 1981
Arranitakis C, Cllen GH, Floscraft J, Koltz AP: Lactose deficiency—A comparative study of dignostic methods. Am J Clin Nutr 30: 1977, 1977
Harrison M and Walker Smith JD: Reinvestigation of lactose intolerance in children: Lack of correlation between continuing lactose intolerance and small intestinal morphology, disaccharidase activity and lactose tolerance tests. Gut 18: 48, 1977
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Bhan, M.K., Arora, N.K., Ghai, O.P. et al. Lactose and milk intolerance in recurrent abdominal pain of childhood. Indian J Pediatr 49, 199–202 (1982). https://doi.org/10.1007/BF02830749
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DOI: https://doi.org/10.1007/BF02830749