In
lactose maldigesters, retarding gastric emptying (food/
pharmaceuticals) improves tolerance to
lactose. The role of temperature of test
solution on the indicators of
lactose intolerance was studied. After an overnight fast, 10
lactose maldigesters ingested, in three sessions, 50 g
lactose in a randomized cross-over trial. The solutions were at temperatures of 20-21 degrees C (room temperature), 2-3 degrees C (cold) and 55-58 degrees C (hot). Gastrointestinal symptoms and indicators measuring
lactose absorption were recorded.
Abdominal pain was noticeably increased by the modification of temperature. The cold
solution reduced
flatulence and abdominal bloating, whereas the hot
solution increased bloating and borborygmi. Breath
hydrogen excretion tended to be augmented and retarded after cold
solution. The temperature of the
solution used in a
lactose tolerance test affects the gastrointestinal symptoms, but has only minor effects on the other indicators of
lactose maldigestion. The constant tendencies observed suggest that a room temperature
solution is to be recommended for testing
lactose digestion.