If Enterolab test is neg for milk can I have dairy
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If Enterolab test is neg for milk can I have dairy
I keep reading that it's best to eliminate dairy in order to heal, is that true if your test is negative? Or, at what point do most go back to trying dairy again? Thanks for any info
MC diagnosed 2007
Unfortunately, as long as someone has enteritis (inflammation of the intestines), whether due to MC or a case of the flu, or a bacterial infection, or whatever, they will be unable to properly digest lactose, because the brush border regions of the small intestine are unable to produce adequate quantities of lactase enzyme when they are inflamed. Without an adequate supply of lactase enzyme, the result is lactose intolerance, which will result in gas, bloating, cramps, and D, if any milk is consumed (because most of the milk will be undigested and so it will end up fermenting in the colon).
However, as we reach remission, and the inflammation fades away, then our small intestine will almost always resume normal production of lactase enzyme, and the lactose intolerance will fade away.
Therefore, if your EnteroLab test for casein antibodies was negative, then you should be able to tolerate all dairy products after your MC symptoms are in remission. Without a casein sensitivity, you should be able to tolerate aged cheeses (and properly-fermented yogurt) at all times, but soft cheese may be a problem until after you are in remission (because soft cheese, such as cottage cheese, contains a fair amount of lactose).
If you don't want to wait until you are in remission, you should be able to handle lactose-free milk, properly-made yogurt, and aged (hard) cheeses at any time, because they all have a minimal lactose content.
Tex
However, as we reach remission, and the inflammation fades away, then our small intestine will almost always resume normal production of lactase enzyme, and the lactose intolerance will fade away.
Therefore, if your EnteroLab test for casein antibodies was negative, then you should be able to tolerate all dairy products after your MC symptoms are in remission. Without a casein sensitivity, you should be able to tolerate aged cheeses (and properly-fermented yogurt) at all times, but soft cheese may be a problem until after you are in remission (because soft cheese, such as cottage cheese, contains a fair amount of lactose).
If you don't want to wait until you are in remission, you should be able to handle lactose-free milk, properly-made yogurt, and aged (hard) cheeses at any time, because they all have a minimal lactose content.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
I have no way of knowing that. In general, I would suspect that home-made yogurt is more likely to be more thoroughly fermented than commercially-produced products (simply because time is money in any manufacturing process), but I have no way to verify that.
Trial and error is about the only way we have to test it out, and I don't do dairy, because I produce antibodies to casein, so I can't help with any personal experiences.
Tex
Trial and error is about the only way we have to test it out, and I don't do dairy, because I produce antibodies to casein, so I can't help with any personal experiences.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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I used to make yogurt every week until Enterolab testing revealed a sensitivity to casein. My understanding is that in order to get rid of all the lactose in milk yogurt has to be fermented for 24 hours, so that is what I did. As far as I know no commercial yogurt uses that long a fermentation period.I believe that 8 hours is the norm.
Jean
Jean
If that test result was negative, then either your duodenum was not inflamed at the time when you took the test (which is certainly possible), or someone misinterpreted the results of the test (which is also certainly possible), because you can't have an inflamed duodenum and not be lactose intolerant.mcnomore wrote:I had a lactose intolerance test about year after being diagnosed with MC and it was negative.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
It's not just the duodenum that becomes inflamed. The disease is named because of the inflammation of the colon. Colitis specifically refers to inflammation of the colon. When the disease was initially described, the researchers found microscopic inflammation in the colon, and they looked no farther for inflammation higher in the GI tract, before naming the disease.mcnomore wrote:That's so interesting, I didn't know it was the duodenum that gets inflamed in MC. How does casein fit into the picture?
Since then (as described and supported by medical references in my book), many, many research reports note that the same type of inflammation that exists in the colon is also present in the small intestine, and in fact, it can often be found in the stomach, esophagus, and other organs in the GI system (such as the pancreas). Researchers also note that not only are both the large and small bowel inflamed with MC, but the same happens with celiac disease, and in fact, the histology of the two diseases is extremely similar, suggesting that they are actually the same disease (or, as I noted in the book, they are probably both symptoms of the same disease, namely gluten sensitivity).
The immune system apparently reacts to casein because there are peptides in the casein molecule that are very similar to the alpha gliadin peptide found in wheat gluten. These peptides differ by only one or two amino acids, and that's close enough that when the immune system is overwhelmed by exposure to gluten and other inflammatory peptides, in many cases it tends to react to similar peptides, as well. Once it "learns" to react to a peptide, it tends to continue to react to that peptide in the future.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.