What Causes a Leaky Gut and What Should I Do?

February 7, 2019


Leaky gut, also known as increased intestinal permeability, occurs when the lining of the small intestine becomes damaged, allowing undigested food particles, toxins, and bacteria to leak into the bloodstream. This can trigger inflammation and potentially lead to various health issues. Several factors can contribute to the development of leaky gut:

1. Diet

  • Processed Foods: High consumption of processed foods, refined sugars, and unhealthy fats can disrupt the gut lining.
  • Gluten: For some individuals, gluten can increase gut permeability by triggering the release of zonulin, a protein that regulates intestinal permeability.
  • Alcohol: Excessive alcohol intake can damage the intestinal lining and alter gut flora.
  • Food Allergies and Sensitivities: Repeated exposure to foods that trigger an immune response can cause inflammation and damage to the gut lining.

2. Chronic Stress

  • Hormonal Changes: Stress hormones like cortisol can weaken the gut barrier by affecting blood flow to the digestive tract and altering the balance of gut bacteria.
  • Inflammatory Response: Chronic stress can lead to systemic inflammation, which can impair gut health.

3. Gut Dysbiosis

  • Imbalance of Gut Bacteria: An imbalance between beneficial and harmful bacteria in the gut can damage the intestinal lining and increase permeability.
  • Infections: Bacterial, viral, or fungal infections can disrupt the gut barrier and lead to leaky gut.

4. Medications

  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Prolonged use of NSAIDs can cause intestinal irritation and increase permeability.
  • Antibiotics: While necessary for treating bacterial infections, antibiotics can disrupt gut flora and damage the gut lining.
  • Steroids: Long-term use of corticosteroids can weaken the gut barrier and increase the risk of leaky gut.

5. Inflammatory Conditions

  • Autoimmune Diseases: Conditions like celiac disease, Crohn’s disease, and rheumatoid arthritis can be both a cause and consequence of leaky gut.
  • Chronic Inflammation: Ongoing inflammation in the body, from various sources, can damage the gut lining over time.

6. Nutrient Deficiencies

  • Zinc: Essential for maintaining the integrity of the gut lining.
  • Vitamin D: Plays a role in immune function and maintaining gut health.
  • Other Nutrients: Deficiencies in vitamins A, E, and C, as well as essential fatty acids, can affect gut health.

7. Toxins

  • Environmental Toxins: Exposure to pesticides, heavy metals, and other environmental toxins can damage the gut lining.
  • Mycotoxins: Toxins produced by certain molds can also contribute to leaky gut.

8. Poor Lifestyle Habits

  • Lack of Sleep: Inadequate sleep can affect gut health by altering hormone levels and increasing stress.
  • Sedentary Lifestyle: Regular physical activity is important for maintaining gut health and overall well-being.

Managing and Preventing Leaky Gut:

  • Healthy Diet: Consuming a diet rich in whole, unprocessed foods, fiber, and fermented foods can support gut health.
  • Stress Management: Techniques such as meditation, yoga, and regular exercise can help reduce stress.
  • Probiotics and Prebiotics: Supplementing with probiotics and consuming prebiotic-rich foods can help balance gut flora.
  • Avoiding Trigger Foods: Identifying and eliminating foods that cause sensitivity or allergic reactions.
  • Limiting Harmful Substances: Reducing the intake of alcohol, NSAIDs, and other gut-irritating substances.
  • Nutritional Support: Ensuring adequate intake of essential nutrients to support gut health.

Understanding the causes of leaky gut and taking proactive steps to support gut integrity can help mitigate the risk of associated health problems.

About the author

Dr. Kelly has 25 years of expert medical experience caring for the sickest of the sick people in critical care (including ICU, Heart surgery, Heart & Lung transplant surgery, as well as cardiology). She is a clinical specialist who has taken care of and trained others to care for the critically ill/the elderly and developed many screening and preventative programs to help improve the health of the population. The reality is that most people just don't have to be that sick. or stay that sick. So, Dr. Kelly decided to change the focus of the care she provided: to prevent, reverse and restore the health of individuals.

Dr. Kelly

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