Lactose intolerance

Lactose intolerance is a common problem where the body cannot easily digest lactose, a natural sugar found in milk and dairy products. It happens when the body does not make enough of an enzyme called lactase. It is not an allergy. Symptoms usually start within a few hours of eating or drinking dairy.

Last updated Nov 9, 2026

What it is

It can be lifelong, or temporary after a gut infection or with conditions such as coeliac disease.

Most people can manage it by limiting lactose, choosing lactose-free products, or taking lactase supplements. Getting enough calcium is important.

Common signs

  • Wind
  • Diarrhoea
  • Bloating
  • Tummy cramps and pain
  • Feeling sick

How it is usually diagnosed

  • Removing lactose from the diet to see if symptoms improve
  • Hydrogen breath test, sometimes
  • Tests to rule out coeliac disease

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • A food and symptom diary
  • Test results
  • Dietitian advice

Questions to ask your doctor

  • Could it be something else, such as coeliac disease?
  • How much dairy can I have?
  • How can I get enough calcium?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Swelling of the lips or throat or difficulty breathing after dairy: call 112, this is an allergy, not an intolerance

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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