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Sugar Intolerance in Children
Sugar intolerance is a digestive condition that affects children and adults alike. If both parents have been diagnosed with fructose intolerance, another name for sugar intolerance, the children will have a 25 percent likelihood of having the same condition, according to the University of Maryland Medical Center 1. Sugar intolerance is commonly confused with an allergy, but it is a very different condition. Sugar intolerance is caused by a defect in the digestive system, while an allergy is the result of a hypersensitivity of the immune system.
Cause
The cause of sugar intolerance in children is based on the child’s family medical history. There is no cure or prevention for this condition, but it is manageable through dietary changes. The intolerance to sugar, primarily fructose and sucrose, is due to the inability to digest sugar because the small intestines fail to create the aldolase B enzyme 1. Enzymes are proteins that help the body break down sugars and food proteins into a simple form that can be absorbed by the body. If your child doesn’t produce this enzyme, the sugars she ingests will remain undigested, causing complications.
- The cause of sugar intolerance in children is based on the child’s family medical history.
- There is no cure or prevention for this condition, but it is manageable through dietary changes.
Signs and Symptoms
Signs & Symptoms of Problems Digesting Sugar
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Signs and symptoms from fructose intolerance are typically easy to identify 1. Keep a record of your child’s diet and the type of symptoms that develop after he eats certain foods. Common symptoms may include:
- vomiting
- jaundice
- poor feeding
- convulsions
- irritability
- sleepiness
- yellow eyes
- low blood sugar
- fussiness
- according to MedlinePlus
Symptoms may progressively get worse because the inability to process sugar can cause toxic chemicals to build up in the liver and can eventually cause liver failure. Your child may also experience sudden drops in blood sugar.
- Signs and symptoms from fructose intolerance are typically easy to identify 1.
- Common symptoms may include: * vomiting
* jaundice
* poor feeding
* convulsions
* irritability
* sleepiness
* yellow eyes
* low blood sugar
* fussiness
* according to MedlinePlus Symptoms may progressively get worse because the inability to process sugar can cause toxic chemicals to build up in the liver and can eventually cause liver failure.
Prevention
Once diagnosed, your child will have to remove all fructose and sucrose from her diet. This may be difficult, because these sugars are found naturally in honey, syrup and fruits, and are commonly used in processed and packed foods. Inform your child’s school, friend’s parents and other caretakers about the condition to prevent accidental ingestion of sugar.
Considerations
Symptoms of a Sugar Allergy
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If your child’s condition goes undiagnosed, certain complications can develop. Common complications associated with sugar intolerance include:
- gout
- bleeding
- liver failure
- hypoglycemia
- seizures
- even death
Talk with a dietitian to develop a diet for your child that is free of all dangerous sugars and balanced with essential nutrients.
Related Articles
References
- MedlinePlus: Hereditary Fructose Intolerance
- Biesiekierski JR. Fructose-induced symptoms beyond malabsorption in FGID. United European Gastroenterol J. 2014;2(1):10-3. doi:10.1177/2050640613510905
- Fedewa A, Rao SS. Dietary fructose intolerance, fructan intolerance and FODMAPs. Curr Gastroenterol Rep. 2014;16(1):370. doi:10.1007/s11894-013-0370-0
- National Institutes of Health. Hereditary fructose intolerance. Updated February 11, 2020.
- Mann NS, Cheung EC. Fructose-induced breath hydrogen in patients with fruit intolerance. J Clin Gastroenterol. 2008;42(2):157-9. doi:10.1097/01.mcg.0000225667.53673.02
- Choi Y, Kraft N, Zimmerman B, Jackson M, Rao S. Fructose Intolerance in IBS and Utility of Fructose-Restricted Diet. J Clin Gastroenterol. 2008 Mar;42(3):233-8. doi:10.1097/MCG.0b013e31802cbc2f
- Ebert K, Witt H. Fructose malabsorption. Mol Cell Pediatr. 2016 Dec;3:10. doi: 10.1186/s40348-016-0035-9
- Yao CK, Tuck CJ. The clinical value of breath hydrogen testing. J Gastroenterol Hepatol. 2017;32 Suppl 1:20-22. doi:10.1111/jgh.13689
- Jung KW, Seo M, Cho YH, et al. Prevalence of fructose malabsorption in patients with irritable bowel syndrome after excluding small intestinal bacterial overgrowth. J Neurogastroenterol Motil. 2018;24(2):307-316. doi:10.5056/jnm17044
- Fedewa A, Rao SS. Dietary fructose intolerance, fructan intolerance and FODMAPs. Curr Gastroenterol Rep. 2014;16(1):370. doi:10.1007/s11894-013-0370-0
- Johns Hopkins Medicine. (n.d.). Gastroenterology and Hepatology: Breath Testing.
Writer Bio
Diane Marks started her writing career in 2010 and has been in health care administration for more than 30 years. She holds a registered nurse license from Citizens General Hospital School of Nursing, a Bachelor of Arts in health care education from California University of Pennsylvania and a Master of Science in health administration from the University of Pittsburgh.