Lactose intolerance and cow's milk allergy are still confusing concepts. Lactose is the name of the sugar produced by mammals that gives milk its sugary taste. Lactose is also found in breast milk and cow's milk. Cow's milk protein is found only in cow's milk and is protein, not sugar. If a mother does not drink cow's milk or eat yoghurt, or even does not consume any food containing cow's milk products, cow's milk protein will not pass into her milk.
Although symptoms such as abdominal pain, cramps, gas, and slimy-watery stools are caused by lactose. Although we also see it in intolerance, ISA and lactose intolerance are completely different conditions.
Cow's milk protein allergy is an immunological reaction; In other words, it is a response of the immune system. Here, the immune system reacts to one or more proteins found in the structure of cow's milk.
The main reason for lactose intolerance is the absence of the enzyme called "lactase" to digest lactose, the milk sugar, in the small intestines or its decrease with age. The enzyme lactase is found in the brush borders of digestive cells in the small intestines; Lactase breaks down the milk sugar called lactose, which gives milk its unique taste, and produces glucose. Lactase enzyme gradually decreases with age in people of Aysa origin (of course, in us Turks), and symptoms of indigestion begin to appear when milk is consumed after the age of 20.
Very rarely, some babies are congenitally deficient in the lactase enzyme, and as a result, abdominal pain, gas, and runny poop occur in breast milk and all kinds of dairy products. However, the issue here is not immunological, but due to enzyme deficiency. These babies have extreme gas pain; Therefore, it is recommended to carry out trial treatment in babies with excessive gas by using external lactase enzyme drops to determine whether the gas is due to lactase enzyme deficiency.
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