Congenital Sucrase-Isomaltase Deficiency (CSID) Menopause

What is it? Congenital Sucrase-Isomaltase Deficiency (CSID) is a genetic condition that

makes it hard for the body to digest certain sugars, especially sucrose (table

sugar) and maltose (found in grains). This happens because of low or absent

levels of sucrase and isomaltase, enzymes in the small intestine that break

down these sugars into simpler forms the body can use

What Happens? When someone with CSID eats foods containing sucrose or maltose, these

sugars aren't properly digested. Instead, they move into the large intestine,

where bacteria ferment them, leading to:

Diarrhea: Watery stools due to undigested sugars drawing water into the

intestines. Bloating and Gas: Fermentation produces gas, causing discomfort and

swelling. Stomach Pain: Cramping from gas and increased activity in the intestines.

In infants, these symptoms can lead to poor weight gain and growth issues.

How to Manage Diet Changes: Limiting or avoiding foods high in sucrose and certain starches

can help. This includes many sweets, fruits, and starchy foods like bread and

potatoes. Working with a dietitian can assist in creating a balanced diet plan.

Enzyme Replacement Therapy: Taking enzyme supplements like sacrosidase

(brand name Sucraid) can aid in breaking down sucrose, easing digestion, and

reducing symptoms.

Monitoring and Adjusting: Regular check-ups with healthcare providers are

important to monitor growth and nutrition, especially in children.

Foods to Avoid

Sugary Foods:

Table sugar

Candy and chocolate

Sweetened beverages

Cakes, cookies, and pastries

Ice cream and sweetened yogurt

Jams, syrups, and honey

Fruits High in Sucrose:

Bananas

Pineapple

Mango

Dates, figs, and raisins

Starchy Foods:

White and wheat bread

Pasta

Rice

Potatoes

Corn and corn products

Meal Planning Tips

Cook from scratch: Homemade meals help you control ingredients and

avoid hidden sucrose or starches.

Read labels: Look for added sugars, sucrose, and starch on packaged

foods.

Portion control: Even low-sucrose foods can cause issues in large amounts.

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