FIX MY BELLY

A Guide to Leaky Gut

Do You Have a Leaky Gut?

So, you have a “leaky gut?” 

Or maybe, you think you do.

You suffer from issues such as constipation, diarrhea, abdominal pain, bloating, cramps, fatigue, brain fog, etc. 

Or perhaps, you think you have (or have been told you have) Inflammatory Bowel Syndrome (IBS), Colitis, Celiac, Crohn’s, or any other digestive-related condition.

Well, it doesn’t matter, because regardless of what digestive problem you have, you’ll benefit from the information here.

In this guide, we’ll define a leaky gut, discuss the symptoms and potential causes and management techniques, which may help you heal your gut. 

Now, before we get ahead of ourselves, let’s first discuss our gut. How does it get leaky anyway?

Defining Leaky gut

What's The Digestion Process? 

The digestion process starts right in your mouth.

After swallowing, food travels down to your esophagus, then goes into your stomach, followed by your small and large intestines.

Finally, this goes to your rectum and ultimately, waste passes through your anus when you go to the bathroom.

WebMD's illustration of the digestive process.

What's a Leaky Gut?

While the term “Leaky gut” itself is relatively new, there is a lot of research and focus going into the ailment as of late. 

But what exactly does it mean?  

Leaky gut, or, intestinal permeability, is what happens when there are holes or openings in your intestinal wall. This can be dangerous as it allows bacteria, toxins, or undigested food to get into your bloodstream.

How Can Leaky Gut Affect Your Life?

There are several ways that a leaky gut can affect your life. Depending on each person, these can be anything from minor daily annoyances to major struggles when going about your day-to-day life (physical and/or mental). These can include: 

  • Diarrhea
  • Constipation
  • Gas
  • Nausea
  • Abdominal pain
  • Vomiting
  • Brain fog
  • Allergies
  • Skin problems such as acne
  • Scattered thoughts
  • Fatigue
  • Depression
  • Anxiety

In addition, leaky can also be confused with and also linked to other potential diseases, such as:

  • IBS
  • Crohn’s Disease
  • Celiac Disease
  • Colitis 
  • Diabetes  
  • Lupus  
  • Autistic Spectrum Disorder (ASD) 
  • Dementia
  • Alzheimer's disease
  • Schizophrenia

Addressing the Criticism - Does Leaky Gut Even Exist?

Based on the factors mentioned above, leaky gut can significantly impact your daily life. This is why you want to start managing the condition as soon as possible. 

You'll notice that many of the symptoms experienced with leaky gut are consistent with other digestive conditions - such as  IBS, Crohn’s, Colitis, etc. This fact, coupled with the fact that as of this time, there isn't much research supporting leaky gut, has led to many people questioning the illness itself. 

It’s important to address this issue head-on because it essentially questions the legitimacy of leaky gut syndrome and the thinking is logical. 

This is why research, data, and studies from those in the scientific and medical communities is used in this guide. As of 2022, there have been a wide range of studies exclusively focusing on leaky gut syndrome and/or referencing intestinal permeability. You’ll also find the term being used more often in new articles as well. 

Next, leaky gut syndrome does have similar signs as other digestive illnesses. However, that doesn’t mean that the illness doesn’t exist. By this logic, Crohn’s Disease and Ulcerative Colitis also have similarities, and therefore, only one of them must be a true illness, which doesn't make sense. 

Also, it must be mentioned that many people who have digestive issues are sometimes completely clueless about their illness or have been misdiagnosed with some other disease. By understanding leaky gut syndrome, they may find that their symptoms are more in line with this particular condition than other digestive diseases. 

Ultimately, criticism of any new ailment is to be expected. Especially if it can be used to make money - which is almost always the case. We also shouldn’t want people in society to create illnesses without any scientific or medical backing. That said, over recent years, leaky gut syndrome continues to see more legitimacy and discrediting the condition can be detrimental to those who genuinely live with this disorder.

Causes of Leaky Gut

Generally, there are three main groups which are said to cause leaky gut.

  1. Bacterial infections 
  2. Stress 
  3. Food 

Causes of Leaky Gut
These are the 3 main causes of leaky gut for most people.

Bacterial Infections

If you have a leaky gut, there’s a chance that you may have some sort of an infection (Source). You might already be familiar with how you can get an infection - bacteria, viruses and parasites. 

Common types of intestinal infections include:

  1. Small Intestinal Bacterial Overgrowth (SIBO)  
  2. Campylobacter
  3. Escherichia coli (E. coli)
  4. Rotavirus
  5. Salmonella 
  6. Helicobacter pylori (H. pylori)

Stress

We have written extensively on stress and leaky gut but it's important to note that stress is not a one-way street. You may have a digestive disorder because you’re stressed and you’re probably also stressed because you have a digestive disorder! 

In fact, we know that sometimes, when we’re stressed, we’ll go for that comfort food and sugary goods. These are all things which may negatively affect your gut bacteria and ultimately, lead to a leaky gut. 

On the other front, research also shows that stress and depression lead to inflammation, which can cause a significant attack from bad bacteria. 

In addition, a study done on university students found that good bacteria decreased over time during a semester as stress levels also increased. 

Finally, as people become more stressed, they tend not to make the best diet sources, which in turn, can cause reactions, inflammation, and issues with digestion - all contributing to a leaky gut. 

To sum it up, the key learning is that stress needs to be minimized as much as possible to heal your gut. This is because: 

  • Stress causes inflammation in your body, which leads to an explosive growth of bad bacteria 
  • At the same time, the healthy bacteria are also diminished as stress increases 
  • A stressed life leads to unhealthy food choices, further contributing to a poor gut flora  

Foods

When it comes to leaky gut, most people think of food sensitivities or allergies immediately because the illness is related to the digestive system.

Having said that, we want to preface this section by stating that this will be about the most common foods attributed to causing leaky gut. In the Diets for Leaky Gut section below, you will learn about various diets which have shown to be effective for many people.

Foods which are said to most commonly contribute to intestinal permeability or leaky gut include:

  • Gluten
  • Dairy Products
  • Sugars
  • Alcohol
  • Processed food and junk food

Gluten

Gluten is a type of protein which is found in grains such as wheat, rye, and barley.

Gluten is an interesting case because there isn’t a definitive agreement on its effects. This is unlike sugars and alcohol, which most people know isn’t generally good for you.

Some believe that gluten should be avoided by those only with an allergy or intolerance, such as those who suffer from celiac disease. This makes sense because gluten is generally found in things that people have been eating for centuries. Others, however, will claim that it should be avoided altogether.

As always, our recommendation is to be effective and efficient.

If you’re noticing symptoms of leaky gut when eating gluten-containing food, then you should get checked for celiac disease.

If you don’t test positive but still experience the unpleasant symptoms, you will need to eliminate gluten in your diet for at least two weeks.

If you notice that your symptoms have improved, then you will look to exclude gluten from your diet  in the long-term. If this change did not improve your symptoms, you may benefit from minimizing gluten intake, but at this point, you know that this isn’t the main cause of your leaky gut.

In a 2018 study, a group of Danish patients saw that by limiting their gluten, they saw improvements in their bloating (source).

Interestingly enough, another study saw patients with IBS had seen a reduction in their symptoms after limiting gluten and others saw a significant reduction after removing gluten and limiting other foods (source). This is indicative that for many people, it won’t be a single change which will provide you with the best results.

Dairy

When it comes to dairy, many people have a sensitivity to lactose, a sugar, found in milk. In fact, this sensitivity is found in many adults worldwide, who don’t have a leaky gut or any other intestinal issues.

Again, following the same approach as mentioned above, you want to be smart. The first and easiest course of action is to take a test. In this case, you can see if you’re able to get a Lactose Hydrogen Breath Test. If this doesn’t help you, you’ll follow the same principle as we did with gluten, you will need to cut out dairy and personally keep track of the impact on your symptoms.

As a note, one needs to keep in mind that while limiting dairy/milk consumption may prove to reduce your leaky gut symptoms, it’s important that you don’t fall behind in terms of getting your vitamins and nutrients - particularly calcium, in this case.

In addition, many people find that while they may have a sensitivity to milk, they are able to digest yogurt. This is particularly important for those with a leaky gut because yogurt contains probiotics, which we showed can help significantly reduce your symptoms.

Sugars

It’s been said that excessive sugar in the body can contribute to candida overgrowth (Source). This shouldn't come as a surprise as we generally know that sugar is unhealthy.

Another study showed that a high-sugar diet can modify and alter the make-up of bacteria, and therefore have a pro-inflammatory effect (Source).

Again, the implication here is a very simple one - we need to keep our sugar levels in check.

Alcohol

Alcohol is one of the items that is the most straightforward. The upside to alcohol is that it can be helpful in social settings, however, apart from this factor, there aren’t many others which hold weight. And, on the other hand, there is far much more downside - everything from impaired driving to liver issues, high blood pressure, and various diseases and cancers.

In a nutshell, it’s fully understandable that depending on your personal and professional life, it may be difficult to abstain from alcohol completely, however, you may want to consider limiting, if not removing, alcohol from your diet.

That said, because we’re focus on gut health here, we’ll go ahead and discuss the impact alcohol can have on your health.

Here are some concerning findings (Source):

  • A 2011 study showed that red wine consumption did have a negative impact on intestinal permeability and may be a long-term risk for IBD.
  • It’s possible that gut inflammation caused by alcohol may lead to liver injury as the toxins start entering your liver.
  • Intestinal permeability from alcohol may also lead to cognitive and psychological issues, in addition to contributing to anxiety and depression problems.

If that wasn't scary enough, a separate study was done which showed that alcohol can lead to changes in the stomach which may lead to gastric cancer! (Source)

Processed and Junk Food

This one is very simple because it’s self-explanatory and follows the categories above well.

Regardless of leaky gut, we all know that we should limit processed and junk food. The reason is because oftentimes, it not only includes most of the items we mentioned above (gluten, dairy, sugars, and alcohol), but other ingredients, which allow it to be produced more cost-effectively and taste better! You know what they say, if it sounds too good to be true, it probably is.

Most of the population shouldn’t be eating processed and junk food anyway, but as someone with a leaky gut, unfortunately, you are at a further disadvantage.

The approach here will be to reduce your intake of processed and junk food as much as possible. To reduce or completely give up processed and junk food is definitely said than done. We all have those ice cream cravings. Here are some tactics which have helped me with cravings.

How to Deal with Food Cravings 

If you suffer from leaky gut syndrome or any digestive health issue, abstaining from food can seem extremely discouraging. For the regular average person who doesn't face these issues, limiting things like pizza and ice cream can be tough. Now, add on dairy, gluten, alcohol and other random foods, and you got yourself a nightmare!

Having said that, there's no need to feel discouraged. With a proper plan and most importantly, attitude, you can put yourself in the best position to succeed and we'll show you how.

It starts with environment and attitude and recognizing that you should not use willpower but should use vanity as much as possible! 

Say what!?

What this means is that by learning about your insensitivities and triggers, continuously learning about your condition, you'll naturally make healthier choices without putting in much effort. For example, it may seem hard at first to avoid eating pizza and going to exercise. However, you may find that you enjoy the feeling of not having issues after avoiding pizza. Also, if you're a person who benefits from physical activity, then you might naturally become addicted to it. All the while that you're doing these things, we hereby give you permission to get a little ego boost from your progress!

The visual snapshot below is to provide you with a framework on how to deal with cravings. It won't be perfect but the idea to give you make you feel good about your success, which will lead to more success!

How to Deal with Food Cravings

 

Physical Activity and Diet

While we’re going to discuss various ways to manage and deal with leaky gut (or other digestive issues), the term “treatment” has to be used loosely. This is because there isn’t a clear-cut answer on complete treatment yet as we are still in the early stages of understanding the illness itself. 

Also, because of the lack of information available, treatment depends heavily on proper diagnosis. For instance, many people may claim to have “cured” their leaky gut, however, it’s possible that they eliminated dairy from their diet and were actually lactose-intolerant, which then, reduced their symptoms. 

All that said, even if you’re able to find management techniques, you may find that your life can improve significantly.

Exercise

As a general rule, incorporating physical activity in your life is encouraged as part of healthy living. However, when it comes to a leaky gut, you may have to take a few things into consideration due to the condition of your digestive system. In fact, based on how long you’ve had leaky gut and your age, you may already know your limitations (if any). First, what do you currently do for physical activity?

For example, if you're an athlete who has had leaky gut issues for some time now, you probably know your limitations. That said, you may still benefit from some of the takeaways here. On the other hand, if you live a more sedentary type of lifestyle, then the recommendations below may be more useful for you.

Exercise has been shown to improve gut bacteria by helping with diversity and motility (Source). This makes sense because the more you move, the more you move things around in your body, which...helps you go!

Depending on your symptoms, you may benefit from certain stretches for your leaky gut as well.

To understand and apply exercise in our lives, we have to remain cognizant of our digestive health. It helps to filter exercise by intensity levels.

Exercise intensity can be categorized into 3 main areas (low, medium, and high). The table below shows examples of each intensity-level of exercise.

Low IntensityMedium IntensityHigh Intensity
Spending 10-30 minutes walking at a regular paceWeight-liftingRunning at a fast pace
A few swimming laps at a regular paceJogging Jumping rope
Tai-chiCyclingElliptical at a fast pace
YogaDancingStair-climbing

One thing to note: any exercise program that requires high energy to perform activities, with short resting periods, and often until exhaustion is defined as high-intensity, and high-intensity has been known be very stressing on the bodies of those with digestive issues.

Again, this is different for everyone. However, as a general case, the recommendation is to start with low intensity exercises. This could just be a 20-minute walk in the afternoon.

Then, you will want to gradually progress to medium intensity and ultimately, try out some high-intensity exercise.

Please note that this does not mean that you need to exercise at a high intensity for your gut health to see benefits. In fact, this may even be detrimental at times. As we saw in our l-glutamine post, excessive physical activity can reduce glutamine levels in your body.

 

The most important thing is that you get physically active (whatever this means for you). Working through the intensity levels should be viewed as a more general fitness goal (if you decide that it’s for you).

As a final note before we dive into the diets, is that, generally speaking, if you’re able to maintain a physically active lifestyle (as best as you can), and stay in shape, you are in the best position to combat a digestive disorder.

Diets for Leaky Gut

Many of those who suffer from digestive disorders have cited several diets as helpful. It's important to remember the reason why this is the case. When it comes to leaky gut or digestive health, there is no one-size-fits-all. Every "body" is different.

That said, the diet you will need should meet the following four criteria:

  1. Maximizes nutrition
  2. Minimizes symptoms
  3. Relatively cost-effective
  4. Helps you maintain a healthy and fit body

How to Diet for Leaky Gut

Generally speaking, by definition, if you’re only selecting foods in your diet which maximize your nutrition, it’ll be significantly easier to maintain a healthy and lean body. Naturally, if foods are meeting all four of these criteria, they are going to be gut healing foods for you. 

Diets for "leaky gut" will be similar to diets for any digestive disorders (such as a diet for IBS, or an ulcer diet) because we're targetting the digestive system and learning how to heal your gut. As such, we’ll look at some popular diets for gut issues.

As mentioned earlier in this guide, before you start any diets, you want to make sure all of your tests are complete. This is because they might provide you a sense of any allergies or intolerances. For instance, if you test positive for celiac disease, then you already know that you’ll need to avoid gluten.

Finally, many people find that leaky gut supplements and herbs help their leaky gut symptoms.

That said, you'll want to have a diet plan first as a foundation before looking into supplements and this is what will be covered for the rest of this guide. Through this journey, you'll learn how to heal your gut.

While we previously discussed the types of foods you want to avoid, here are some popular diets for leaky gut below.

FODMAPs

FODMAPs stand for:

  • Fermentable
  • Oligosaccharides
  • Disaccharides
  • Monosaccharides
  • And
  • Polyols

While this definition might sound daunting, it’s very straightforward! FODMAPs are basically types of carbs, which can cause irritation and symptoms for some people.

As such, many individuals have seen improvements in their Leaky Gut symptoms by following a low-FODMAP diet.

One thing to note here is that experts suggest that a low-FODMAP diet be only followed for a short-period of time. Generally, this is anywhere from two to six weeks.

Fiber

Fiber and digestive health can become very interesting and complex. This is because some people can introduce a high-fiber diet and see benefits in their symptoms, while others may see them worsen. In addition, some can follow a low-fiber diet, and also see improvements in their digestive health, while this can be disastrous for someone else.

Generally speaking, the people who benefit from a high-fiber diet mainly suffer from constipation, while the people who benefit from a low-fiber diet mainly suffer from diarrhea. All this said, in keeping with the theme at Fix My Belly, you’ll want to try both approaches and determine how you react.

Keto

The ketogenic diet (or called “keto”) is a low-carb and high-fat diet.

The idea is that if you restrict carbs, your body will not have enough glucose to use as energy and when this happens, your body creates an acid called ketones. Basically, this means that your body is using fat instead of carbs as fuel.

Studies have shown that a carb-limiting diet can be very beneficial for several ailments and diseases, including leaky gut (Source). By definition, many people reduce/eliminate dairy and gluten from their diets, which are known to be problematic for some. If you benefit from excluding all these types of food, then you'll be left with gut healing foods that work for you.

In addition, many have found the keto diet to be anti-inflammatory, which also helps promote weight loss.

That said, we must also look at the caveats. For some people who suffer from digestive issues, a high-fat diet may take some time for the body to adjust, and it's possible that it may not suit them at all because foods high in fats can be triggering.

Paleo

If you’ve ever heard someone say that they’re following a diet which is similar to “how we’re supposed to eat” or like “we did thousands of years ago,” chances are that you’re talking to someone who’s following the paleo diet!

In a nutshell (no pun intended), a paleo diet mainly consists of meats, vegetables, nuts, and seeds.

In the paleo diet, you restrict or avoid dairy, grains, sugars, and legumes.

Generally speaking, removing dairy, grains, and sugars is consistent across a few diets for leaky gut and removing these should be beneficial.

However, similar to other diets, you should be exploratory with the paleo diet as well and see if it works for you. This is because as you will see, diets are subjective.

For example, many people are reactive to vegetables and nuts. In this case, the paleo diet no longer applies. On the other hand, some people have no issues with dairy and therefore would lose out on the nutritional content from these products unnecessarily.

Vegan

Veganism is a fairly popular diet. Even if you don’t have any gastrointestinal issues or leaky gut, you probably have heard of this diet. For many, it can even be considered a lifestyle.

Veganism means avoiding all food derived from animals - this includes dairy, meats, and eggs.

At this point, you’ve probably come to recognize the theme when it comes to diets: different people will react to different things. The vegan diet is a prime example here. There are various personal accounts and studies where people have seen improvements in their gut health from a vegan diet (Source).

On the other hand, there are also people who have publicly voiced that the vegan diet was very detrimental to their gut health (Source).

Carnivore

The carnivore diet is exactly what it sounds like - you eat like a carnivorous animal! This means that you eat only animal products - this means you may only consume meat, eggs, fish, and some dairy.

Generally, for most people, this diet may not appear “healthy” or optimal for a variety of reasons. For example, higher intakes of meats are said to have correlations with cardiovascular diseases and other illnesses such as gout. In addition, avoiding vegetables and fruits completely may restrict you from valuable vitamins and minerals. However, for some people, the carnivore diet has very beneficial as they believe that due to the body's way of digesting meat, it's a natural gut healing food which gives the digestive system a break. For example, famous podcaster Joe Rogan, did a carnivore diet for a month in early 2020 and reported positive results with reduced inflammation.

All this said, the idea of a carnivore diet is a relatively newer concept so there hasn’t been significant research just yet. For the reasons mentioned above, it’s possible that many dismiss it as a true “diet” and therefore, it’s given little scientific or medical attention.

How Shoud I Diet for Leaky Gut?

As mentioned above, there are several diet plans which a person may follow. To say that X diet plan is the best is wrong and not helpful. You will need to learn to work with and understand your body. Over time, you'll recognize which sorts of foods are the culprits.

You may also find that you slightly fit into one diet plan and slightly into another. For example, you may find that the FODMAPs diet is best for you. On the other hand, you may find that vegan tends to work best for you, but you’re able to incorporate salmon. This is fine. The goal isn't to commit to a  community, it's to better manage your symptoms while remaining healthy.

One should always aim for an anti-inflammatory diet. While it's obvious that most junk food may have inflammatory properties, your body will tell you how it reacts to various foods. It's for you to explore.

The visual below showcases how you want to find your anti-inflammatory diet plan. The goal is to test as much as possible, as quickly as possible. Then, you’ll have a foundational diet with gut healing foods.

Anti Inflammatory Diet
A reference for you to understand the most common "diet plans" and find your anti-inflammatory diet.

References 

Mu, Q., Kirby, J., Reilly, C. M., & Luo, X. M. (2017, May 23). Leaky gut as a danger signal for autoimmune diseases. Frontiers in immunology. Retrieved January 1, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440529/ 

Mu, Q., Kirby, J., Reilly, C. M., & Luo, X. M. (2017, May 23). Leaky gut as a danger signal for autoimmune diseases. Frontiers in immunology. Retrieved January 1, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440529/

Hansen, L. B. S., Roager, H. M., Søndertoft, N. B., Gøbel, R. J., Kristensen, M., Vallès-Colomer, M., Vieira-Silva, S., Ibrügger, S., Lind, M. V., Mærkedahl, R. B., Bahl, M. I., Madsen, M. L., Havelund, J., Falony, G., Tetens, I., Nielsen, T., Allin, K. H., Frandsen, H. L., Hartmann, B., … Pedersen, O. (2018, November 13). A low-gluten diet induces changes in the intestinal microbiome of healthy Danish adults. Nature communications. Retrieved January 1, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234216/

Usai-Satta, P., Bassotti, G., Bellini, M., Oppia, F., Lai, M., & Cabras, F. (2020, April 17). Irritable bowel syndrome and gluten-related disorders. Nutrients. Retrieved January 1, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231142/

Hills, R. D., Pontefract, B. A., Mishcon, H. R., Black, C. A., Sutton, S. C., & Theberge, C. R. (2019, July 16). Gut microbiome: Profound implications for diet and disease. Nutrients. Retrieved January 1, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6682904/

Satokari, R. (2020, May 8). High intake of sugar and the balance between pro- and anti-inflammatory gut bacteria. Nutrients. Retrieved January 1, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284805/

Bishehsari, F., Magno, E., Swanson, G., Desai, V., Voigt, R. M., Forsyth, C. B., & Keshavarzian, A. (2017). Alcohol and gut-derived inflammation. Alcohol research : current reviews. Retrieved January 1, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5513683/

Ma, K., Baloch, Z., He, T.-T., & Xia, X. (2017, January 14). Alcohol consumption and Gastric Cancer Risk: A meta-analysis. Medical science monitor : international medical journal of experimental and clinical research. Retrieved January 1, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5256369/

Monda, V., Villano, I., Messina, A., Valenzano, A., Esposito, T., Moscatelli, F., Viggiano, A., Cibelli, G., Chieffi, S., Monda, M., & Messina, G. (2017). Exercise modifies the gut microbiota with positive health effects. Oxidative medicine and cellular longevity. Retrieved January 1, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5357536/

Peter J. Turnbaugh, Ph.D., associate professor, Department of Microbiology and Immunology, University of California, San Francisco; Lona Sandon, Ph.D., MEd, R.D.N., L.D., program director, and assistant professor, Department of Clinical Nutrition, School of Health Professions, University of Texas Southwestern Medical Center at Dallas; May 20, 2020,Cell

Tomova, A., Bukovsky, I., Rembert, E., Yonas, W., Alwarith, J., Barnard, N. D., & Kahleova, H. (2019, April 17). The effects of vegetarian and vegan diets on gut microbiota. Frontiers in nutrition. Retrieved January 1, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6478664/

Alkayat, Y. (2018, October 30). 'how my vegan diet ruined my gut'. bodyandsoul. Retrieved January 1, 2022, from https://www.bodyandsoul.com.au/nutrition/how-my-vegan-diet-ruined-my-gut/news-story/d4b4fbd47581301e965d0d6a3d61cf4f