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THE IBS DIETITIAN

Kirsten Jackson Consultant BSc Hons PG Cert RD

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Leaky Gut Syndrome – Real or Not?

by Kirsten Jackson Consultant Dietitian BSc Hons, RD, PG Cert Leave a Comment

Leaky gut syndrome is becoming an ever more popular diagnosis by many alternative health practitioners.

But, what is leaky gut syndrome, is it a real condition and what should you do about it?

As a specialist gut health dietitian, I get asked about leaky gut syndrome all the time. So, I have written this article to answer all your questions about this condition.

Table of Contents

  • Introduction
  • How Your Gut Lining Works
  • Why is ‘Leaky Gut Syndrome’ Not a Recognised Condition?
  • Can Your Gut Be ‘Leaky’?
  • What If Your Gut Isn’t Permeable Enough?
  • The Bottom Line

Introduction

Having ‘leaky gut syndrome’ is said to be when there are gaps between the cells in your gut lining which then allow things such as germs, toxins and other particles to pass through into your body (1).

It is claimed that having a ‘leaky gut’ can lead to a whole host of medical problems such autoimmune conditions, Multiple Sclerosis and Autism. 

Despite being popular among alternative health practitioners, medical health professionals do not currently recognise ‘leaky gut syndrome’.

How Your Gut Lining Works

Before we go any further, it is important to understand firstly, how the gut lining works.

The gut lining is a fascinating place, which contains many elements. Along the gut wall you can find immunoglobulins, mucous, defensins, and other antimicrobial products. Together, these help to protect your body from potential disease, viruses and bacteria (2).

The actual lining of the gut wall is made up of epithelial cells, which form a barrier to pathogens (bacteria, virus or other microorganisms which can cause disease) getting into your body.

Epithelial cells form the epithelial layer which is also known as a ‘brush boarder’ (imagine lots of finger like protrusions). This layer is clever in allowing only nutrients such as vitamins, proteins, ions and sugars through, but not pathogens.

It is important that pathogens (viruses, toxins and bacteria) do not get into the body through this layer and so between the epithelial cells are a series of ‘intercellular junctions’ which prevent gaps from forming (3).

Why is ‘Leaky Gut Syndrome’ Not a Recognised Condition?

There is currently no scientific evidence to support the concept that the gut can become ‘leaky’ or, using the scientific wording – more permeable, to the extent of then causing medical health conditions.

There have, however, been many studies looking at gut permeability to investigate this concept. The problem being, that these studies have mostly been done in animals or vitro (test tube) so we can’t relate their findings to how the human body works (2, 3).

Another argument against the concept of a ‘leaky gut’ and its reported links to causing disease is by looking at the management of coeliac disease. In this autoimmune condition, avoiding gluten returns an individuals’ gut permeability back to normal. But, they still have coeliac disease. If the theory that ‘leaky gut’ caused this condition was true, then surely fixing the problem would result in a cure?

Theories linking Autism to having a ‘leaky gut’ are also flawed. Yes, there is some research showing that there is a a high prevalence of digestive symptoms in children with autism and that they may also have different levels of healthy gut bacteria to the general population (2, 4). However, this is more likely explained by the fact that those who have autism have been shown to have up to 3 times more anxiety when compared to other intellectual health conditions and anxiety is linked to digestive health symptoms  (5, 6).

Can Your Gut Be ‘Leaky’?

The idea of having ‘leaky gut syndrome’ is just a theory based on little to no scientific evidence. BUT, your gut can have a higher permeability than the healthy population.

Whilst there is currently no link to increased gut permeability being the cause of any health problems, it is seen in certain health conditions as part of the process of that disease i.e. a symptom rather than a cause.

Conditions which have been linked to having an increased gut permeability (1);

  • Inflammatory bowel disease e.g. Chron’s and Ulcerative Colitis
  • Gut infections such as salmonella and norovirus
  • Coeliac disease
  • Chemotherapy
  • Chronic kidney disease
  • Cystic fibrosis
  • Type 1 diabetes
  • Sepsis

In these conditions, various processes happen as part of the disease progression to make your gut lining more permeable. It may be for instance, that the tight junctions between those epithelial cells become damaged allowing particles to cross. Or, that the good gut bacteria which helps to fight off pathogens is reduced in numbers.

Treatment for increased gut permeability in disease  is not usually required (1). But, there may be some instances where there are ways to reduce the inflammation in the gut caused by the disease. This in tern, then helps to reduce the damage to the gut lining and reduce the permeability.

What If Your Gut Isn’t Permeable Enough?

Now that we have discussed increased permeability, lets cover the more common problem of reduced permeability which we know leads to health conditions.

What we do know is, that in certain autoimmune conditions such as Chrons Disease, Coeliac Disease and Ulcerative Colitis, inflammation can also reduce gut permeability.

A reduced permeability means that less nutrients are absorbed and individuals often suffer with conditions such as osteoporosis (due to lack of calcium absorption) and anaemia (due to lack of iron absorption).

Again, with medical treatments and specialist dietetic input, this reduced permeability can often be improved and conditions of malabsorption either resolved or prevented from worsening.

The Bottom Line

At present, we know that a gut lining is more permeable in certain health conditions. However, the concept of ‘leaky gut syndrome,’ whereby an increased gut permeability causes these health conditions, is not yet proven.

And, even if ‘leaky gut syndrome’ had been proven, there is currently no cure for it.

So, if you are having digestive problems. Seek medical advice from your GP so that they can test you for a recognised medical problems and get you the correct treatment.

Kirsten Jackson Consultant Dietitian BSc Hons, RD, PG Cert

Kirsten Jackson is a UK registered Consultant Gastroenterology Dietitian and founder of The Food Treatment Clinic. She has undergone many qualifications to get where she is today, including a UK BSc Honours Degree in Dietetics and Post-Graduate Certificate in Advanced Dietetics. In addition to this, she has FODMAP Training from Kings College London University. Kirsten set up The Food Treatment Clinic in 2015 after first experiencing digestive problems herself. She felt that the NHS was unable to provide the support individuals needed and went on to specialise in this area before opening a bespoke IBS service. Kirsten also participates in charity work as an Expert Advisor for the IBS Network. In addition, she can be seen in publications such as Cosmopolitan and The Telegraph discussing IBS as an Official Media Spokesperson to the IBS Network.

Filed Under: Treatments, Testing and Diagnosis Tagged With: alternative diagnosis

About Kirsten Jackson Consultant Dietitian BSc Hons, RD, PG Cert

Kirsten Jackson is a UK registered Consultant Gastroenterology Dietitian and founder of The Food Treatment Clinic. She has undergone many qualifications to get where she is today, including a UK BSc Honours Degree in Dietetics and Post-Graduate Certificate in Advanced Dietetics. In addition to this, she has FODMAP Training from Kings College London University. Kirsten set up The Food Treatment Clinic in 2015 after first experiencing digestive problems herself. She felt that the NHS was unable to provide the support individuals needed and went on to specialise in this area before opening a bespoke IBS service. Kirsten also participates in charity work as an Expert Advisor for the IBS Network. In addition, she can be seen in publications such as Cosmopolitan and The Telegraph discussing IBS as an Official Media Spokesperson to the IBS Network.

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What are you incorporating into your routine? SAVE What are you incorporating into your routine? SAVE THIS POST! ❤️​​​​​​​​
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😫 It can be so stressful when IBS strikes at work! The fear of a flare-up, the embarrassment of sharing a toilet, and fatigue can all can stop you from feeling comfortable and confident at work.​​​​​​​​
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🙋‍♀️ It doesn't have to be like this! Why don’t you try adopting some of the examples above which can help alleviate some of your symptoms! 🙌​​​​​​​​
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🎉 🎉 Fed up of trying everything you can, but nothing seems to be working? Download my FREE IBS morning routine guide! Link in bio.⠀⠀⠀⠀​​​​​​​​​​​​​​​​
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Is IBS dictating your schedule? Comment below! 👇 ​​​​​​​​
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😫 Your day may not go to plan when you have IBS - you could spend ages on the toilet, unsure what clothes to wear due to the bloat, and be in so much pain that you have to cancel your plans with your friends and family!​​​​​​​​
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🙇‍♀️ Tired of constantly cancelling your plans? Why not use the low FODMAP diet to identify your triggers so you can predict your symptoms? Therefore, your life will not revolve around cancelling plans at the last minute!​​​​​​​​
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🎉 🎉 Fed up of trying everything you can, but nothing seems to be working? Download my FREE IBS morning routine guide! Link in bio.⠀⠀⠀⠀​​​​​​​​​​​​​​​​
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📰 Check out my new feature in @iamwellandgood - 📰 Check out my new feature in @iamwellandgood - the one tip I can give you to maximise the health benefits from your salad.

🔗https://www.wellandgood.com/healthiest-salad/amp/

#theibsdietitian #kirstenjackson #ibsguidance #lowfodmapdiet
CAN YOU RELATE? ​​​​​​​​​​​​​​​​​​​​​​​​
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😭 I think this post emphasises the point that NOT EVERY DISABILITY IS VISIBLE. As IBS sufferers we often hide our pain in silence day in day out, hoping nobody notices or asks questions. When people ask how we’re doing, we do the polite thing and reply with “I’m fine”. Leaving the burden of IBS to be dealt with alone…​​​​​​​​​​​​​​​​​​​​​​​​
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🤔 But what about instead of struggling alone in silence, you embody the Take Control Method whereby you prioritise emotional support. Open up to a friend, a colleague or a loved one - problem shared is a problem halved. ❤️​​​​​​​​​​​​​​​​​​​​​​​​
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🎉 🎉 Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning routine guide! Link in bio.⠀⠀⠀⠀​​​​​​​​​​​​​​​​
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💩💩 Check out my new gut health advice in the 💩💩 Check out my new gut health advice in the @guardian

Link in stories 😊
CAN YOU RELATE? Comment below👇 ​​​​​​​​
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😭 Do you feel like you've lost the previous you? You're trying to shove your symptoms & feelings under the rug. This takes a toll on not only your physical but also your mental health.​​​​​​​​
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Your feelings ARE validated. Being open about your feelings instead of hiding them can allow you to receive the support you need. By taking this approach, you won't have to fight this battle alone ❤️​​​​​​​​
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🎉 Fed up trying everything you can, but nothing seems to be working? Download my FREE morning routine guide! Link in bio. ​​​​​​​​​​​​​​​​
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Post credits to @the_migraine_life​​​​​​​​
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#ibs #irritablebowelsyndrome #fodmap #lowfodmapdiet #lowfodmaprecipes #guthealth #guthealthy #gut #ibsdietitian #ibsdietician #ibsdiet #ibsfood #guthealthy #guthealthdiet #guthealthiskey #fodmapfree #chronicillness
💩💩 30% of people in this study who were diag 💩💩 30% of people in this study who were diagnosed with IBS-D were found to have bile salt malabsorption.

🤓 Bile salts are needed in digestion to break down fats. After the salts have been used they are recycled and when this process is broken you can end up with inadequate amounts of bile acid available. This means that your dietary fat is unable to be broken down and you can end up with loose stools.

➡️ If you have watery stools 3 or more times a day and have IBS please mention this to your doctor 🙏.

📚 DOI: 10.1111/apt.13227

#theibsdietitian #irritablebowelsyndrome
Do you have these symptoms? Comment below ⬇️ ​​​​​​​​​
🤔 Endometriosis is when the lining of the uterus is found in other areas of the body. Many IBS symptoms are also symptoms of endometriosis, so it often is misdiagnosed as IBS. Unfortunately, many women wait 7-10 years before a diagnosis.

🙋‍♀️ Interestingly, following the low FODMAP diet for 4 weeks showed a 50% improvement of symptoms in 72% of women who suffer from endometriosis. However, please consult a doctor for a proper diagnosis and a dietitian before following a restrictive diet!

🩸ALWAYS mention any unusual period-related symptoms to your doctor!

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😭 Can you relate? Comment below 👇 ​​​​​​​​​​​​​​​​​​​​​​​​
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😢 Having IBS can really take a toll on your mental health. In turn your IBS can cause anxiety and your anxiety can then cause IBS symptoms leading to a viscous cycle. Your fears are REAL and they are VALID and they can be really debilitating! IBS can impact so many aspects of your life big and small! ⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​​
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🤔 But what if you no longer had to deal with any of these fears and could get your symptoms under control! Instead of continuing with these behaviours adopt the take control method of social support and open up about your IBS to someone!⠀⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​​
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🎉 Fed up of trying everything you can but nothing seems to be working? Download my FREE morning routine guide! Link in bio. ​​​​​​​​​​​​​​​​
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Do you suffer from bloating? ❤️ SAVE THIS CHEC Do you suffer from bloating? ❤️ SAVE THIS CHECKLIST ​​​​​​​​​
Bloating can impact our daily lives - lower our self-esteem as we look like 9 months pregnant and trying to find loose clothing to wear 😫

💨 Wouldn’t it be amazing if we could beat the bloat? These 8 tips are based on the Take Control approach, which can help you to lessen the bloat and ultimately let you achieve symptom relief 😮‍💨

🎉 Tired of advice that just doesn't work? Download my FREE IBS morning routine! Link in bio.​​​​​​​​

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Can you add any more? Comment below!👇👇​​ Can you add any more? Comment below!👇👇​​​​​​​​​​​​​​​​​​​​​​​​
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😥 IBS has widespread implications on our overall health and well-being and it can feel like a never ending battle.​​​​​​​​​​​​​​​​​​​​​​​​
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😊 Our gut health plays a big role in our overall health and well! The Take Control Method focuses on all aspects of well-being not just nutrition! ​​​​​​​​Sleep, movement and mental health optimisation are just as important!​​​​​​​​ This this can help you achieve that ultimate symptom relieve! ​​​​​​​​​​​​​​​​
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👏👏Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​​​​​​​​​
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💩 What movement are you planning today? Comment 💩 What movement are you planning today? Comment below👇

➡️ Did you know that regular movement has been proven by research to improve IBS symptoms?

➡️ I use the term 'movement' in my Take Control method because we have already built up so many negative emotions and ideas around 'exercise.'

💩 Movement should be daily and can be anything from an HIIT class to simple stretches.

➡️➡️➡️ For more tips like this one, check out my FREE IBS morning routine guide (link in the bio) 

#theibsdietitian #lowfodmapdiet #irritablebowelsyndrome
🙏 Thank you Joanita for sharing your experience 🙏 Thank you Joanita for sharing your experience (of not only surviving cancer but also controlling your IBS all whilst being a very successful, career driven person).

👉 Always be aware that this is Joanita's personal story and can not be used as a guarantee of outcome.

#theibsdietitian #lowfodmapdiet
Do you suffer from IBS-D? Comment below 👇👇​​​​​​​​
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Diarrhoea is a common symptom of IBS (IBS-D). Some symptoms include loose stools, an urgency to poop, bloating, gas (and more 😫). However, the fear of not knowing when the symptoms strike can cause anxiety and affect your day to day life! 😰​​​​​​​​
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Adopting the Take Control 2.0 process by 1/looking at ways to reduce stress which will reduce your gut sensitivity + 2/using the low FODMAP diet to identify exact triggers can give you clarity. Ultimately, this can give you more control of your symptoms.✌️​​​​​​​​
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🎉 Fed up with trying everything, but nothing is working? Download my FREE IBS morning guide! Link in bio.​​​​​​​​
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#ibsdiet #ibs #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #diarrhoea #diarrhoeatips #diarrhea #diarrheatips #gutmicrobes #gutscience #healthylife #irritablebowelsyndrome #fodmapfree #healthygut #goodguthealth #gutfood #fermentedfoods #trustyourgut #chronichealth #microbiome #dubaidietitian #londondietitian
CAN YOU RELATE? What else do you find hard? Commen CAN YOU RELATE? What else do you find hard? Comment below 👇​​​​​​​​​
We often suffer in silence and feel scared to open up to others, fearing that they won't understand. 😔This can take a toll on our relationships and knock back our self-esteem and confidence 😥

It can be lonely trying to tackle these symptoms alone. Taking the first step is always the hardest.😣 Adopt the Take Control approach of social support and pick a person that you feel confident to open up to and this can you feel a little less isolated ❤️
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🎉 Feeling like nothing is helping your symptoms? Download my FREE IBS morning routine - Link in bio.

#ibssupport #ibshelp #ibsdiet #ibs #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #irritablebowelsyndrome #fodmapfree #healthygut #goodguthealth #gutfood #fermentedfoods #trustyourgut #chronichealth #microbiome
🤔 What would you add to your IBS wish list? Com 🤔 What would you add to your IBS wish list? Comment below? 👇👇​​​​​​​​​​​​​​​​​​​​​​​​
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😫 IBS can be a debilitating condition that can impact different aspects of your life, both big and small. Even the simplest of tasks may seem so challenging when you have IBS and this often leaves us wishing for some form of normality!​​​​​​​​
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🙏🏻 By using the Take Control 2.0 approach, you can learn how to turn these wishes into reality - making you feel like yourself again. ​​​​​​​​
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👉 🎉 🎉 I am giving away a FREE IBS morning routine guide which you can download via the link in my bio.​​​​​​​​​​​​​​​​
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#ibswishlist #ibswishes #ibs #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #bloating #irritablebowelsyndrome #ibscommonwishes #healthygut #goodguthealth #gutfood #fermentedfoods #trustyourgut #chronichealth #microbiome #dubaidietitian #londondietitian #dubai
🤔 Comment below if you can relate to this - you 🤔 Comment below if you can relate to this - you feel like NOTHING works?

👉👉 The number one mistake I see people making is that they try to make IBS more simple than it is. They think perhaps the low FODMAP process will resolve their issues or simply meditation daily. But IBS is a multifactorial condition and so we need to tackle it from multiple angles.

🙏 Instead of continuing down this path which isn't working, try downloading my FREE IBS morning routine which gives you an example of how you can tackle IBS from various angles to get good results (link in bio).

#theibsdietitian #lowfodmapdiet
Comment if you can relate⬇️⬇️​​​​​​​​
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💩IBS can come with a range of different symptoms - all which can really influence your day to day life. Being told that your results are ‘perfectly normal’ can sometimes feel like a knock back - it can make you feel as though you are lost, frustrated and confused. ​​​​​​​​
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🙋‍♀️Instead of having no 'next step' to help you control your IBS symptoms, join me next week as I will be hosting a FREE IBS Master Class - 3 ways to avoid IBS flare ups so that you don't need to deal with the uncertainty anymore. ​​​​​​​​
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🔗Link to sign up can be found in my bio​​​​​​​​
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Post credits to myibslife​​​​​​​​
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#ibs #lowfodmapdiet #guthealth #probiotics #bloating
💩 Relate? 🤔 Yes 'stress' can cause IBS symp 💩 Relate?

🤔 Yes 'stress' can cause IBS symptoms but simply being told to manage this is not helpful.

🙏 Instead please consider stress as part of a normal life, we can't avoid it. But we can use certain management techniques to help us reduce the impact of stress on our body such as meditation or through working with a CBT therapist.

👉👉 If you would like further support with your IBS then don't forget to download our free IBS morning routine (link in bio)

#theibsdietitian #lowfodmapdiet #irritablebowelsyndrome
WHAT ELSE CAN YOU ADD TO THIS?​​​​​​​​​​​​​​​​
COMMENT BELOW 👇 ​​​​​​​​​​​​​​​​
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😩 Time and time again I have said IBS is not just about the symptoms…it is about how the symptoms impact your life. AND, they impact every part of it, even the bits others find simple. For example, cancelling plans last minute or not being able to find a toilet in public. ​​​​​​​​​​​​​​​​
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🤔 Can you imagine a life where you IBS is under​​​​​​​​​​​​​​​​
control and no longer having to worry about these daily struggles. There are multiple tips to manage your symptoms from The Take Control approach which can give you guidance on how to make small life changes to get big results and achieve that ultimate symptom management.❤️​​​​​​​​​​​​​​​​
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👏👏 Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​
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#ibs #irritablebowelsyndrome #ibsstruggles​​​​​​​​​​​​​​​​
#ibsdiet #foodanxiety #chronichealthcondition​​​​​​​​​​​​​​​​
#chronicallyunwell #bodyimage #celebratingwomen​​​​​​​​​​​​​​​​
#foodbaby #bodyimage #ibstriggers #lowFODMAPdiet​​​​​​​​​​​​​​​​
#fodmapfree #lowFODMAP #ibs #ibs​​​​​​​​​​​​​​​​
#irritablebowelsyndrome #anxiety #ibsstruggles
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This website uses cookies to improve your experience while you navigate through the website. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. We also use third-party cookies that help us analyze and understand how you use this website. These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies. But opting out of some of these cookies may affect your browsing experience.
Necessary
Always Enabled
Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information.
Non-necessary
Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website.
SAVE & ACCEPT