Leaky What?

Leaky Gut. Chances are you've heard the term recently, even though it is not a term taught in most medical schools. Also known as increased intestinal permeability, leaky gut syndrome has attracted the attention of social media, health based podcasts and blogs, and functional medicine doctors alike. Science had rejected the ancient Greek medical philosophy of hypochodriasis (the belief ailments originated from imbalances in the gut), but with new research and developments, this concept is found to hold much truth. Is it possible so many of today's chronic illnesses can be associated with dysfunction of the gastrointestinal tract?

First things first...what exactly IS leaky gut? Our digestive tract covers close to 4,000 square feet in surface area and its main purpose is to break down what we ingest and deliver nutrients to our blood to be carried to cells and organs. A healthy gut lining forms a barrier, controlling what is able to be absorbed into the bloodstream. However, an unhealthy lining or leaky gut, develops large cracks and holes, allowing for undigested food, toxins, and unwanted bacteria to enter the bloodstream. Imbalances in the gut microbiome (see my previous article "Microbiome 101" for more info!) lead to this gut inflammation and intestinal permeability.

You're probably wondering WHO gets leaky gut and WHY? The true cause of this syndrome is modern living...the standard American diet (high in processed foods, sugar, saturated fat and severely lacking fiber), alcohol use, over the counter and prescription medications and high levels of stress. Some people are also genetically predisposition-ed and are far more sensitive to changes in the gut.

A few tell tale symptoms to look for are chronic bloating, diarrhea, or constipation, fatigue, headaches, confusion or the inability to concentrate, skin problems such as rashes, acne, and eczema, joint pain, and vitamin or mineral deficiencies. Others that are closely related (whether they are the cause OR effect of leaky gut) include Chrone's disease, celiac disease, IBS (irritable bowel syndrome), food allergies and sensitivities, diabetes, fatty liver disease, and PCOS (poly cystic ovarian syndrome) . Recent scientific discoveries also further prove the gut brain connection, adding mental health disorders such as anxiety, depression, Alzheimer's, and even autism (see link for more information https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6539237/ ) to the list.

Unfortunately, in most doctors offices intestinal permeability (or leaky gut) fails to be considered a legitimate medical condition. That being said, there is no "standard treatment" available, but lifestyle and diet choices can improve gut health and promote positive changes in gut flora. Initial steps would include removing foods that can be inflammatory (more on that in my next article "Inflammation Indication"), and eating a more nutrient dense, unprocessed diet. Avoid sugar, artificial sweeteners and excessive consumption of dairy or meat products (especially if you are sensitive to them), get plenty of prebiotic fiber

(found in fruits and vegetables), and incorporate more probiotic rich foods or drinks. Maintaining a regular exercise routine, getting adequate sleep, and avoiding unnecessary antibiotic use will also help support a healthy gut.

The more research that is done, the more evidence has been found to support the existence of leaky gut syndrome. This is a potential epidemic, but we have the power to heal our gut and our bodies, enhancing our overall well being. I encourage you as always to look into this topic further, especially if you have any of the symptoms or connections listed above.