Secondary carbohydrate intolerance during diarrhea-- clinical features, detection and management.

Ashoka, B. A. and Ankegowda, K. and Salimath, P. V. and Venkat Rao, S. (1988) Secondary carbohydrate intolerance during diarrhea-- clinical features, detection and management. Indian Journal of Pediatrics, 55 (4). pp. 581-590.

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Abstract

Of 110 cases having watery diarrhea, sugar intolerance was observed in 75 s~jects (68%), maff~vity of whom (97%) were below 2 years. While nutritional status was not ass~iated with the occarrence of sugar baolerance, children from rural areas had a higher incidence than urban childrem Stools in children with sugar intolerance were watery, moderate to large in qaantity, often explosive with a sow odour, had a pH of 6 or less and were positive for sugar. Lactose with 8alactose and/or glaca~e were the most common sugars on stool chromatography, occurring in 56% of the cases. All 75 cases of sugar intolerance had monosaccharides in stool chromatograms. Chromatography often was m~ helpful in pinpointing the offending sugar and did not correlate well with clinical r ~ . Among children with sugar intolerance continued on breast or cow's milk (control diet) thirds responded, and the remaining responded to lactose-free milk (LFM), LFM was fo~d effectice in cases with sugar baggeranc~. Failures to it were due to feeding of breast or cow's milk. LFM was required for 3-4 days for controlling diarrhea Failures to control diet had a significantly longer duration of intravenoas fl~d treatment and hospital stay than re,wonders. Howecer, as j~we to respond to control diet cannot be predicted at the time of admission, use of lactose-free~ may be indicated for the routine treatment of sugar intolerance,

Item Type:	Article
Uncontrolled Keywords:	Sugar intolerance; Stool sugar; Diarrhea; Clinical features; Lactose-free formula
Subjects:	600 Technology > 01 Medical sciences > 11 Malnutrition 600 Technology > 08 Food technology > 16 Nutritive value > 01 Carbohydrates
Divisions:	Dept. of Biochemistry
Depositing User:	Food Sci. & Technol. Information Services
Date Deposited:	10 Apr 2018 07:03
Last Modified:	10 Apr 2018 07:03
URI:	http://ir.cftri.res.in/id/eprint/5318

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