POOJA KOTHARIExpecting Mom due in 1 month3 months agoA. Lactose intolerance in infants is relatively rare, especially in newborns. However, if it does occur, it usually falls into one of three categories:
1. Congenital Lactose Intolerance (very rare) A genetic condition where babies are born without the enzyme lactase. Symptoms: Severe diarrhea, gas, bloating, and poor weight gain soon after birth. Solution: Switch to lactose-free infant formula (such as soy-based or specially formulated lactose-free cow's milk). Breastfeeding is usually not possible in congenital lactose intolerance unless the breast milk is treated with lactase drops under medical supervision. 2. Secondary Lactose Intolerance (temporary) Caused by damage to the gut lining, often due to infections like rotavirus or after a bout of diarrhea. Very common and usually temporary. Solution: Continue breastfeeding (breast milk is easier to digest and has healing properties). Use lactose-reduced or lactose-free formula temporarily if needed. Lactase enzyme drops can be added to expressed milk or formula under doctor guidance. Treat the underlying cause (e.g., infection). 3. Developmental Lactose Intolerance (in preterm babies) Premature babies may not produce enough lactase initially. Usually resolves on its own as the baby grows. Solution: Use lactose-free preterm formula temporarily. Monitor weight gain and digestive symptoms with your pediatrician. General Tips: Always consult a pediatrician before changing formulas or giving lactase drops. Do not stop breastfeeding unless medically advised. Observe for signs like diarrhea, gas, bloating, crying during feeding, and poor growth.
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