Treatment at JUVENIS in Vienna

Lactose intolerance, fructose intolerance and histamine intolerance

Lactose intolerance, fructose intolerance and histamine intolerance: "When the belly twinges."

But what are lactose intolerance and fructose malabsorption? About half of the energy consumed daily comes from carbohydrates. The most important sugars in our food are:

  • GLUCOSE (grape sugar)

  • FRUCTOSE (fruit sugar)

  • LACTOSE (milk sugar) = Glucose + Galactose

The different sugars must be split in the small intestine so that they can then be transported through the intestinal wall into the blood by a transport mechanism.

If one of these mechanisms does not work, the sugar cannot be absorbed and subsequently passes into the large intestine, where it is metabolized by the resident gut bacteria.

This produces:

  • Hydrogen (H2): is exhaled via the lungs

  • Carbon dioxide: causes massive bloating

  • Short-chain fatty acids: can cause diarrhea

  • Alcohols: burden the liver and brain

Treatment room at the JUVENIS Medical Center

Treatments & Therapies

When should you consider the possibility of a sugar intolerance?

If you suffer from a feeling of fullness, bloating, abdominal pain often accompanied by colic-like cramps, as well as diarrhea.

The symptoms often occur very quickly after eating and thus represent a considerable burden for those affected. Disorders of the digestive tract that often go undetected for a long time become chronic and can lead to depression, migraine and menstrual cycle disorders.

Lactose intolerance, fructose intolerance, histamine intolerance – what can you do?

  1. H2 breath test: this secures the diagnosis in a non-invasive way
  2. Nutritional counseling: subsequently after diagnosis of a carbohydrate utilization disorder

Please contact JUVENIS by phone at +43 1 236 3020, by e-mail at empfang@juvenismed.at or via the contact form, to arrange a consultation or treatment appointment.

Treatment goals

The aim of any therapy is the restoration of a functioning intestinal mucosa with the correct bacterial flora. To achieve this, fermentation must be suppressed.

Our clinical nutritionist Dr. Daniela Themmer will create a diet plan for you depending on the intolerance, which must be followed for at least 2 months.
If the intestinal mucosa has recovered after 8 weeks, a controlled transition back to a normal diet will begin.

Well-being during and after the diet makes many things easier. Patients often instinctively avoid many products afterwards because they no longer experience bloating, a feeling of fullness, diarrhea or discomfort after eating.

Treatment procedure

  • On the day before the examination you should not consume foods that cause bloating or that are high in sugar or sweeteners.

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

  • Tap water and unsweetened tea are allowed until 11 p.m. Smoking should be stopped 12 hours before the start of the test and chewing gum should be avoided.

  • Remain fasting on the day of the examination! Medications may be taken with plain water, except for vitamins, laxatives and antibiotics.

  • In the practice you will drink the sugar solution to be tested. Afterwards, over about 2 hours, your exhaled breath will be measured at regular intervals by blowing into a measuring device.

  • You should preferably have no other appointments on the day of the test.

H2 breath test at JUVENIS to detect 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

With an food intolerance the body cannot properly process certain substances (e.g. lactose or fructose). An Allergy on the other hand, is a reaction of the immune system to certain substances. The symptoms can be similar, but the causes are different.

In lactose intolerance, the body lacks 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 fructose intolerance, fructose cannot be adequately absorbed in the intestine. This leads to digestive problems such as bloating, abdominal pain, or diarrhea.

In histamine intolerance, histamine is not sufficiently broken down in the body. This can cause symptoms such as headaches, skin reactions, gastrointestinal complaints, or heart palpitations to occur.

Common complaints are:

  • bloating and abdominal pain

  • diarrhea or digestive problems

  • nausea

  • headaches

  • skin reactions

The symptoms usually occur after consuming certain foods.

The diagnosis is made through:

  • detailed medical history

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

  • if necessary, blood tests

  • targeted nutritional analysis

First, a precise clarification of your symptoms takes place. Subsequently, suitable tests are carried out and an individual treatment plan is created.

Therapy is generally based on:

  • adjustment of diet

  • avoidance of triggering foods

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

  • individual counseling

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

Many intolerances are not completely curable, but can be alleviated through the right diet very well controlled will be.

Helpful measures are:

  • Keeping a food diary

  • conscious selection of foods

  • gradual testing of tolerance

  • professional nutritional counseling

The costs depend on the scope of the diagnostics and treatment. H2 breath test including a detailed discussion of findings (duration 2.5 hours) costs from € 180.

The Exact prices will be provided in a personal consultation..

Depending on the examination, a (partial) coverage of costs by the health insurance be possible.

At JUVENIS you will be cared for by experienced specialists cared for. Through targeted diagnostics, individual consultation and modern testing procedures, you will receive a clear diagnosis and a customized therapy plan, to sustainably reduce your symptoms.

We have answered the most frequently asked questions on the topic of Intolerances answered. If you have any further questions, please feel free to contact us via empfang@juvenismed.at or at +43 1 236 3020.

Team

Dr. med. Daniela Themmer

Dr. med.Daniela Themmer

Physician for General Medicine and Nutritional Medicine

Contact

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