Milk Sugar and the Missing Helper
Mia loves cheese pizza, but her cousin Omar feels sick if he drinks a big glass of milk. Their bodies handle milk in different ways, and the reason is a sugar called lactose.
Milk contains lactose, a natural sugar. Your body cannot use it until it is cut into smaller pieces. The small intestine does that work with a helper called lactase. Lactase is an enzyme, which is a tool made by the body that breaks down certain foods. Babies make plenty of lactase, because milk is their main food.
As many people grow older, though, their bodies make less lactase. Then some of the lactose is not broken down. It travels on to the large intestine, where tiny bacteria feed on it. The bacteria make gas and extra water, and that can cause a bloated belly, a rumbling stomach, and some pain. People who have this problem are called lactose intolerant. It is not the same as a milk allergy, which is a reaction by the immune system.
The good news is that there are easy ways around it. Lactose-free milk has lactase added to it. Yogurt and hard cheeses have less lactose than a glass of milk, so many people can eat them with no trouble. That may be why Mia and Omar can still share a pizza.