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Crohn's Disease Vs. Lactose Intolerance: How To Tell The Difference

Navigating digestive issues can be challenging, especially when symptoms overlap. Crohn's disease and lactose intolerance both cause discomfort, but their underlying causes and treatments differ significantly.

Crohn's disease and lactose intolerance share many of the same symptoms. It's possible to think you have one when you really have the other.

Complicating matters is the fact that people with Crohn's disease are more likely to have lactose intolerance than the general population.

Lactose intolerance occurs in almost all people of Asian and Native American descent. It's common among people with South American, African, and Ashkenazi Jewish ancestry as well.

Some people begin to lose some of their lactase enzymes as they age. This makes them less able to digest foods containing lactose.

Research also suggests that lactose intolerance is more common in people with Crohn's disease than in those without it. Despite these findings, a diagnosis of Crohn's disease doesn't mean you'll definitely develop lactose intolerance.

It's important to note that lactose intolerance isn't a type of food allergy and it isn't harmful, even for people with Crohn's disease. However, it may add to your discomfort.

Most people with lactose intolerance can digest at least some lactose, but how much depends on the amount of lactase in their bodies. For some, the lactase enzyme may be inducible. This means that if a person regularly exceeds the amount of lactose they can normally tolerate, their body may respond by increasing the amount of lactase it produces.

Crohn's disease causes inflammation in various areas of the digestive tract. Its symptoms can range from mild to severe.

At the moment, there's no cure for Crohn's. However, its symptoms can typically be managed effectively.

Symptoms of Crohn's disease can include:

If Crohn's is left untreated, more symptoms may occur. These include:

inflammation of the joints

inflammation of the eyes and skin

delayed puberty, or growth, in children

When a person without lactose intolerance eats lactose, the enzyme lactase breaks it down into a pair of simpler sugars. Both of these sugars, glucose and galactose, absorb quickly through the small intestine and release into the bloodstream.

But if someone doesn't have enough lactase, the small intestine can only digest a portion of the lactose.

As the undigested lactose travels through the small intestine and into the colon, it draws in water through osmosis. This excess water is responsible for the cramps and diarrhea sometimes associated with lactose intolerance.

Other symptoms of the condition include:

bloating

nausea

abdominal pain

excessive flatulence, or gas

These symptoms occur during the fermentation process, which happens when bacteria in the colon work to break down lactose. As the bacteria act on the lactose, it turns into an acid, which then produces gas.

The acid may also cause anal itching.

Since they both affect the digestive tract, Crohn's disease and lactose intolerance share many of the same symptoms.

It's important to figure out which condition you have. Crohn's disease is a serious, progressive condition that can become severe if left untreated.

A healthcare professional can help you determine which condition is causing your symptoms. They can also help you decide on the most appropriate treatment plan.

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Celiac Vs. Gluten Intolerance: How To Identify The Difference

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