When someone says, “I can’t have dairy”, we automatically assume they are lactose intolerant. For many, of use, we just think that means you are allergic to dairy and that is as far as our knowledge goes with this condition. “Lactose” actually means “sugar”. This type of sugar is specifically found in dairy products. Lactase is an enzyme that our body produces in the small intestine. However, when a person is lactase deficient, symptoms can arise once they eat dairy. Many people who have a low level of lactase are still fine eating dairy. For others who have true intolerance, symptoms can include gas, bloating, diarrhea, abdominal cramps, and sometimes vomiting.
When the body has an adequate amount of the lactase enzyme, it turns the lactose sugar into glucose and galactose. When there is a deficiency of the lactase enzyme, the food consumed moves to the colon instead of undergoing digestion and absorption. Then bacteria in the colon forms causing the symptoms of lactose intolerance.
There are a few risk factors. Asian, African, American Indian, and Hispanic people find this condition to be more common among their race. Premature babies are at risk because their small intestine may not have fully developed. Having any problems or disease associated with the small intestine raises the risk for someone.
There are three types of this condition:
- Primary: This is the most common type that develops in adulthood. Milk products become hard to digest and genetics are usually the key determinant.
- Secondary: This type occurs as the result of an injury, illness, or surgery that affected the small intestine. The small intestine has started to produce less lactase. This is the type of condition that is associated with celiac disease and Chron’s disease.
- Congenital or developmental: This would arise if the mother and father have both passed on the gene to their child. It is rare to be lactose intolerant during infancy.
A doctor can diagnose this condition by having a person perform the lactose intolerance test which involves drinking a liquid that monitors the body’s reaction to lactose. There is also the hydrogen breath test where a doctor has the person consume a high containing lactose beverage then measures the amount of hydrogen in the breath. If the body doesn’t like lactose, it will release those gases and hydrogen during this test. A stool sample can also be taken. Through trial and error, a person can determine if they need to completely avoid dairy, discover what items to particularly avoid and those that are safe foods, and can use lactose-free or reduced products. We have to eat to live but were not all given the same digestive tract for this process. Milk does a body good, but not when the body rejects its digestion.
Acne is a very common skin condition that has to do with hair follicles, oil, and dead skin cells. Acne likes to make itself visible through its presentation of pimples, oily skin, blackheads, whiteheads, and scarring. These symptoms are found on the face, chest, shoulders, and back. Almost everyone has had one of these acne types at some point in their life. The oil glands on the face clog the pores. Pores are where hair follicles are found. Large pores that are clogged create blackheads. These look like tiny black dots on the face. Small pores that are clogged create whiteheads which are the white colored bumps that surface and release puss when aggravated. Either type can develop into a pimple that is typically tender and swollen. Severe cases of acne form nodules that can even become infected.
Acne likes to claim its fame during puberty and last into a person’s 20’s. Adult acne is more common in women than men. The primary culprit of acne is hormones. Heredity also comes into play. Chocolate won’t cause acne as commonly believed. The increase in hormones during the teenage years produces more androgens which are the male sex hormones (including testosterone). Testosterone produces sebum which is the skin’s oil glands. Bacteria can also clog the hair follicle pores. It is the bacteria that makes the black and/or whitehead. It then makes sense that women on birth control or people using steroids are at higher risk for acne due to hormonal changes induced to the body.
For most people, acne makes them feel uncomfortable. Although mainly temporary, it can leave scarring. There are plenty of over-the-counter remedies such as facewashes and creams. When these approaches don’t work, a doctor might prescribe medication. Make up and cover creams can be an option. The most effective treatment is trying to prevent sebum production. Preventing bacteria growth is also important. Exfoliation can help unclog the pores. Cleansers can be used that have sulfur, and/or benzoyl peroxide, glycolic acid, salicylic acid. For many, soap and water alone can help prevent acne. For others, topical gels, alcohol, or acetone might need to be used to reduce oil on the skin. This will help treat how the skin grows and sheds. A doctor can prescribe antibiotics. Some of these medications do have possible side effects of dry skin, swelling, and sensitivity to sunlight.
No one likes the visibility of acne, and the teenage years can be troublesome when it comes to appearance. Hormones like to control us in so many ways. Keeping a clean face will always help. We just must remember to hold our heads up high even if a few bumps are on the surface. Fortunately, acne is only temporary.