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Living with Congenital lactase deficiency

A rare condition in newborns in which the body cannot digest lactose, causing watery diarrhea after breast milk or regular formula.

Understanding Congenital lactase deficiency

Congenital lactase deficiency is a rare, severe digestive disorder in newborns caused by lack of the lactase enzyme.

Babies have watery diarrhea when fed breast milk or formula that contains lactose.

Signs & symptoms

GARD doesn't list a separate symptom list for this condition. The summary describes:

  • Watery diarrhea after breast milk or lactose formula

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 LCT 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 lactose-free formula should my baby use?
Should we have genetic testing for the LCT gene?
How do we make sure my baby gets enough nutrition and calcium?

Quick facts

InheritanceAutosomal Recessive
GenesLCT

Changes in the LCT gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticGastrointestinalInherited Metabolic

Also known as: alactasia, congenital; cld - congenital lactase deficiency; congenital alactasia; congenital alactasia syndrome; congenital lactose intolerance; congenital lactose malabsorption

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital lactase deficiencyGARD ID 12311 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Congenital lactase deficiency.

Explore the Congenital lactase deficiency blog

Explore research for Congenital lactase deficiency

Explore actively recruiting Congenital lactase deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Congenital lactase deficiency with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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