if you’re lactose intolerant, why does the lactose cause bowel distress instead of passing through inertly?

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I get that lactase is needed to break it down into galactose and glucose, but why does the two monosaccharides’ glycocidic linkage cause so much pain and problems during digestion if it’s isn’t broken apart?

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20 Answers

Anonymous 0 Comments

Everyone has explained the gas and bloating. The second problem is diarrhea.

That’s because you can’t absorb lactose through the intestine. The molecule is too big and humans don’t have specific transporters for it. This means you get a high amount of lactose in your bowels.

Physics tell us things always strive to go from a high to a low concentration, essentially diluting it. If the lactose can’t move _from_ your bowels into the bloodstream, it will instead drag lots of water from the blood into the intestines.

Anonymous 0 Comments

In addition to fermentation, if the amount of unabsorbed lactose in the gut is high enough it raises the osmotic pressure, attracting water into the bowels, so water flows in and this influx of water is what leads to diarrhea.

That’s why for me if I eat like a meal with cream it just makes me gassy and my stool smell very sour, but if I drink like a glass of milk on an empty stomach I will have diarrhea within 30 minutes.

Anonymous 0 Comments

A huge family of gut bacteria are capable of fermenting lactose. They are relatives of our old Friend *E.coli.*
If you can’t digest it they will and when they do they produce a whole lot of gas! It’s being forcibly inflated by the gas that causes the discomfort and potential projectile sharting.

Anonymous 0 Comments

A huge family of gut bacteria are capable of fermenting lactose. They are relatives of our old Friend *E.coli.*
If you can’t digest it they will and when they do they produce a whole lot of gas! It’s being forcibly inflated by the gas that causes the discomfort and potential projectile sharting.

Anonymous 0 Comments

You aren’t the only thing that eats it. You are full of bacteria which CAN break down, but not in the same way your lactase does… it doesn’t care that it spits out a bunch of byproduct gas. That gas causes inflammation in your gut and all the symptoms you are mentioning.

Anonymous 0 Comments

You aren’t the only thing that eats it. You are full of bacteria which CAN break down, but not in the same way your lactase does… it doesn’t care that it spits out a bunch of byproduct gas. That gas causes inflammation in your gut and all the symptoms you are mentioning.

Anonymous 0 Comments

Two fold: Even though you can’t digest lactose and turn it into energy or fat stores, the bacteria living in your colon can and break those carbon chemical bonds. This provides energy to the bacteria those causes that carbon to bond with oxygen and form CO2. The excess CO2 causes pain, flatulence and bloating.
Second, sugar is osmotically active meaning that is draws water to itself, causing diarrhea.

Therefore, Lactose intolerance commonly leads to a combination of pain, bloating, flatulence and diarrhea.

Anonymous 0 Comments

Two fold: Even though you can’t digest lactose and turn it into energy or fat stores, the bacteria living in your colon can and break those carbon chemical bonds. This provides energy to the bacteria those causes that carbon to bond with oxygen and form CO2. The excess CO2 causes pain, flatulence and bloating.
Second, sugar is osmotically active meaning that is draws water to itself, causing diarrhea.

Therefore, Lactose intolerance commonly leads to a combination of pain, bloating, flatulence and diarrhea.

Anonymous 0 Comments

You body can’t absorb the double sugar, so the sugar goes to the colon and the bacteria go wild.

I did not know it was osmotic though, I thought it was just the irritation from the bacteria.

Anonymous 0 Comments

You body can’t absorb the double sugar, so the sugar goes to the colon and the bacteria go wild.

I did not know it was osmotic though, I thought it was just the irritation from the bacteria.