Is fructose mal-absorption and lactose intolerance related to Coeliac disease?
Although unrelated, coeliacs and gluten intolerant (sensitive) individuals are often subject to fermentable sugar issues like fructose mal-absorption and lactose (milk sugar) intolerance. These conditions often accompany and are aggravated by coeliac disease primarily due to the compromised, damaged or dysfunctional gut condition and the ensuing fermentation, poor/incomplete digestion and malabsorption or intolerance of these nutrients. In addition to gas formation, bloating and flatulence, the fermenting sugars may often mimic the adverse experience of gluten exposure.
While primary lactose intolerance is inherited (and Coeliacs may have this type of lactose intolerance) it is far more common for them to have what is known as the acquired type. This is due to the poor digestion and assimilation of nutrients caused by the gluten damaged villi in the lining of the small intestine. If the Coeliac disease is caught early enough and a gluten free diet is faithfully adhered to, the Coeliac may experience a partial or complete recovery from these symptoms. If, however, the damage has been long term prior to diagnosis, the Coeliac may never recover. Other ferment-able sugars may also be problematic due to the compromised gut condition.
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