Heartburn In Pregnant

Q.my 5yo had an eating disorder, and is lactose intolerant, so I'm quite well up on this. Dairy is a common allergen, is very indigestible and almost the entire population of China is unable to digest it (lactose intolerance). You don't need dairy for calcium, and in fact, because of the way it's bound with very indigestible proteins and fat, the calcium in dairy isn't as bio-available as they used to think. however, I am still considering about the kind of food that she may need I would also want to consult the doctor to make sure that everything is ok So can anyone here help me?

A.Many doctors don't like prescribing calcium supplements, and even large doses of indigestion meds containing calcium can be problematic. The two main reasons are: 1) They block the absorption of iron from food, thus potentially leading to anaemia. A calcium supplement should never be given closer than an hour or so before and after meals. This is a problem that I first became aware of when researching healthy pregnancy - pregnant women often need extra calcium (I was lactose intolerant, so that was a worry for me) and suffer heartburn, so eating Tums seemed a good solution. Unfortunately, pregnant women are also prone to anaemia and the calcium compound made that problem much worse. 2) They can lead to kidney stones, particularly since the calcium supplement is in a far less absorbable form than that found in natural foods such as almonds, greens or soft-boned fish. Additionally, calcium supplements can block the absorption of certain medications, such as NSAIDs, steroids (used for things like asthma), antibiotics and, I believe, certain anti-seizure meds and certain anti- depressants. In UK, if you tell a GP your child cannot tolerate dairy, the first thing they do is prescribe a calcium supplement. I have been told, by expert dieticians and eating disorder specialists that not only is this pointless, it is also potentially dangerous. A supplement *may* be helpful, and you can buy calcium over the counter, but personally, I don't think many people are aware of the potential risks. I would never give it to my child unless directed by a doctor in whom I had confidence (ie probably not a GP). When my daughter had her eating disorder, I decided against supplements altogether (she just wouldn't swallow them), so we worked with what she would eat and with care, we managed to ensure an adequate diet (although perhaps rather bizarre at times).

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