Abbott Similac: Nutritional Support for Hospitalized Children - Nutrition

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Abbott Similac


Hello, (1) Is Abbott Similac Neosure suitable for hospitalized children? Can a underweight toddler (1 year and 3 months, weighing 10 kg) consume it? (2) What is the difference between lactose intolerance and galactose intolerance? Why? Thank you.

Miss Han, 30~39 year old female. Ask Date: 2007/06/21

Dr. Shi Guimei reply Nutrition


Hello! Abbott Similac is suitable for hospitalized children or infants, but it should be used as a supplement; a natural balanced diet for infants is still essential.
It is important to cultivate the habit of consuming complementary foods to ensure normal growth and development.
Lactose must be hydrolyzed into glucose and galactose by the action of lactase in the digestive tract before being absorbed.
When lactase activity is reduced or absent due to congenital, primary, or secondary reasons, lactose cannot be hydrolyzed, leading to osmotic effects.
This increases fluid load in the digestive tract, accelerates intestinal peristalsis, and results in watery diarrhea.
On the other hand, lactose may also be fermented by bacteria in the intestine, producing lactic acid and carbon dioxide, which can cause bloating, abdominal pain, or flatulence.
The effects caused by the inability to digest and absorb lactose are referred to as lactose intolerance.
As for your question regarding galactose intolerance, it should be referred to as galactosemia.
Galactosemia is an autosomal recessive metabolic disorder of carbohydrates.
Due to a malfunction in the metabolic pathway that converts galactose into glucose, there is an accumulation of galactose in the body.
The treatment for galactosemia generally involves dietary management with a galactose-free diet, meaning that breast milk, cow's milk, and dairy products should be avoided.
If there are concerns, a pediatric consultation for screening can confirm the diagnosis.
If it is indeed galactosemia, close consultation with a nutritionist is recommended.
Sincerely, Dietitian Shih Kuei-Mei, Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2007/06/21

More Info


Abbott Similac is a nutritional formula designed to provide essential nutrients for children, particularly those who are hospitalized or have specific dietary needs. In response to your questions:
1. Is Abbott Similac suitable for hospitalized children and underweight toddlers (1 year and 3 months, weighing 10 kg)?
Yes, Abbott Similac can be suitable for hospitalized children and underweight toddlers, but it should be used as a supplement rather than a complete replacement for a balanced diet. For toddlers, especially those who are underweight, it is crucial to ensure that they receive a variety of nutrients from whole foods as well. Abbott Similac is formulated to provide additional calories and nutrients that may be lacking in a child's diet, particularly for those who may have difficulty consuming enough food due to medical conditions or other factors.

It is important to consult with a pediatrician or a registered dietitian before introducing any nutritional formula to ensure it meets the specific needs of the child. They can assess the child's overall health, dietary intake, and any potential allergies or intolerances, ensuring that the formula is appropriate for their condition.

2. What is the difference between lactose intolerance and galactosemia?
Lactose intolerance and galactosemia are both conditions related to the metabolism of sugars found in milk, but they are fundamentally different in their causes and implications.

- Lactose Intolerance: This condition occurs when the body lacks sufficient levels of lactase, the enzyme needed to digest lactose, which is the sugar found in milk. When lactose is not properly digested, it can lead to gastrointestinal symptoms such as bloating, diarrhea, and abdominal pain. Lactose intolerance is relatively common and can develop at any age, often after weaning from breast milk. It is usually managed by reducing or eliminating lactose-containing foods from the diet, such as milk and dairy products, or by using lactase supplements.

- Galactosemia: In contrast, galactosemia is a rare genetic disorder that affects how the body processes galactose, another sugar found in milk. Individuals with galactosemia lack the enzyme galactose-1-phosphate uridyltransferase, which is necessary to convert galactose into glucose. If galactose is not metabolized properly, it can accumulate in the body and lead to serious health issues, including liver damage, cataracts, and intellectual disabilities. The management of galactosemia involves a strict lifelong diet that eliminates all sources of galactose, including breast milk and standard infant formulas, requiring specialized formulas that are free from galactose.

In summary, while both conditions involve issues with milk sugars, lactose intolerance is primarily a digestive issue, whereas galactosemia is a metabolic disorder requiring strict dietary management. If there are concerns about either condition, it is essential to consult with a healthcare professional for appropriate testing and dietary recommendations.

In conclusion, Abbott Similac can be beneficial for underweight toddlers and hospitalized children, but it should be part of a broader nutritional strategy tailored to the child's needs. Understanding the differences between lactose intolerance and galactosemia is crucial for managing dietary restrictions and ensuring the health and well-being of children with these conditions. Always consult with healthcare providers for personalized advice and treatment plans.

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