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Writer's picture Emma Mukasa | Registered Nutritionist

Is Your IBS Linked to Leaky Gut? Exploring Causes and Solutions

Leaky gut, or increased intestinal permeability, is a critical yet often overlooked aspect of our health. This condition can be the root cause of many health issues, especially for those of us dealing with Irritable Bowel Syndrome (IBS). Let’s explore what leaky gut is, how it affects our bodies, and what we can do to heal naturally.


Image of digestive system with two zoomed in images one showing leaky gut wall and another showing a gut with closed gut wall

What is Leaky Gut?


Leaky gut occurs when the lining of our small intestine gets damaged. This damage allows undigested food particles, toxins, and bacteria to "leak" through the intestines and into our bloodstream. Our immune system then recognises these invaders and launches an immune response, leading to inflammation and a host of other health problems.


Diagram showing leaky gut, showing normal right junctions vs leaky and inflammation

A study published by the National Institutes of Health highlights the significant link between leaky gut, systemic inflammation, and various chronic conditions, including mental health disorders and autoimmune diseases. The study even suggests that "all disease begins in the (leaky) gut", underscoring the critical importance of addressing leaky gut to maintain overall health.


"All disease begins in the (leaky) gut."

How Does Leaky Gut Relate to IBS?


For those of us with IBS, the chronic inflammation and altered gut motility (the movement of the digestive system and the transit of its contents within it) associated with this condition can make us particularly vulnerable to leaky gut. This creates a vicious cycle: leaky gut can worsen IBS symptoms, and IBS can exacerbate leaky gut. Therefore, managing leaky gut is essential for alleviating IBS symptoms and improving our quality of life.


How Do We Get Leaky Gut?


Several factors can contribute to the development of leaky gut:


  • Poor Diet: Diets high in sugar, refined carbohydrates, and processed foods can damage our gut lining.

  • Chronic Stress: Prolonged stress can weaken our immune system and gut barrier.

  • Toxins: Overexposure to environmental toxins like pesticides, pollutants, and harmful chemicals can compromise our gut health.

  • Medications: Long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, antibiotics, and proton pump inhibitors (PPIs) such as omeprazole, can disrupt our gut flora and damage the intestinal lining.

  • Infections: Chronic infections and gut imbalances, such as Candida overgrowth, or Helicobacter pylori, can contribute to leaky gut.

  • Gluten: Studies have suggested that gluten can increase intestinal permeability by triggering the release of zonulin, a protein that regulates the tight junctions in the gut lining. This can lead to a leaky gut, particularly in individuals with gluten sensitivity or coeliac disease.


Symptoms of Leaky Gut


The symptoms of leaky gut are not limited to digestive issues. Here are some common signs to look out for:


  • Digestive Problems: Bloating, gas, diarrhoea, or irritable bowel syndrome (IBS).

  • Chronic Fatigue: Feeling tired and sluggish even after a good night's sleep.

  • Autoimmune Conditions: Such as Hashimoto's thyroiditis, rheumatoid arthritis, and lupus.

  • Skin Issues: Eczema, psoriasis, and acne.

  • Mood Disorders: Anxiety, depression, and ADHD.

  • Food Sensitivities: Increased sensitivity to certain foods and difficulty digesting them.


Beyond Digestive Symptoms


Leaky gut's impact isn't confined to the digestive system. The study from the National Institutes of Health links leaky gut to systemic inflammation and various chronic conditions, including mental health disorders and autoimmune diseases. This highlights the importance of recognising and addressing leaky gut to maintain overall health.

Signs of Leaky gut: food sensitivities, mood issues, thyroid issues, IBS, malabsorption of nutrients, inflammatory skin conditions, autoimmune diseases, difficulty losing weight

How to Test for Leaky Gut


If you suspect you might be suffering from leaky gut, getting tested can provide valuable insights and help guide your healing journey. As a nutritional therapist, I can advise on a range of functional testing options. Here are some common methods to diagnose leaky gut:


  • Intestinal Permeability Test: This test involves drinking a solution with two sugar molecules, lactulose and mannitol, and measuring their levels in your urine. High levels of lactulose and low levels of mannitol indicate increased intestinal permeability.

  • Zonulin Test: Elevated levels of zonulin in the blood or stool can indicate increased intestinal permeability, making this a useful early indicator of leaky gut.

  • Comprehensive Stool Analysis: This test examines gut health markers, including beneficial and harmful bacteria, yeast, parasites, and inflammation markers, providing a detailed picture of your gut health.


Natural Solutions for Leaky Gut


Addressing leaky gut naturally involves several steps:


  1. Dietary Changes: Focus on a whole-food, anti-inflammatory diet. Incorporate plenty of fruits, vegetables, lean proteins, and healthy fats. Avoid processed foods, sugars, and artificial additives. Consider removing gluten.

  2. Probiotics and Prebiotics: Probiotics like Lactobacillus and Bifidobacterium can help restore gut flora balance. Prebiotics, found in foods like garlic, onions, and asparagus, feed beneficial bacteria.

  3. Supplements: Supplements such as L-glutamine, zinc carnosine, deglycyrrhizinated licorice (DGL), slippery elm, aloe vera, and omega-3 fatty acids can support gut healing and reduce inflammation.

  4. Stress Management: Incorporate stress-reducing practices like meditation, yoga, and deep-breathing exercises to support overall gut health.

  5. Adequate Sleep: Ensure you get enough restorative sleep to help the body repair and regenerate.


The Consequences of Ignoring Leaky Gut


If left unaddressed, leaky gut can lead to chronic inflammation and a cascade of health problems, including autoimmune diseases, metabolic disorders, and mental health issues. The systemic inflammation caused by leaky gut can disrupt normal body functions and increase the risk of various chronic diseases.


Conclusion


Leaky gut is more than just a digestive issue; it can be the hidden root of many chronic health conditions, including IBS. By understanding the causes, recognising the symptoms, and implementing natural solutions, you can take proactive steps toward healing your gut and improving your overall health.


Do you recognise any of these symptoms? Are you looking for personalised advice? Book a FREE 30 Minute Consultation with a Registered Nutritional Therapist today.




 

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