If my daughter is lactose-intolerant, how can she get enough calcium?

Every time I give my daughter whole milk to drink, she ends up having diarrhoea for a week. At first I thought it was a coincidence, but it has happened repeatedly. Is she lactose-intolerant, and if so, what other types of milk can she drink to still get the same amount of calcium?

Lactose intolerance can happen to anyone, although it is most common in people of African, Asian and Native American descent. You do not mention how old your child is, but this tends to occur by about the age of 3 or 4, although it can appear at any time. Often there is a family history of difficulty digesting milk. Symptoms may be mild or severe. Cramp, bloating, wind and diarrhoea appear within two hours of drinking milk. Some people who are lactose- intolerant can eat dairy products such as yoghurt and cheese because the lactose has been broken down in processing. Others have symptoms with any small amount of dairy products. If your child can tolerate other dairy products, the issue is easier to deal with. You can buy lactase enzyme preparations and milk with reduced lactose. Soya milk may not be the answer because many children who cannot tolerate lactose are also sensitive to soya. Rice milk with added calcium, calcium-fortified orange juice as well as canned fish with bones (salmon, sardines), tofu, broccoli, chickpeas and dark green leafy vegetables are alternative sources of calcium. Calcium requirements vary with age. Children aged 1 to 3 need 500 milligrams a day, those 4 to 8 years old need 800 mg, and children aged 9 to 18 need 1300 mg. It is relatively easy to meet those requirements if you pay attention to the calcium content of the other foods you offer.