Pediatric Bone Marrow Transplant: A Guide for Families

Lactose Intolerance

Geri Quinn, RN, MSN and Janine Petitgout, RN, MA
Peer Review Status: Internally Peer Reviewed


Your child may develop an intolerance to lactose after transplant. Lactose is the sugar found in milk and other dairy products. An intolerance to lactose means that the enzyme in the intestine that breaks down the lactose into a digestible form is absent.

Your child may be placed on a lactose-free or low-lactose diet. Milk can be treated with liquid drops to allow your child to drink it.

Lactose-Restricted Diet

Food Group

Lactose-free foods (allowed on all diets)

Foods containing lactose in limited amounts (allowed on some diets)

High lactose-containing foods

Beverages

Coffee, tea, carbonated beverages, non-dairy creamers, soy milk substitutes and beverages

1/2 cup regular milk, or milk treated to reduce lactose*, powdered or tableted soft drinks

Milk and milk drinks

Breads

Crackers, rusk, homemade bread without milk, French or Vienna bread

Commercial bread and bread products containing milk or lactose (muffins, biscuits pancakes)

Cereals

All cereals except others listed

Instant Cream of Wheat, dry cereals containing milk or lactose

Desserts

Cookies, fruit ices, fruit pies and crisps, angel food or sponge cake, gelatin deserts, homemade baked products without milk

Commercial cake mixes, sherbet, yogurt

Ice cream, custard, pudding, cream pies, cheese cake

Eggs

All except preparations containing milk

Eggs prepared with small amounts of milk

Creamed eggs

Fats

Butter, milk-free margarine, vegetables oils, lard, shortening, mayonnaise, peanut butter, bacon, milk-free salad dressings, non-dairy whipped topping

Margarine, whipped cream milk, sour cream spreads and dips, cream cheese

Butter, salad dressings made with milk

Fruit and Fruit Juices

All except those listed as not allowed

Fruit drinks containing lactose

Meat, Fish, Poultry,and Cheese

Plain baked, broiled, roasted or stewed beef, fish, lamb, mpoultry, pork or veal

Breaded foods

Creamed food, cheese and cheese products**, cold cuts, wieners

Potatoes and Starches

White or sweet potato, hominy, macaroni, noodles, rice, spaghetti

Commercial potato products

Any prepared with milk or cheese

Soups

Broth-based soups made with allowed foods

Cream soups, soups made with milk

Sugars and Sweets

All except others listed

Cream or chocolate candies, tableted candies, any commercial or homemade candies containing milk, lactose, or molasses

Vegetables and Vegetable Juices

All vegetables and vegetable juices

Any prepared with milk or cheese

Miscellaneous

Popcorn, vinegar, catsup, mustard, pure flavorings, salt, pepper, herbs and spices

Medication-containing lactose fillers

Cocoa mixes with dry milk solids, cream sauce, non-fat dry milk

*Examples are the sweet acidophilus milk and lactaid powder.
**Certain persons are able to tolerate a limited quantity of cheese (1 oz.).

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Last modification date: Mon Jun 30 14:08:07 2008
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