Leaky gut, as the words suggest, is describing a “HOLEy” intestine.
By the way, leaky gut does have a fancier scientific name - “increased intestinal permeability” or “intestinal hyperpermeability”.
In a normal healthy intestine, the cells lining the intestinal walls are glued very tightly to each other. In fact, the joining point of the cells are called tight junction, so we’re reminded that they’re tight.
The intestine is the body’s first line of defense against the outside world. No matter how clean you wash your hands, utensils, cook your food or raw food. There’ll be unwanted guests being ingested the same time.
This is where our intestines save our lives everyday as our shining armor. The intestine wall is supposed to block out everything that is harmful to our body, and selectively allow what our body needs to pass through into the circulatory system or lymphatic system. Just like a bouncer at the club entrance. No entrance if you’re not on the VIP list.
For reasons we’ll discuss shortly, the intestine lining gets challenged and the integrity of the tight junction is being sabotaged, resulting in a compromised defense mechanism and the intestinal wall become less selective of what’s allowed to cross the barrier into the blood stream.
This can be dangerous, as we already mentioned, God knows what else is in the food we eat.
With the not-so-tight junction now, anything that can fit through the gap, will enter. That means, partially digested food now can get through without being thoroughly digested. Bacteria, virus and fungus can enter into the bloodstream. Toxins from liver and bile generated from the body.
The not-so-tight junction is now free for all.
These uninvited guests trigger autoimmune reactions, which can lead to gastrointestinal problems such as abdominal bloating, excessive gas and cramps, fatigue, food sensitivities, joint pain, skin rashes, and autoimmunity.
Leaky gut results in hepatic dysfunction and pancreatic insufficiency, which further impede food digestion and toxin accumulation, and making the gut more permeable, creating a vicious cycle of food allergy, malnutrition, bacterial dysbiosis and hepatic distress.
So…what happened now?
First we need to figure out why our gut becomes leaky or “holey”.
There are many possible causes of leaky gut. Definitely, anything that’s harmful to the intestines, such as chronic inflammation, food sensitivity, nonsteroidal anti-inflammatory drugs (NSAIDS) therapy, cytotoxic drugs and radiation or certain antibiotics, excessive alcohol consumption, or compromised immunity.
And here’s a list of medical conditions that are associated with leaky gut
• Inflammatory bowel disease
• Infectious enterocolitis
• AIDS/HIV infection
• Cystic fibrosis
• Pancreatic insufficiency
• Hepatic dysfunction
• Irritable bowel syndrome with food intolerance
• Chronic arthritis/pain treated with NSAIDS
• Neoplasia treated with cytotoxic drugs
• Celiac disease
• Dermatitis herpetiformis
• Childhood hyperactivity
• Environmental illness
• Multiple food and chemical sensitivities
Leaky gut syndrome may trigger or worsen disorders such as Crohn's disease, celiac disease, rheumatoid arthritis, and asthma.
And I would be wary of any diagnosis of leaky gut syndrome if you don't have Crohn's disease, celiac disease, irritable bowel syndrome, rheumatoid arthritis, or asthma.
How do you know if you have leaky gut?
Having one of the above medical conditions make you at higher risk of have leaky gut. Having one of the symptoms below should increase your suspicion for leaky gut.
SYMPTOMS ASSOCIATED WITH LEAKY GUT:
• Fatigue and malaise
• Joint and muscle pain
• Fevers of unknown origin
• Food allergies and intolerances
• Abdominal pain and distension
• Skin rashes
• Toxic feelings
• Cognitive and memory deficits
• Shortness of breath
If you have one or more of the medical conditions associated with leaky gut along with a few of the symptoms above, it may be wise to consider the possibility of leaky gut.
There are tests that can confirm your diagnosis of leaky gut. Or you can just start treating your leaky gut empirically with a clean nutrient dense plant-based diet that is free from toxins and filled with antioxidants.
I would suggest the second option, if you don’t want to bother with the testing and wait.
The treatment of leaky gut generally does not involve any big gun pharmaceuticals that are loaded with toxins and dangerous side effects.
To find the right treatment, we need to first understand the causes. Otherwise, we’re just keep putting bandaids on the symptoms.
So…what causes leaky gut?
Leaky gut syndrome is generally not recognized by conventional physicians. If you ask your general physician if you have leaky gut, chances are you’ll get a funny look like he/she does not know what you’re talking about.
On the other hand, a functional medicine doctor may consider runny some tests to look for clues to confirm leaky gut or bacterial dysbiosis.
Related articles: Testing for leaky gut
The leaky gut is the manifestation of the vicious cycle of allergy, malnutrition, bacterial dysbiosis and hepatic stress.
Each problem feeds into the next and the cycle just keep going and your symptoms continue to get worse.
The relationship between food allergies and sensitivities and the leaky gut is complicated. The leaky gut or intestinal that is “holey” is a cause of food sensitivities because it allows anything to past through. Then, when the intestine is exposed to all kinds of allergens, the immune system is activated, mast cells are deployed and histamine is released. This immune reaction makes the gut even leakier, then more undigested food past through, then more allergic reaction. And it keeps going, and going, and going…
Now with damaged epithelial cells and really leaky gut, nutrients are not absorbed properly. As a result, malnutrition happens, which further aggravates the structure, integrity and function of the epithelial cells in the intestines.
Under normal conditions, intestinal epithelial cells dies and regenerate every three to six days. This is a very demanding task that requires lots of energy and nutrients. The malnutrition, which is the result of poor nutrient absorption from the leaky gut, would hider epithelial cell repair and regeneration. As a result, the intestinal wall continues to get weaker and weaker because the body cannot catch up with the demand to regenerate new cells.
With nutrients not being absorbed properly, the microbiota in the gut will be affected. You can imagine overgrowth of all kinds of bacterial, fungus, other organism out of proportion leading to bacterial dysbiosis. These guys are supposed to be living in harmony with each other and with our guts. When certain one species grow too fast, they overcrowds the other. Even if it’s the good bacteria that is growing too fast. Too much of a good thing is not always better.
Related article: Bacterial Overgrowth/Dysbiosis
This results in disruption of the intestinal harmony and with the now bigger organism population, we also have a waste control problem.
The liver in people with leaky has to work extra hard to remove the unusual guests that enters the leaky gut, and get rid of the toxic waste generated in the crazy overpopulated gut microbiota.
The situation is putting the liver in stress.
Cytochrome P-450 oxidase is induced and the liver starts making more free radicals. The result is damaging to the liver cells. The liver dumps the toxic free radicals into the bile, which is excreted via the intestine.
The problem does not stop here. This is just the beginning.
While the toxic bile is traveling in the intestine towards the colon and hopefully, out of the body, some of the toxin is being reabsorbed back into the system. Remember from physiology class, our body normally reabsorbs some of the bile back.
Not only that, the toxic bile is damaging to the bile duct, intestinal wall and it can also reflux into the pancreas, affecting nutrient digestion.
This whole scenario just feeds further into the leaky gut, making the intestine more permeable to intruders.
And the cycle keeps going.
Now that we have a better understanding of the etiology of leaky gut.
Now let's break the cycle, patch up the HOLES and heal your leaky gut.