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Living with Alpha, alpha-Trehalase deficiency

A condition in which the body can't break down trehalose, a sugar in mushrooms and some foods, causing stomach upset.

Understanding Alpha, alpha-Trehalase deficiency

Alpha, alpha-Trehalase deficiency, or trehalase deficiency, is a metabolic condition in which the body lacks an enzyme that breaks down trehalose.

Trehalose is a sugar found naturally in mushrooms, algae, and insects, and in some manufactured foods, medicines, and cosmetics. Without the enzyme trehalase, the body can't break it down into glucose to absorb it. This may cause vomiting, belly discomfort, and diarrhea after eating foods that contain trehalose. It starts in the teen years or adulthood.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. The summary says these may follow foods with trehalose:

  • Vomiting
  • Belly discomfort
  • Diarrhea

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in TREH are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which foods and products contain trehalose?
Is genetic testing for TREH available?
Should I see a stomach and digestion specialist?

Quick facts

Symptoms usually startTeenager and as an Adult
InheritanceAutosomal Dominant
GenesTREH

Changes in the TREH gene cause this condition. GARD says both autosomal recessive and autosomal dominant patterns have been described.

GeneticGastrointestinalInherited Metabolic

Also known as: diarrhea-vomiting due to trehalase deficiency; isolated trehalose intolerance; trehalase deficiency; trehalose intolerance

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Alpha, alpha-Trehalase deficiencyGARD ID 10372 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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