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LEAKY GUT: Let's talk about it

Updated: Apr 20, 2023


Common symptoms of leaky gut include bloating, heartburn, and a general feeling of un-wellness

What do we mean by "leaky gut?"


Leaky gut, also known as intestinal permeability, is a condition where the lining of the intestinal wall becomes more permeable than normal, allowing substances such as toxins, undigested food particles, and bacteria to pass through into the bloodstream. This can lead to inflammation, autoimmune reactions, and other health problems. However, the scientific community is still debating the extent to which leaky gut contributes to various health conditions.


What causes a leaky gut?


The causes of leaky gut are not fully understood, but several factors are believed to contribute to the condition. These include:

  1. Imbalance of gut microbiota

  2. Chronic stress

  3. Certain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and antibiotics

  4. Poor diet, including high consumption of processed and sugary foods

  5. Chronic inflammation

  6. Genetics

It's worth noting that while these factors have been associated with leaky gut, the exact mechanism by which they lead to intestinal permeability is still being studied.


What are the symptoms of a leaky gut?


The symptoms of leaky gut can vary widely and are not specific to this condition. Some common symptoms that have been associated with leaky gut include:

  1. Digestive issues such as bloating, gas, constipation, or diarrhea

  2. Fatigue

  3. Skin rashes and acne

  4. Joint pain and muscle aches

  5. Headaches

  6. Food sensitivities

  7. Mood disorders such as anxiety or depression

  8. Autoimmune disorders

OF importance, many of these symptoms can have multiple underlying causes. Leaky gut is still a topic of debate among healthcare professionals.


What can happen if you have a leaky gut?


The effects of leaky gut are still being studied and are not fully understood, but some potential consequences that have been associated with this condition include:

  1. Increased inflammation: When foreign substances pass through the gut lining, it can trigger an immune response that leads to chronic inflammation. This can contribute to a wide range of health problems, including autoimmune disorders, allergies, and chronic disease.

  2. Nutrient deficiencies: A leaky gut can impair the body's ability to absorb nutrients, leading to key vitamins and minerals deficiencies.

  3. Autoimmune reactions: Leaky gut has been linked to the development of autoimmune disorders, in which the immune system attacks healthy tissue.

  4. Digestive issues: The permeability of the gut lining can lead to digestive problems such as bloating, gas, and diarrhea.

  5. Skin issues: Some evidence suggests that leaky gut may contribute to skin problems such as acne, eczema, and psoriasis.

It's worth noting that while these potential consequences have been associated with leaky gut, more research is needed to fully understand the link between this condition and overall health. How is a leaky gut diagnosed? Leaky gut is not a recognized medical diagnosis in conventional medicine, so there is no standard diagnostic test for this condition. However, some healthcare practitioners may use a combination of tests to evaluate gut health and determine whether a patient has increased intestinal permeability. These tests may include:

  1. Intestinal permeability test: This test involves drinking a solution containing two non-metabolizable sugars and measuring their levels in the urine to determine how well the gut is absorbing nutrients.

  2. Blood tests: Blood tests may be used to check for markers of inflammation, food sensitivities, or autoimmune reactions.

  3. Stool analysis: Stool samples may be analyzed to assess the balance of gut bacteria and detect the presence of pathogens or other abnormal substances.

How does an integrative medicine provider treat a leaky gut?

Integrative medicine providers may use a variety of approaches to address leaky gut, depending on the individual patient's needs and underlying health conditions. Some strategies that may be recommended include:

  1. Diet changes: A diet that is low in processed foods, sugar, and refined carbohydrates and high in whole, nutrient-dense foods such as vegetables, fruits, and healthy fats may be recommended to support gut health.

  2. Nutritional supplements: Supplements to support the gut microbiota may be recommended to support gut healing and restore balance to the gut microbiome.

  3. Lifestyle changes: Managing stress, getting regular exercise, and prioritizing sleep can all help support gut health and reduce inflammation.

  4. Medications: In some cases, medications such as antibiotics, antifungals, or anti-inflammatory drugs may be recommended to address underlying gut issues.

  5. Mind-body therapies: Practices such as meditation, acupuncture, or yoga may be recommended to help reduce stress and support overall wellness.

. The Bottom Line:


If you believe you are dealing with symptoms of a leaky gut, make an appointment to see a health care provider that is knowledgeable about evaluating and treating you for these symptoms.


Carol Rademeyer is a highly regarded Advanced Practice Registered Nurse with a wealth of experience in women's health. With over 25 years of professional practice and a Master of Science Degree in Midwifery from the Midwifery Institute at Philadelphia University, she is a respected expert in her field. Her rigorous academic and professional background has earned her board certification in her specialty, and she has fulfilled the requirements in Florida for Autonomous Practice as an Advanced Practice Registered Nurse.


In addition to her clinical practice, Carol has also made significant contributions to the broader medical community. She has been published in several prestigious medical journals and has been a speaker at the national conference for the American College of Nurse Midwives, where she has shared her expertise and insights with her peers.


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