Galactosemia: A metabolic disorder affecting the metabolism of galactose.

What is the Galactosemia ?
Galactosemia is a rare genetic disorder that affects the body’s ability to metabolize galactose, a sugar found in milk and dairy products. People with galactosemia
cannot properly break down galactose, leading to a buildup of toxic substances in the blood.
What are the symptom of Galactosemia?
Symptoms of galactosemia usually appear within the first few days or weeks of life. They may include:
- Vomiting: Frequent vomiting after feeding.
- Lethargy: A lack of energy or interest in activities.
- Poor feeding: Difficulty gaining weight or maintaining adequate nutrition.
- Jaundice: Yellowing of the skin and eyes.
- Liver enlargement: An enlarged liver.
- Intellectual disability: If untreated, galactosemia can lead to intellectual disability.
- Cataracts: Cloudy lenses in the eyes.
Who can suffer from Galactosemia?
Galactosemia is an inherited disorder, meaning it is passed down from parents to their children. It is caused by a deficiency in the enzyme galactose-1-phosphate uridyl transferase (GALT).
What are the type of Galactosemia ?
There are three main types of galactosemia:
- Classic galactosemia: The most common type, caused by a complete or partial deficiency of GALT.
- Variant galactosemia: A less severe type, caused by a partial deficiency of GALT.
- Galactokinase deficiency: A rare type caused by a deficiency in the enzyme galactokinase.
Which diagnostic are available for the Galactosemia ?
· Blood tests: To measure the levels of galactose and its metabolites in the blood.
· Urine tests: To check for the presence of galactose in the urine.
· Genetic testing: To confirm the diagnosis and identify the specific genetic mutation causing galactosemia.
What are the treatment of the Galactosemia ?
The primary treatment for galactosemia is a lifelong lactose-free diet. This involves avoiding all dairy products, including milk, cheese, yogurt, and butter. Lactose-free alternatives can be used as substitutes.
In some cases, additional treatments may be necessary, such as:
- Medication: To treat symptoms such as liver problems or cataracts.
- Liver transplant: In severe cases, a liver transplant may be considered.
Which diet should I take ,if any ?
A lactose-free diet is essential for people with galactosemia. This means avoiding all dairy products. However, with careful planning, a healthy and varied diet can be maintained using lactose-free alternatives.
Which speciality of the doctor will Galactosemia?
A pediatrician or genetic counselor is typically involved in the diagnosis and management of galactosemia.
In Galactosemia completely curable ?
While there is no cure for galactosemia, with early diagnosis and strict adherence to a lactose-free diet, individuals with galactosemia can lead healthy and normal lives. Early intervention is crucial to prevent long-term complications.