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Ask an Expert
Frank L. Anderson, M.D.
Sutter Pacific Medical Foundation
I just purchased a gluten lactase enzyme medication that claims to let me eat anything safely. I have recently been diagnosed with celiac disease, and also feel lactose intolerant. Will this product work, or did I just waste my money?
That sounds like a product too good to be true and I would imagine persons suffering from celiac disease and lactose intolerance would be very receptive. Unfortunately these are two very different problems whic... continue reading about I just purchased a gluten lactase enzyme medication that claims to let me eat anything safely. I have recently been diagnosed with celiac disease, and also feel lactose intolerant. Will this product work, or did I just waste my money?
Katerina P. Shetler, M.D.
Palo Alto Medical Foundation
I have intestinal scarring from scleroderma, which now is in remission. I have trouble digesting food and suffer from diarrhea, constipation, digestive pain and rectal cramps. What foods are best for me and what should I avoid?
I am sorry to hear that scleroderma affected your bowel.The scleroderma may affect motility of the small bowel and stomach. It can also lead to the recurrent small intestine bacterial overgrowth. Patients with ... continue reading about I have intestinal scarring from scleroderma, which now is in remission. I have trouble digesting food and suffer from diarrhea, constipation, digestive pain and rectal cramps. What foods are best for me and what should I avoid?
Steven Machtinger, M.D.
Mills-Peninsula Medical Group
How can I know if I have a lagging reaction to a specific food?
When we're talking about reactions to food, most people think any reaction must be allergic in origin. Not true. There are many reasons why one may have an adverse reaction to a food. A few examples: coffee may... continue reading about How can I know if I have a lagging reaction to a specific food?
Steven Machtinger, M.D.
Mills-Peninsula Medical Group
My child was diagnosed with lactose intolerance. Dairy makes her sick but she can eat lactose-free dairy products without issue. Is there something else that should be explored, or is my child a rare one year old with true lactose intolerance?
It may be that your child had a viral intestinal infection that has left her temporarily lactose intolerant. If she is otherwise growing well and has no abdominal pain, flatulence, or diarrhea when on a diet ex... continue reading about My child was diagnosed with lactose intolerance. Dairy makes her sick but she can eat lactose-free dairy products without issue. Is there something else that should be explored, or is my child a rare one year old with true lactose intolerance?
Katerina P. Shetler, M.D.
Palo Alto Medical Foundation
Is the presence of lactose intolerance and/or irritable bowel syndrome typically associated with someone who may also be sensitive to gluten?
Thank you for this very interesting question. Patients with irritable bowel syndrome suffer from abdominal pain, abdominal bloating, loose bowel movements or constipation. Patients with lactose intolerance and ... continue reading about Is the presence of lactose intolerance and/or irritable bowel syndrome typically associated with someone who may also be sensitive to gluten?
Frank L. Anderson, M.D.
Sutter Pacific Medical Foundation
What does stool color tell me? Aside from bloody or black, are there other colors I should be concerned about?
That's a great question and one everyone has thought about at some point. Stool color is determined by a combination of bile, what you eat that isn't absorbed, and how fast or slowly the intestinal stream moves... continue reading about What does stool color tell me? Aside from bloody or black, are there other colors I should be concerned about?
Ask the Expert Team
Sutter Health
My boyfriend (44) is constipated. He has taken three or four different kinds of laxatives but they don't seem to be helping him. What will help him?
Constipation means difficult and less frequent bowel movements. The stool becomes hard, dry and sometimes painful to pass. At one time or another, almost everyone gets constipated. In most cases, it lasts a sho... continue reading about My boyfriend (44) is constipated. He has taken three or four different kinds of laxatives but they don't seem to be helping him. What will help him?
Deborah Kurzrock, R.D.
Mills-Peninsula Medical Center
I have a gluten and a dairy intolerance as well as high cholesterol. Do you have a diet suggestion that may address these issues and still allow me to enjoy meal times? I hate tofu!
You definitely have a challenging dietary situation, but you do have some good options beside tofu.There are plenty of legumes and nuts that you can incorporate into your diet. You could make a bean vegetarian ... continue reading about I have a gluten and a dairy intolerance as well as high cholesterol. Do you have a diet suggestion that may address these issues and still allow me to enjoy meal times? I hate tofu!
Katerina P. Shetler, M.D.
Palo Alto Medical Foundation
I was diagnosed with Crohn's Disease two years ago. I recently heard that more harmful bacteria are found in a person with Crohn's than those without this disease. If this is true, is there anything I can do to change the bacteria in my system?
Thank you very much for this question.The intestinal bacteria can play an important role in the development and progression of Crohn's disease. The intestinal microbial community performs a range of useful func... continue reading about I was diagnosed with Crohn's Disease two years ago. I recently heard that more harmful bacteria are found in a person with Crohn's than those without this disease. If this is true, is there anything I can do to change the bacteria in my system?
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