Cal for carbohydrates decoding. Analysis of feces for carbohydrates in infants: delivery and interpretation of readings

If doctors suspect a violation of the digestive algorithms in the intestines of the baby, the mandatory measure will be the appointment of a stool analysis for carbohydrates. It must be understood that digestive system in general, at this age has not yet developed, and therefore it is very important to identify any changes. An analysis of feces for carbohydrates allows you to establish the exact amount of this component in the baby's feces (lactose, galactose and glucose will act as monosaccharides). Based on the results of such a check, the pediatrician decides on a specific diagnosis and prescribes a specific treatment.

Indications and warning signs

The leading indication in the analysis of feces for carbohydrates in infants, the decoding of which is necessary, is the suspicion of lactase deficiency. Experts call the symptoms of the presented condition the presence of loose stools, which quite often turns out to be also foamy. In this case, the number of bowel movements can reach 10 times within 24 hours.

The next symptom should be considered the presence of a sharp sour smell in the feces, the occurrence of gases, as well as bloating and intermittent colic. The study is also necessary if the newborn has crying during or before feeding. Also, in no case should you ignore the loss of weight or the inability to gain it. Each of the presented symptoms individually is alarming, while their combination is even more dangerous. That is why parents should in no case delay the analysis of feces for carbohydrates in infants, the decoding of which should be carried out as early as possible.

How to prepare for the analysis?

Special attention should be paid to the peculiarities of preparation for a diagnostic examination. First of all, parents need to remember that baby feeding should be carried out in the usual way, because otherwise there is a high probability of obtaining a false negative result. In addition, in order for fecal carbohydrates to be correctly determined, the following is highly recommended:

  • feces will need to be collected after a natural bowel movement - that is, without the use of an enema or laxative names;
  • the container must be clean and, no less important, with a tight-fitting lid;
  • it is important that such a sample for the content of carbohydrates in the feces gets to the laboratory no later than four hours after receipt;
  • verification may be invalid if prior to its implementation, medicines. In this regard, three days before the collection of feces, it is strongly recommended to abandon the use of medicines.

The required volume of faeces is one teaspoon, which is the minimum allowed. At the same time, feces should not be removed from the surface of the fabric or diaper, but directly - from a pot, clean oilcloth. This is necessary in connection with this, that in order to obtain a true result, fluid from the stools will be required, some of which may be absorbed into the diaper, and therefore the results of the test in infancy will be incorrect.

The essence and conduct of the analysis

Specialists send the analysis of feces obtained from a newborn to a centrifuge, and a small amount of water is added there beforehand. After the most homogeneous mass is obtained, reagents are added to the indicated container, and the doctor observes how much and how the shade changes. The interpretation of the analysis and their subsequent study should be provided exclusively by qualified specialists.

In the case when the color of the sample remains unchanged, it should be understood that it does not contain carbohydrates in any ratio. If the color of the feces is green, then the ratio of monosaccharides in them is 0.15%. In the same case, when the feces become yellow, it should be understood that the presence of carbohydrates reaches 0.75%. With the appearance of a red color of monosaccharides, feces contain about two or more percent.

Features of decoding results

What the analysis shows and how to interpret these results deserves special attention. Cal for carbohydrates will be considered good if the analysis is from zero to 0.25% - in this case, they say that there are no deviations, including no lactase deficiency. If the test contains from 0.25% or more, this is already a deviation from the norm, but up to about 0.5% of any specific recovery course is not required. Further, I would like to draw attention to the fact that:

  • all results showing more than 1% are evidence of lactase deficiency, and therefore require medical intervention;
  • with changes that are moderate or minor, the baby can and should be under the supervision of specialists;
  • after a certain period of time, it will be necessary to pass the presented analysis again, pass acidity testing, and other Invitro tests;
  • no less informative in this case are the checks carried out during the hemotest.

The vast majority of pediatricians agree that in the absence of symptoms pathological condition such a diagnosis should not be made. In such a situation, the most correct solution would be observation by a pediatrician for a certain period of time - for example, six months. It is also necessary to periodically check certain indicators (blood, urine), which will show the current state of health of the baby.

Thus, the analysis of carbohydrates, which is carried out for infants, is one of the earliest and most reliable ways to identify a condition such as lactase deficiency. That is why, if any changes are detected, it is very important to seek the help of a specialist who will indicate that it is necessary to check the stool, and, quite possibly, conduct other tests.

Important!

HOW TO SIGNIFICANTLY REDUCE THE RISK OF CANCER?

Time limit: 0

Navigation (job numbers only)

0 of 9 tasks completed

Information

TAKE A FREE TEST! Thanks to the detailed answers to all questions at the end of the test, you will be able to REDUCE the likelihood of getting sick at times!

You have already taken the test before. You cannot run it again.

Test is loading...

You must login or register in order to start the test.

You must complete the following tests to start this one:

results

Time is over

    1. Can cancer be prevented?
    The occurrence of a disease such as cancer depends on many factors. No one can be completely safe. But significantly reduce the chances of occurrence malignant tumor everyone can.

    2. How does smoking affect the development of cancer?
    Absolutely, categorically ban yourself from smoking. This truth is already tired of everyone. But quitting smoking reduces the risk of developing all types of cancer. Smoking is associated with 30% of cancer deaths. In Russia, lung tumors kill more people than tumors of all other organs.
    Eliminate tobacco from your life - the best prevention. Even if you smoke not a pack a day, but only half, the risk of lung cancer is already reduced by 27%, as the American Medical Association found.

    3. Does excess weight affect the development of cancer?
    Keep your eyes on the scales! Extra pounds will affect not only the waist. The American Institute for Cancer Research has found that obesity contributes to the development of tumors in the esophagus, kidneys, and gallbladder. The fact is that adipose tissue serves not only to save energy reserves, it also has a secretory function: fat produces proteins that affect the development of a chronic inflammatory process in the body. And oncological diseases just appear against the background of inflammation. In Russia, 26% of all cancer cases are associated with obesity.

    4. Does exercise help reduce the risk of cancer?
    Set aside at least half an hour a week for exercise. Sports are on the same level as proper nutrition when it comes to cancer prevention. In the US, a third of all deaths are attributed to the fact that patients did not follow any diet and did not pay attention to physical education. The American Cancer Society recommends exercising 150 minutes a week at a moderate pace or half as much but more vigorously. However, a study published in the journal Nutrition and Cancer in 2010 proves that even 30 minutes is enough to reduce the risk of breast cancer (which affects one in eight women in the world) by 35%.

    5.How does alcohol affect cancer cells?
    Less alcohol! Alcohol is blamed for causing tumors in the mouth, larynx, liver, rectum, and mammary glands. Ethyl alcohol breaks down in the body to acetaldehyde, which then, under the action of enzymes, turns into acetic acid. Acetaldehyde is the strongest carcinogen. Alcohol is especially harmful to women, as it stimulates the production of estrogen - hormones that affect the growth of breast tissue. Excess estrogen leads to the formation of breast tumors, which means that every extra sip of alcohol increases the risk of getting sick.

    6. Which cabbage helps fight cancer?
    Love broccoli. Vegetables are not only part of a healthy diet, they also help fight cancer. This is why recommendations for healthy eating contain the rule: half of the daily diet should be vegetables and fruits. Especially useful are cruciferous vegetables, which contain glucosinolates - substances that, when processed, acquire anti-cancer properties. These vegetables include cabbage: ordinary white cabbage, Brussels sprouts and broccoli.

    7. Which organ cancer is affected by red meat?
    The more vegetables you eat, the less red meat you put on your plate. Studies have confirmed that people who eat more than 500 grams of red meat per week have a higher risk of developing colon cancer.

    8. Which of the proposed remedies protect against skin cancer?
    Stock up on sunscreen! Women aged 18-36 are particularly susceptible to melanoma, the deadliest form of skin cancer. In Russia, in just 10 years, the incidence of melanoma has increased by 26%, world statistics show an even greater increase. This is blamed on the equipment for artificial tanning, and Sun rays. The danger can be minimized with a simple tube of sunscreen. A study published in the Journal of Clinical Oncology in 2010 confirmed that people who regularly apply a special cream get melanoma half as often as those who neglect such cosmetics.
    The cream should be chosen with a protection factor SPF 15, apply it even in winter and even in cloudy weather (the procedure should turn into the same habit as brushing your teeth), and also do not expose yourself to the sun's rays from 10 to 16 hours.

    9. Do you think stress affects the development of cancer?
    By itself, stress does not cause cancer, but it weakens the entire body and creates conditions for the development of this disease. Research has shown that constant worry alters the activity of the immune cells responsible for turning on the fight-and-flight mechanism. As a result, a large amount of cortisol, monocytes and neutrophils, which are responsible for inflammatory processes, constantly circulate in the blood. And as already mentioned, chronic inflammatory processes can lead to the formation of cancer cells.

    THANK YOU FOR YOUR TIME! IF THE INFORMATION WAS NECESSARY, YOU CAN LEAVE A REVIEW IN THE COMMENTS AT THE END OF THE ARTICLE! WE WILL BE THANK YOU!

  1. With an answer
  2. Checked out

  1. Task 1 of 9

    Can cancer be prevented?

  2. Task 2 of 9

    How does smoking affect the development of cancer?

  3. Task 3 of 9

    Does being overweight affect the development of cancer?

  4. Task 4 of 9

    Does exercise help reduce the risk of cancer?

  5. Task 5 of 9

    How does alcohol affect cancer cells?

  6. Task 6 of 9

    What cabbage helps fight cancer?

Some mothers are faced with the fact that children who are breastfed after eating are often naughty. Despite the fact that a woman eats properly and fully, and the child receives a sufficient amount of breast milk, he does not gain weight. The causes of these symptoms may vary. To make an accurate diagnosis, the doctor prescribes certain studies, including biochemical ones. The analysis of feces for carbohydrates in infants helps to identify various disorders in the intestines. Such problems in children under one year old are quite common, requiring special attention.

Examination of feces for carbohydrates

An experienced pediatrician in the presence of certain symptoms can quickly make a preliminary diagnosis. To confirm it and determine the course of the disease, specific tests are prescribed. Determining the content of carbohydrates in feces in infants is a biochemical study of fecal masses, which makes it possible to identify the ability of the intestine to digest and absorb sugars.

To make a conclusion, the test can be used both independently and in combination with other studies: coprogram, intestinal dysbacteriosis, hemotest for lactose intolerance.

Carbohydrates in feces are in the form of milk sugar. This disaccharide in the small intestine is broken down into glucose and galactose by the action of carbohydrates contained in milk involved in the metabolism. Part of the lactose is not broken down and remains in the intestinal lumen. This leads to the development of increased gas formation, diarrhea, colic in the abdomen. In babies, there is a decrease in lactase activity, lactase deficiency develops. Most often, pathology is observed in premature newborns.

With the help of a test for the determination of carbohydrates in feces, diseases of the gastrointestinal tract and hypolactosia are detected. The study is widely used in pediatrics and gastroenterology.

In what cases is a stool analysis for carbohydrates prescribed in infants?

The main indication for the study is the suspicion of the formation of lactase deficiency in a child. A preliminary diagnosis is made on the basis of the following symptoms:

  • Underweight in a child with a normal diet.
  • Lagging behind in physical and mental development.
  • Infantile colic, bloating.
  • Frequent loose and frothy stools.
  • Regular regurgitation.
  • Nausea.
  • Short superficial sleep.
  • Frequent night crying for no apparent reason.

Also indications for the test are:

  • Diseases small intestine: enteritis, celiac disease.
  • Pathology of the pancreas: pancreatitis.
  • Congenital fermentopathy.
  • Poorly treatable iron deficiency anemia.

A contraindication for the study of feces for carbohydrates in infants is the age of the baby up to 3 months. During this period, enzymatic processes are formed in the intestine (enzymes are formed), so the results may not be informative.

Study preparation

The reliability of the analysis for carbohydrates in the feces of the baby depends on the correct preparation for the test. No special actions are required for this, you just need to follow some rules:

  • The nutrition of the baby should remain the same. For 1-2 days it is worth delaying the introduction of new complementary foods.
  • If the child is bottle-fed, the mixture should not be changed until the results are obtained.
  • The results may be affected by the mental state of the child. Efforts must be made to ensure healthy sleep baby.
  • The container, diaper or oilcloth should be prepared in advance.

How to collect biomaterial

Fecal intake for carbohydrates in infants is carried out in the morning. The child is placed on an oilcloth or napkin and they are waiting for the bowel movement to occur. Defecation should be natural. The use of laxatives (candles, enemas) is unacceptable, as this distorts the result. Also, you can not collect feces from the diaper. A special lubricant located on its upper layer affects the information content of the results.

The biomaterial is collected in a container with a special spatula in the amount of about two spoons. The biomaterial must be taken to the laboratory within 4-5 hours after sampling. It is allowed to store feces for no more than 8 hours in the refrigerator at a temperature of +2 to +8 degrees Celsius.

How the test is done

The Benedict method is used to determine the carbohydrate content in feces. The test reflects the body's ability to absorb glucose and carbohydrates. The principle of analysis is to identify the ability of sugars to act as a catalyst. They can, with the help of impurities and additives, restore copper from the oxidation state 2+ to 1+.

A certain amount of distilled water is added to the biomaterial and centrifuged. A chemical substance, the so-called Benedict's reagent, is added to the resulting sample. It consists of a mixture of water, copper sulfate, sodium carbonate and sodium citrate. After the addition, an oxidative reaction is observed in which the coloring process occurs. The data is interpreted as follows:

  • Blue color - the concentration of carbohydrates is less than 0.05%.
  • Turquoise color - 0-0.05%.
  • Green -0.6-1%.
  • Light green - 1.1-1.5%.
  • Yellow - 1.6-2.5%.
  • Orange - 2.5-3.5%.
  • Red - the content of carbohydrates in the feces of the baby - 4.0%.

Normal values

With the help of research, not only the content of carbohydrates is determined. The degree of acidity of feces, the concentration of protein, aliphatic omega acids, and leukocytes are also detected. Test results can usually be obtained 1-2 days after the biomaterial is submitted for research. Normally, in infants, carbohydrates in feces should not exceed 0.25%. The preliminary diagnosis depends on how much the result is exceeded:

  • Deviations from 0.3 to 0.5% are considered small and are not a reason for prescribing therapy.
  • At values ​​from 0.6, observation is carried out. If symptoms worsen, a second analysis is prescribed. The condition of the child is assessed jointly by the mother and the pediatrician.
  • With an indicator of more than 1%, an additional set of examinations is prescribed to identify the cause and prescribe therapy.

Increased rates

The causes of increased carbohydrates in the feces in infants are various violations of the functionality of the intestine. These include:

  • Imbalance of intestinal microflora.
  • pancreas, characterized by a violation of the process of absorption and breakdown of carbohydrates.
  • Congenital intolerance to disaccharides.
  • Transient lactase deficiency, in which the production of the enzyme decreases (due to damage to enterocytes). It is this form of lactose disaccharide intolerance that most often causes an increase in carbohydrates in the stool in children under one year old. Pathology develops due to exposure to rotavirus.

What affects performance

If the carbohydrates in the feces of the baby are increased, do not immediately panic. Pathology is easily treatable, despite serious clinical manifestations. In some cases (rarely) the result is false positive. There are several reasons for this:

  • Incorrect sampling of biomaterial: feces taken from a diaper, non-compliance with storage rules.
  • On the eve of the test, the child was fed a low-lactase mixture.
  • The use of antibiotics during the test.

Additional tests

The conclusion that the child has lactase deficiency, doctors do not put on the basis clinical manifestations and the results of one analysis. To confirm the pathology and prescribe adequate therapy, the pediatrician prescribes comprehensive examination:

  • Coprogram. The analysis evaluates the ability to digest food and the enzymatic activity of the digestive organs.
  • Biopsy of the colon mucosa. With the help of a biopsy, biomaterial samples are obtained for further histological examination.
  • Analysis for dysbacteriosis. Various pathogenic organisms can interfere with the normal absorption of lactose.
  • Clinical blood test. Elevated levels of ESR and leukocytes suggest the presence of an inflammatory process.
  • Blood for biochemistry (glucose level, bilirubin).
  • Analysis for immunoglobulin E.
  • Analysis of feces for helminthiasis.

Treatment of deviations from the norm

Based on the results of the tests, the pediatrician prescribes treatment. At the age of up to a year, this specialist is the main one for the child. A gastroenterologist can only give additional advice, but the pediatrician determines the therapy. Self-treatment at this age can pose a threat not only to health, but also to the life of the child.

If carbohydrates in the feces of infants are increased due to lactase deficiency, then treatment is prescribed. Therapy at an early age has its own characteristics:

  • The basis is medical nutrition. It consists in the almost complete exclusion of products containing lactose. In some cases, you even have to give up natural breastfeeding and switch to lactose-free formulas.
  • The use of drugs containing the enzyme lactase: "Lactazar", "Maxilat", "Tylactase".
  • Dairy-free cereals are introduced during complementary feeding. The use of dairy products in a minimum amount is allowed.

Control over diet therapy is carried out by analyzing the content of carbohydrates in feces.

Monitoring of lactase deficiency

Children with congenital lifelong are forced to follow a diet and take drugs containing the enzyme lactase. With a transient form of the disease, the prognosis for recovery is favorable. Most children return to breastfeeding and normally tolerate products containing milk sugar.

The sufficient effectiveness of treatment is judged by the weight gain of the child, the disappearance of dyspeptic symptoms, the normal pace of mental and physical development. After the end of the course, the doctor prescribes a second analysis for carbohydrates.

If the first symptoms of lactase deficiency occur in a baby, you should immediately contact a pediatrician. Poor digestibility of sugars can be the result of serious pathologies. Delay with treatment contributes to the transition of the disease to chronic form difficult to treat.

Breast milk is the best food for a newborn. It contains the largest amount beneficial vitamins and trace elements necessary for the development of the baby. Mother's milk contains special fats that promote the growth and development of the brain, as well as proteins that are much easier for the baby to digest than cow's milk.

Indications for analysis of carbohydrates in infants

For many years, infant formula manufacturers have been trying to bring infant formula as close as possible to mother's milk, but it is impossible to do this completely.

After the birth of a child, the mother first feeds the baby with colostrum. With it, protective immune functions, antibodies and fewer sugars are transferred to the baby. Then the mother has transitional milk. In the second - third week after the birth of the baby, mature mother's milk appears.

At this time, the baby may develop digestive disorders.

Lactose is one of important components breast milk. Lactose gives milk a fresh and pleasant taste. If the intestine does not break down lactose into glucose and galactose, then this leads to the formation of intestinal bacteria in infants. The by-product of the fermentation of these bacteria are gases. Some gas in infants is normal.

Insufficient activity of lactose leads to a decrease in the weight of the newborn, since the baby does not absorb sugar, which is the main source of energy. Problems in the intestines lead to poor digestion and absorption of other nutrients in breast milk.

To determine lactose deficiency, it is necessary to conduct an analysis of carbohydrates in the baby.

Analysis of feces for carbohydrates is carried out in order to diagnose lactose deficiency, when the baby does not absorb mother's milk.

The indications for the study are:

  • stomach ache;
  • flatulence;
  • increased gas formation;
  • flatulence of the intestine;
  • frequent regurgitation associated with increased intra-abdominal pressure

If the baby is supposed to have lactose deficiency, an analysis of feces for carbohydrates is indicated.

The main food for the child is milk and carbohydrates, which they are not able to process on their own.

Normally, up to a year, the indicators should be in the range of 0-0.25%.

Small deviations - up to 0.5%

Medium - up to 1%

More than 1% is considered a significant deviation from the norm.

The cause of lactose deficiency is intestinal dysbiosis or immaturity of enzymes.

In such cases, a certain diet is prescribed for the mother.

For the baby, belly massage sessions will be useful.

Analysis of carbohydrates in infants (video)

You will not find anything in the video about carbohydrate tests in infants, but it contains two stories of mothers who successfully coped with lactase deficiency in their children. The video will be useful, both in order to obtain general information about the problem, and in an applied sense.

Milk is the first food product that a person eats. It contains the required amount of proteins, fats, vitamins, minerals and carbohydrates, making it an ideal food for newborns and children under the age of several months.
Unfortunately, children do not always tolerate milk well; exists hereditary disease, called lactase deficiency, in which the body does not produce the enzyme lactase, which breaks down the carbohydrate in milk (lactose). This condition is quite dangerous for any baby: not only does the disease cause discomfort (abdominal pain, increased gas formation), it also deprives the child of the opportunity to receive nutrients, which leads to weight loss and other consequences. In order to make such a diagnosis, it is necessary to analysis of feces for carbohydrates.

Essence and sensitivity of the method

Simple carbohydrates are able to participate in chemical reactions; so, they have the ability to restore copper ions in some compounds, changing their color. When analyzing feces, the sample is first centrifuged with a small amount of water, and then a reagent is added to it and the color change is observed. If it remains unchanged, light blue, then there are no carbohydrates in the feces - 0%. When the color becomes different, it means the presence of monosaccharides in the feces. Eg, green color corresponds to a carbohydrate content of 0.05-0.15%, yellow - 0.5-0.75%, and red - 2% or more.

It must be said that this test detects the presence of not only lactose in the stool, it is not for nothing that it is called the “carbohydrate analysis”, and not the “lactose analysis”. It also shows a positive result in response to the presence of other simple carbohydrates, of which there are quite a few: glucose, fructose, maltose ... So, the test can “deceive”?

Do not rush to such conclusions. It's just that diseases in which other carbohydrates are not absorbed are much less common than lactase deficiency, so in most cases the presence of carbohydrates means this particular disease. Moreover, the diagnosis is supported by clinical picture: what else can you think about when a child is gaining weight poorly from birth, worries after eating and does not sleep well at night due to colic? In general, the test is considered reliable, so mothers do not have to worry about its reliability and do not look for the truth by taking the test several times.

Normal amount of carbohydrates in feces

Children from one year old and adults should not have carbohydrates in the feces, that is, the result of the analysis is normally 0%. Even with an extreme love of sweets, these substances are guaranteed to be absorbed as they pass through the stomach and intestines. The digestion of monosaccharides begins in the mouth under the action of saliva and continues throughout the entire digestive tract, so they simply do not reach the final sections of the colon.

But in babies of the first year of life, they may be present. Ideally, if at this time their value will be 0-0.25%. Sometimes, at the age of a child up to six months, the indicator rises to 0.5 (maximum 0.6)%, but this cannot be considered a criterion for the disease. The result of 0.7-1% is already considered "suspicious", such children should be monitored and re-examined. And if the feces contain more than 1% carbohydrates, this clearly indicates the presence of lactase deficiency and requires treatment.

Ancillary studies for the analysis of feces for carbohydrates

Many analyzes "work together", that is, they confirm the results of each other. As for the study of feces for carbohydrates, he also has an "ally": a test for acidity. Normally, the acidity of the stool is 5.5% or more, and with lactase deficiency, the child's feces change their reaction and become acidic, that is, the pH value drops relative to the indicated figures, indirectly confirming the results of the carbohydrate test. Thus, these two studies can be done together to definitely confirm the presence or absence of the disease.
The need for a stool carbohydrate test occurs in about one in 10-15 newborn babies. Fortunately, it does not always show a positive result. Therefore, if your baby was prescribed this diagnostic procedure, you should not worry ahead of time: perhaps everything is in order and no treatment is needed.

The mother of a five-month-old child turned to the pediatrician. Complains of restless behavior and poor sleep in the baby Lately, the presence of yellowish loose stools and flatulence. Weight gain is slightly below normal. The necessary tests were carried out, including the analysis of feces for carbohydrates. The result is determined - 0.25%, which is the norm. During a conversation with the mother, it turned out that a few weeks ago the child began to introduce complementary foods, however, as it turned out, they did it in the wrong way, adding new foods to the diet too quickly and in large quantities. This is what gave rise to these complaints. After the normalization of nutrition, all symptoms disappeared.

PS: Read also "", ""

In infancy, there are often digestive problems, to determine the causes of which children are assigned different studies. One of them is the determination of carbohydrates in the feces of the baby.

What is this?

Such a study is designed to identify sugars in the feces of a child, which have the ability to restore copper. Such carbohydrates are lactose, maltose and galactose, as well as glucose and fructose. In the feces of a child, lactose and its breakdown products (galactose, glucose) are mainly detected.

The analysis allows you to determine whether the baby has broken down the processes of splitting, as well as the absorption of carbohydrates. The study is also called the Benedict method.

Indications

The main indication for the appointment of such a fecal analysis is the suspicion of the development of lactase deficiency in the baby. The study is indicated for flatulence, abdominal pain, frequent regurgitation, diarrhea, poor weight gain and other symptoms of impaired lactose absorption.

Preparation

Feeding the child before the analysis should be normal, so as not to get a false negative result. A minimum of one teaspoon of feces should be provided to the laboratory within 4 hours of collection. It is collected after natural emptying in a clean container, the lid of which is tightly closed.

The best option would be a sterile plastic cup, which is sold in a pharmacy. Such a cup has a spoon, which is very convenient, since children with loose stools are usually sent for examination.

It is impossible to collect feces from a diaper or from a cloth diaper, since it is the liquid part of the stool that is needed for research. It is best to put the baby on a clean oilcloth, and then collect some feces with a spoon in a container for analysis. Feces can also be collected from a pot, but before that, the pot should be washed well with soap and boiled over.

Where to take the analysis?

The study is carried out in both public and private laboratories. Usually the result is given in 2 days.

Norm values ​​and decoding

All results above 0.25% are a deviation from the norm, while the deviation is considered insignificant with a result of 0.3-0.5% and medium - with a result of 0.6% to 1%. If the content of carbohydrates in the feces is more than 1%, such a deviation is called significant.

Reasons for deviations

An increase in the amount of carbohydrates in the feces is characteristic of lactase deficiency, as well as disorders in the absorption of other sugars.

The analysis may be false positive if the child has taken ascorbic acid, salicylates, antibiotics, and certain other medications. The study can also give a false negative result if the child was given a low-lactose formula before the analysis.

With a low or medium deviation of the result of the analysis from the norm, the child should be observed and, over time, another study, as well as an acid test, should be prescribed. With a carbohydrate content of more than 1% and the presence of a clinical picture in the crumbs, lactase deficiency is diagnosed and appropriate treatment is prescribed.

E. Komarovsky's opinion

A popular pediatrician does not recommend such a study for children who do not have a clinical picture of lactase deficiency. The result of the analysis in the absence of digestive disorders, even if it identified deviations from the norm, according to Komarovsky, is not a reason to diagnose the crumbs with lactase deficiency and prescribe treatment.