Treatment at JUVENIS in Vienna

Lactose intolerance, fructose intolerance and histamine intolerance

Lactose intolerance, fructose intolerance and histamine intolerance: "When the stomach pinches."

But what are lactose intolerance and fructose malabsorption? Around half of the energy we consume every day comes from carbohydrates. The most important sugars in our diet are

  • GLUCOSE (dextrose)

  • FRUCTOSE (fructose)

  • LACTOSE (lactose) = glucose + galactose

The various sugars have to be broken down in the small intestine and then transported through the wall of the small intestine into the bloodstream by means of a transport mechanism.

If one of these mechanisms does not work, the sugar cannot be absorbed and subsequently reaches the large intestine, where it is metabolized by the intestinal bacteria located there.

The result:

  • Hydrogen (H2): is exhaled via the lungs

  • Carbon dioxide: causes massive flatulence

  • Short-chain fatty acids: can cause diarrhea

  • Alcohols: stress the liver and brain

Treatment room in the JUVENIS medical center

Treatments & therapies

When should you consider the possibility of sugar intolerance?

If you suffer from bloating, flatulence, abdominal pain, which is often accompanied by colicky cramps, and diarrhea.

The symptoms often occur very quickly after eating and are therefore a considerable burden for those affected. The digestive tract disorders, which often go unrecognized for a long time, become chronic and then lead to depression, migraines and menstrual cycle disorders.

Lactose intolerance Fructose intolerance Histamine intolerance - what can you do?

  1. H2 breath test: A non-invasive way to confirm the diagnosis
  2. Nutritional counseling: subsequently after diagnosis of a carbohydrate utilization disorder

Please contact JUVENIS by phone at +43 1 236 3020by e-mail to empfang@juvenismed.at or via the contact formto make an appointment for a consultation or treatment.

Aims of the treatment

The aim of any therapy is to restore a functioning intestinal mucosa with the correct bacterial lawn. To achieve this, fermentation must be stopped.

Our nutritionist Dr. Daniela Themmer will draw up a diet plan for you depending on your intolerance, which must be adhered to for at least 2 months.
Once the intestinal mucosa has recovered after 8 weeks, a controlled transition to a normal diet is started.

The feeling of well-being during and after the diet makes many things easier. Patients often instinctively give up many products afterwards because they no longer feel bloated, full, have no diarrhea and no discomfort after eating.

Treatment procedure

  • The day before the examination, you should not eat any food that causes flatulence or is high in sugar or sweeteners.

  • Do not eat anything from 14 hours before the test.

  • Tap water and unsweetened tea are permitted until 11 pm. Smoking and chewing gum should be stopped 12 hours before the start of the test.

  • Stay fasting on the day of the examination! With the exception of vitamins, laxatives and antibiotics, medication can be taken with pure water.

  • In the consultation, you will drink the sugar solution to be tested. Your exhaled air will then be measured at regular intervals for about 2 hours by blowing into a measuring device.

  • If possible, you should not have any more appointments on the test day.

H2 breath test at JUVENIS for the detection of lactose intolerance fructose intolerance histamine intolerance

Costs

Diagnosis of lactose intolerance Fructose intolerance Histamine intolerance Price
H2 breath test including detailed discussion of findings (duration 2.5 hours) € 180

FAQs

In the case of a food intolerance, the body is unable to properly process certain substances (such as lactose or fructose). An allergy, on the other hand, is a reaction of the immune system to certain substances. The symptoms may be similar, but the causes are different.

People with lactose intolerance lack the enzyme lactase, which breaks down milk sugar (lactose). As a result, consuming dairy products can lead to symptoms such as bloating, abdominal pain, or diarrhea.

In cases of fructose intolerance, the body is unable to properly absorb fructose in the intestines. This leads to digestive problems such as bloating, abdominal pain, or diarrhea.

In cases of histamine intolerance, the body does not break down histamine effectively. This can lead to symptoms such as headaches, skin reactions, gastrointestinal discomfort, or heart palpitations.

Common complaints include:

  • Bloating and abdominal pain

  • Diarrhea or digestive problems

  • Nausea

  • Headache

  • Skin reactions

Symptoms usually appear after eating certain foods.

The diagnosis is made by:

  • detailed medical history

  • specific breath tests (e.g., H₂ breath test)

  • blood tests, if necessary

  • targeted nutritional analysis

First, we will conduct a thorough assessment of your symptoms. We will then perform the appropriate tests and develop a personalized treatment plan.

The treatment is usually based on:

  • Adjusting Your Diet

  • Avoiding trigger foods

  • enzyme supplements (if necessary, e.g., for lactose intolerance)

  • personalized consultation

The goal is to reduce symptoms and improve quality of life.

Many food intolerances cannot be completely cured, but they can be managed very effectively with the right diet.

Helpful steps include:

  • Keeping a food diary

  • conscious food choices

  • Gradual testing of compatibility

  • professional nutrition counseling

The cost depends on the scope of the diagnostic tests and treatment. An H2 breath test, including a detailed discussion of the results (duration: 2.5 hours), starts at €180.

You can get the exact prices during a personal consultation.

Depending on the type of examination, your health insurance may cover some or all of the costs.

At JUVENIS, you will be cared for by experienced medical specialists. Through targeted diagnostics, personalized consultations, and modern testing methods, you will receive a clear diagnosis and a customized treatment plan designed to provide long-term relief from your symptoms.

We’ve answered the most common questions about food intolerances here. If you have any further questions, please feel free to contact us atempfang@juvenismed.at or by phone at +43 1 236 3020.

Team

Dr. med. Daniela Themmer

Dr. med.Daniela Themmer, M.D.

Doctor of general medicine and nutritional medicine

Contact us

Responsible for the content of this page: Dr. med. Daniela Themmer