Ulcerative Colitis Clinical Trial
Official title:
A Study to Determine the Threshold of Lactose Ingestion That Provokes Symptoms in Lactose Intolerant People Who Also Have Ulcerative Colitis
The hypothesis underlying this study is that failure to recognise the role of lactose
intolerance among patients with ulcerative colitis has led to inappropriate dietary advice
and treatment with drugs that contain lactose as a filler. These failures exacerbate
symptoms and lead to the unnecessary use of immune suppressant drugs.
There is disagreement amongst researchers regarding the amount of lactose needed to cause
symptoms in those who are lactose intolerance. The general consensus is that the amount of
lactose in a glass of milk (12 grams) is enough to cause mild symptoms in most patients who
are lactose intolerant (1). However, there have been a number of studies and case studies
that argue that much lower amounts can cause symptoms (2, 3, 4, 5). This could be as little
as 0.02 grams (6).
Ulcerative colitis is a chronic relapsing inflammatory disease of the colon and rectum,
characterised by recurrent episodes of abdominal pain and profuse diarrhoea. The prevalence
of lactose intolerance in patients with ulcerative colitis is not greater than in the
general population, but there is no evidence as to whether these patients are more sensitive
to lactose.
This study will identify the threshold at which symptoms of lactose intolerance develop in
those who have both lactose intolerance and ulcerative colitis, to provide appropriate
advice and treatment in the management of patients with these conditions.
n/a
Observational Model: Case-Crossover, Time Perspective: Prospective
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