Gut Health
Understanding Leaky Gut: Causes, Symptoms, and Solutions
Dr. Alice Smith
October 26, 2023

Leaky gut syndrome, or increased intestinal permeability, is a condition that affects millions, often without them even knowing. It's a state where the lining of your small intestine becomes damaged, allowing undigested food particles, toxic waste products, and bacteria to "leak" through the intestines and flood the bloodstream.
What Causes Leaky Gut?
Several factors can contribute to leaky gut, including:
- Poor Diet: Diets high in processed foods, sugar, and gluten can irritate the gut lining.
- Chronic Stress: Prolonged stress weakens the immune system and can damage the gut barrier.
- Toxin Overload: Exposure to pesticides, antibiotics, and NSAIDs can disrupt gut health.
- Bacterial Imbalance (Dysbiosis): An overgrowth of harmful bacteria or a lack of beneficial bacteria.
Common Symptoms
Symptoms of leaky gut can be diverse and may include:
- Digestive issues like bloating, gas, constipation, or diarrhea.
- Food sensitivities or intolerances.
- Skin problems such as acne, eczema, or psoriasis.
- Joint pain or autoimmune conditions.
- Brain fog, fatigue, anxiety, or depression.
Functional Medicine Approach to Healing
A functional medicine practitioner will typically use a "5R" approach to heal leaky gut:
- Remove: Eliminate problematic foods, infections, and toxins.
- Replace: Add back essential digestive enzymes and stomach acid.
- Reinoculate: Restore beneficial bacteria with probiotics and prebiotics.
- Repair: Provide nutrients to help heal the gut lining (e.g., L-glutamine, zinc).
- Rebalance: Address lifestyle factors like stress and sleep.
Healing leaky gut is a journey, not a quick fix. Working with a knowledgeable practitioner can help you identify your specific triggers and create a personalized plan for lasting gut health.