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Video: Got stomach pain? Diet could be to blame

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    >>> this is "today" on nbc.

    >>> this morning on "eat smart today" is what you're eating making you sick? if you regularly experience bloating, cramping or general digestive discomfort after a meal, "today's" nutrition expert joy bauer says it could be an intolerance to gluten or lactose. good morning.

    >> good morning.

    >> let's talk about these one by one. lactose intolerance . we're not talking about an allergy, which causes severe symptoms, but we're talking about something a step down from that.

    >> that's right, and it's not dangerous or life-threatening, but it's downright uncomfortable. it's when you have an inability to digest lactose, which is the milk sugar within milk.

    >> and 30 million to 50 million people have this.

    >> a lot of people.

    >> and i'm actually one of them, so i'm there right with you. it makes you feel nauseous. you don't feel good. so, you have some examples here. for example, there are lots of alternatives.

    >> these are alternatives, that's right. first, we have the lactose-free milks. it looks like milk, it feels like milk, it is milk, but companies through technology have predigested the lactose. so they're not going to give you a problem. you also have soy milk , which is not from a cow, so it never had lactose to begin with, and it's loaded with calcium and vitamin d , so it's all good.

    >> i drink a lot of almond milk , by the way. i make that myself or buy it.

    >> it's another good alternative.

    >> is it?

    >> it doesn't have quite the same amount of protein, and you want to make sure it's fortified with calcium and then it's an equal player.

    >> okay. also, you know, soy yogurt actually tastes pretty good. it has the probiotics in it as well, and they have ice creams .

    >> lactoslactose-free ice creams , each soy ice creams .

    >> and the cheeses.

    >> the hard cheeses are super low in lactose, so i want people to know that you have an intolerance, you might be able to tolerate some hard cheeses. and the lakt yas pills are interesting. it's actually the enzyme which helps you to break down lactose. there are a lot of great brands out there and you can keep them on hand.

    >> let's move to gluten, because this has really become a buzz word .

    >> big, yeah.

    >> people are realizing there are two things. one is celiac disease , which is very serious.

    >> very serious.

    >> what is that, exactly? they're born with it.

    >> well, celiac disease is an autoimmune disease where you cannot tolerate wheat -- the protein called gluten, which is in wheat, barley and rye. you have to get it out of your diet completely. and other people have an intolerance or a sensitivity to it, which is way less serious.

    >> and about celiac disease , by the way, you can have a blood test that basically finds out and they can lead you down the road to really diagnosing yourself. and you really want to get it out because you can't digest other foods and it can be bad for you.

    >> right. because if you damage the intestinal area, you're not absorbing the vitamins and minerals and then you have side symptoms like osteoporosis or anem anemia, but go to your doctor and check it out if you suspect you have it.

    >> but if you're eating wheat and feeling bloated and yucky afterwards, it's possible you have an intolerance to gluten, so --

    >> which is much less serious.

    >> we have gluten-free cereals and breads now. and corn you can eat. that is a gluten-free item.

    >> and rice is fine.

    >> rice is good.

    >> and go for brown rice products, because i'm always with the nutritional eye, you want the whole grain --

    >> they have lots of pastas now made gluten-free. i love these bars.

    >> i put a list of great brands on the website. what you're going to do -- i made two batches of pancakes.

    >> you made these pancakes?

    >> i made these --

    >> you made these?

    >> well, bianca made the pancakes.

    >> i know all about the truth.

    >> one is with wheat and one is gluten-free. take a little nibble and then you're going to put which one you think is --

    >> gluten free , this is gluten. i know it.

    >> exactly right! but it tastes pretty good, right?

    >> it does. joy bauer, thank you very much.

By
TODAY contributor
updated 1/26/2010 11:05:11 AM ET 2010-01-26T16:05:11

If you regularly experience bloating, cramping or general GI discomfort, your diet may be to blame.

Could you have a lactose intolerance?
Lactose intolerance is not a food allergy; it does not involve an immune response to milk or lactose, and it is not dangerous. Lactose intolerance occurs in individuals who do not make adequate amounts of the enzyme “lactase,” which is required to digest “lactose,” a specific type of sugar found in milk and other dairy products. Individuals with lactose intolerance experience gastrointestinal symptoms such as bloating, gas, diarrhea and stomach cramping about 20 minutes to two hours after consuming high-lactose foods like milk, ice cream, puddings and creamy soups.

If you have this intolerance, here are some tips on planning a low-lactose diet:

1. Look for low-lactose or lactose-free milks, ice creams and other dairy products. Food manufacturers use special technologies to remove the lactose from milk, so you can enjoy milk in your cereal, coffee and oatmeal — or a bowl of ice cream — without experiencing discomfort.

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Suggested brands to try:
Milk: Real Goodness, Lactaid
Ice cream: Lactaid, Breyer’s Lactose-Free Vanilla

2. Choose soy-based products, like soy milk, yogurt, cheese and frozen desserts. Since these products are made with soy rather than cow’s milk, they are completely lactose-free. Most brands are fortified with calcium and vitamin D so you tend to get the same beneficial nutrients you would get from regular dairy foods.

Suggested brands to try:
Soy milk: Silk, 8th Continent, EdenSoy, Organic Valley
Soy yogurts: Silk, SoDelicious, Stonyfield Farm O’Soy*
Soy cheeses: Tofutti, Vegan Gourmet, Galaxy Foods
Soy frozen desserts: Soy Delicious, Tofutti (or try Rice Dream, made with rice milk)

*Note: O’Soy yogurts are lactose-free but NOT safe for individuals with a milk allergy.

3. Take a lactase pill just before consuming dairy foods. The pill contains the enzyme you need to break down lactose, so you can comfortably digest dairy foods like milk, ice cream, yogurt and cheese. Some brands, such as Digestive Advantage, come in a once-daily formula so you don’t have to remember to take a lactase pill before every meal.

Suggested brands to try:
Lactaid
Digestive Advantage Lactose Intolerance
Kirkland Signature Fast-Acting Lactase
Rainbow Light Lacto-Zyme Dairy-Eze

4. Enjoy dairy foods that are naturally low in lactose. For example, hard cheeses like Cheddar and Swiss contain very little lactose (often 0 grams per 1-ounce serving). If the package label says a serving contains 0 grams sugar, then the product contains an insignificant amount of lactose.

Could you be reactive to gluten?
People who have a condition called celiac disease cannot tolerate gluten. Celiac disease is an autoimmune disease affecting the digestive system that is triggered by a protein found in wheat, barley and rye called gluten. When a person with celiac eats gluten, the body’s immune system responds by attacking the walls of the gastrointestinal tract. If you or your doctor suspects you may have celiac, you can be screened using a simple blood test. If the blood test is positive for celiac, your doctor will likely take a tissue biopsy of your small intestines to confirm the diagnosis.

Individuals diagnosed with celiac disease need to eat a gluten-free diet for the remainder of their lives in order to remain symptom-free and prevent additional damage to their gut lining. That means they have to completely avoid wheat, rye, barley, and any ingredients or food additives that contain these grains. Individuals with celiac cannot eat standard bread, pasta, or baked goods made with wheat flour (or any condiments or other processed foods with gluten-containing ingredients or additives). Thankfully, because celiac disease is now recognized as a common condition, there are lots of new gluten-free versions of our favorite foods available on the market to make life easier.

Gluten-free products to consider:
CEREALS
Nature's Path Gluten-Free Whole O's, Crunchy Maple Surprise, or Mesa Sunrise
Arrowhead Mills Organic Maple Buckwheat Flakes
Erewhon Gluten-Free Crispy Brown Rice Cereal (Regular or Mixed Berries)
Health Valley Organic Blue Corn Flakes
Barbara's Bakery Puffins (Honey Rice flavor only) or Organic Brown Rice Crisps
Corn or Rice Chex
Bob's Red Mill Gluten-Free Mighty Tasty Hot Cereal

BREADS
Ener-G Bread: Seattle Brown Loaf or Brown Rice Loaf
Food for Life: Wheat & Gluten Free Whole Grain Brown Rice Bread, Rice Almond Bread, or Raisin Pecan Bread
Food for Life Whole Grain Brown Rice Tortillas

CRACKERS
Mary's Gone Crackers
Crunchmaster Multi-Seed Crackers

PASTAS
Deboles Pastas (multigrain varieties)
Hodgson Mill Gluten-Free Brown Rice Pastas
Ancient Harvest Quinoa Pastas
Le Veneziane Corn Flour Pasta

SNACK BARS
Lara Bars
Kind Bars

BAKING MIXES
Arrowhead Mills Gluten-Free All Purpose Baking Mix
Bob’s Red Mill All-Purpose Gluten-Free Baking Flour
Bob’s Red Mill Gluten-Free Pancake Mix
Pamela’s Baking & Pancake Mix

For more information on healthy eating, visit www.JoyBauer.com.

Find out if Joy's Life Diet is right for you at JoyBauer.com

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