Lactose intolerance is a condition in which the body is not able to easily digest foods that contain lactose, or the natural sugar that is found in dairy products. Lactose intolerance is not the same as milk allergy. Milk allergy is due to a problem with your body’s defense system, called the immune system. Once lactose is in the body, it needs to be broken down into two simple sugars, glucose and galactose, to be absorbed into the blood stream.

There is an enzyme called lactase which is responsible for breaking down the lactose. Many people have a shortage of the enzyme lactase, which is normally made by cells lining the small intestine. Without this enzyme they can’t break down milk sugar into simpler forms that can be absorbed into the bloodstream.

Lactose intolerance is not very common in toddlers under two years of age, unless the toddler has a lactase deficiency because of an injury to the small intestine. A rare cause of lactose intolerance is called congenital lactase deficiency. Toddlers with this condition do not produce any lactase.

Your toddler may need to take a calcium supplement if he/she doesn’t get enough of it from the diet, since milk and foods made with milk are the most common source of calcium for most people. Vitamin D is necessary for the body to absorb calcium, therefore, your toddler’s diet should provide an adequate supply of vitamin D.

There are many of nondairy foods that are rich in calcium. These include :

  • Green vegetables such as broccoli and kale.

  • Fish such as salmon and sardines.

  • Yogurt

Sources of vitamin D include eggs and liver. Sunlight is also a good source of vitamin D.

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