Health, Safety, and Nutrition for the Young Child 9th Edition by Lynn Marotz

Exercise 19

Mealtimes were frustrating for Akecheta's mother. Her four-year-old son often refused to drink his milk and begged for juice instead. He complained "that his stomach hurt" and would cry until his mother gave in to his requests. She was becoming extremely frustrated and finally decided to take him to the local health clinic for advice. After several visits and tests, the physician assistant determined that Akecheta was lactose intolerant and allergic to citrus fruits. Even small amounts of milk or cheese seemed to upset his stomach and orange juice caused him to break out in hives.
Would you expect symptoms of a deficiency to appear immediately or long term Explain.