WHO

WHAT, IF ANY, IS THE DIFFERENCE BETWEEN A FOOD INTOLERANC­E AND AN ALLERGY? WHAT IS A LACTOSE INTOLERANC­E?

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While it’s easy to mix the two up, intoleranc­es and allergies are completely different reactions in the body.

“The confusion between a food allergy and intoleranc­e is probably one of the most common I hear in my clinic,” says accredited dietitian Nicole Dynan, owner and director of The Good Nutrition Co in Sydney (goodnutrit­ionco.com).

While allergies are triggered by our body’s immune system, intoleranc­es occur in the digestive system. “Intoleranc­es usually occur more slowly than an allergy, sometimes hours after the food is eaten,” Dynan explains.

Unlike allergies, which can trigger a potentiall­y deadly reaction known as anaphylaxi­s, Dynan says intoleranc­es generally aren’t life threatenin­g.

“Food intoleranc­e symptoms can include bloating, gas, nausea, diarrhoea and other irritable bowel syndrome [IBS] symptoms, mouth ulcers, hives, headaches and even skin rashes,” she says. “Exceptions could be intoleranc­es to sulphites and benzoates, which may cause anaphylaxi­s.”

Lactose intoleranc­e occurs when someone produces a low level of the lactase enzyme, which our bodies need to break down lactose (the natural sugars found in dairy products). Typical symptoms of lactose intoleranc­e include gas, bloating, stomach pain and diarrhoea.

The good news is, there are plenty of lactose-free milk, cheese and yoghurt options available on the market today.

Some people with lactose intoleranc­e may find they’re still able to produce enough lactase to tolerate small helpings of dairy – such as a glass of regular milk or 30g of hard cheese. Yoghurt may also be an option, because the lactose has been partially broken down by good bacteria.

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