Leaky Gut or Permeable Bowel Syndrome
Editor's Note
When your body's pH balance becomes acidic, your immune system is compromised
and the natual balance of yeast and bacteria in your body can change
from beneficial to harmful. Your immune system cannot correct this imbalance,
and the result is candida albicans overgrowth. It comes with a very
long list of discomforts and diseases.
Learn about Balancing Your Body's pH
Learn about Candida Albicans
Morphing into this new harmful form, candida develops long burrowing
legs that are invasive and penetrate into your intestines, breaking
down the barrier between intestinal toxins and your bloodstream. This
is Leaky Gut Syndrome. Toxins from your intestines to travel into your
bloodstream, creating all sorts of health problems. And candida now
has access to your whole body.
Your liver and immune system must deal with these toxins, so they
get stressed, overloaded and clogged, as does your lymphatic system
due to partially digested fats. Digestion slows down even further and
you end up with a vicious cycle that creates even more candida and liver
congestion.
Learn about Cleansing and Detoxification
Learn about the Diet for Candida Albicans
Leaky Gut or Permeable Bowel Syndrome
by Zoltan P. Rona MD, MSc
The leaky gut syndrome is the name given to a very common health disorder
in which the basic organic defect (lesion) is an intestinal lining which
is more permeable (porous) than normal. The abnormally large spaces
present between the cells of the gut wall allow the entry of toxic material
into the bloodstream that would, in healthier circumstances, be repelled
and eliminated. The gut becomes leaky in the sense that bacteria, fungi,
parasites and their toxins, undigested protein, fat and waste normally
not absorbed into the bloodstream in the healthy state, pass through
a damaged, hyperpermeable, porous or "leaky" gut. This can
be verified by special gut permeability urine tests, microscopic examination
of the lining of the intestinal wall as well as the bloodstream with
phase contrast or darkfield microscopy of living whole blood.
Why is The Leaky Gut Syndrome Important?
The leaky gut syndrome is almost always associated with autoimmune disease
and reversing autoimmune disease depends on healing the lining of the
gastrointestinal tract. Any other treatment is just symptom suppression. An
autoimmune disease is defined as one in which the immune system makes antibodies
against its own tissues. Diseases in this category include lupus, alopecia
areata, rheumatoid arthritis, polymyalgia rheumatica, multiple sclerosis,
fibromyalgia, chronic fatigue syndrome, Sjogren's syndrome, vitiligo,
thyroiditis, vasculitis, Crohn's disease, ulcerative colitis, urticaria (hives),
diabetes and Raynaud's disease. Physicians are increasingly recognizing the
importance of the gastrointestinal tract in the development of allergic or
autoimmune disease. Understanding the leaky gut phenomenon not only helps us see
why allergies and autoimmune diseases develop but also helps us with safe and
effective therapies to bring the body back into balance.
Due to the enlarged spaces between the cells of the gut wall, larger than
usual protein molecules are absorbed before they have a chance to be completely
broken down as occurs when the intestinal lining is intact. The immune system
starts making antibodies against these larger molecules because it recognizes
them as foreign, invading substances. The immune system starts treating them as
if they had to be destroyed. Antibodies are made against these proteins derived
from previously harmless foods.
Human tissues have antigenic sites very similar to those on foods, bacteria,
parasites, candida or fungi. The antibodies created by the leaky gut phenomenon
against these antigens can get into various tissues and trigger an inflammatory
reaction when the corresponding food is consumed or the microbe is encountered.
Autoantibodies are thus created and inflammation becomes chronic. If this
inflammation occurs in a joint, autoimmune arthritis (rheumatoid arthritis)
develops. If it occurs in the brain, myalgic encephalomyelitis (a.k.a. chronic
fatigue syndrome) may be the result. If it occurs in the blood vessels,
vasculitis (inflammation of the blood vessels) is the resulting autoimmune
problem. If the antibodies end up attacking the lining of the gut itself, the
result may be colitis or Crohn's disease. If it occurs in the lungs, asthma is
triggered on a delayed basis every time the individual consumes the food which
triggered the production of the antibodies in the first place. It is easy to see
that practically any organ or body tissue can become affected by food allergies
created by the leaky gut. Symptoms, especially those seen in conditions such as
chronic fatigue syndrome, can be multiple and severely debilitating.
The inflammation that causes the leaky gut syndrome also damages the
protective coating of antibodies of the IgA family normally present in a healthy
gut. Since IgA helps us ward off infections, with leaky gut problems we become
less resistant to viruses, bacteria, parasites and candida. These microbes are
then able to invade the bloodstream and colonize almost any body tissue or
organ. When this occurs in the gums, periodontal disease results. If it happens
in the jaw, tooth extraction or root canals might be necessary to cure the infection.
In addition to the creation of food allergies by the leaky gut, the
bloodstream is invaded by bacteria, fungi and parasites that, in the healthy
state, would not penetrate the protective barrier of the gut. These microbes and
their toxins, if present in large enough amounts, can overwhelm the liver's
ability to detoxify. This results in symptoms such as confusion, memory loss,
brain fog or facial swelling when the individual is exposed to a perfume or to
cigarette smoke that he or she had no adverse reactions to prior to the
development of the leaky gut syndrome.
Leaky gut syndrome also creates a long list of mineral deficiencies because
the various carrier proteins present in the gastrointestinal tract that are
needed to transport minerals from the intestine to the blood are damaged by the
inflammation process. For example, magnesium deficiency (low red blood cell
magnesium) is quite a common finding in conditions like fibromyalgia despite a
high magnesium intake through the diet and supplementation. If the carrier
protein for magnesium is damaged, magnesium deficiency develops as a result of
malabsorption. Muscle pain and spasms can occur as a result. Similarly, zinc
deficiency due to malabsorption can result in hair loss or baldness as occurs in
alopecia areata. Copper deficiency can occur in an identical way leading to high
blood cholesterol levels and osteoarthritis. Further, bone problems develop as a
result of the malabsorption of calcium, boron, silicon and manganese.
The Causes
The leaky gut syndrome is basically caused by inflammation of the gut lining.
This inflammation is usually brought about by the following:
- Antibiotics because they lead to the overgrowth of abnormal flora in the
gastrointestinal tract (bacteria, parasites, candida, fungi)
- Alcohol and caffeine (strong gut irritants)
- Foods and beverages contaminated by parasites like giardia lamblia,
cryptosporidium, blastocystis hominis and others
- Foods and beverages contaminated by bacteria like helicobacter pylori,
klebsiella, citrobacter, pseudomonas and others
- Chemicals in fermented and processed food (dyes, preservatives,
peroxidized fats)
- Enzyme deficiencies (e.g. celiac disease, lactase deficiency causing
lactose intolerance)
- NSAIDS (non-steroidal anti-inflammatory drugs) like ASA, ibuprofen,
indomethacin,
- Prescription corticosteroids (e.g. prednisone)
- High refined carbohydrate diet (e.g. candy bars, cookies, cake, soft
drinks, white bread)
- Prescription hormones like the birth control pill Mold and fungal
mycotoxins in stored grains, fruit and refined carbohydrates.
The leaky gut syndrome can cause the malabsorption of many important
micronutrients. The inflammatory process causes swelling (edema) and the
presence of many noxious chemicals all of which can block the absorption of
vitamins and essential amino acids. A leaky gut does not absorb nutrients
properly. Bloating, gas and cramps occur as do a long list of vitamin and
mineral deficiencies. Eventually, systemic complaints like fatigue, headaches,
memory loss, poor concentration or irritability develop.
Prescription broad spectrum antibiotics, especially when taken for extended
periods of time, wipe out all the gut friendly bacteria that provide protection
against fungi and amoebic (parasitic) infections, help the body break down
complex foods and synthesize vitamins like B12 and biotin. Since this friendly
bowel flora is killed off, the body now has no local defence against the
parasites or fungi that are normally held in check. This then causes an
inflammatory reaction leading to the leaky gut syndrome. Food allergies quickly
develop and these may trigger the signs and symptoms of arthritis, eczema,
migraines, asthma or other forms of immune dysfunction. Other common symptoms of
this bowel flora imbalance and leaky gut syndrome are bloating and gas after
meals and alternating constipation with diarrhea. This set of symptoms is
usually labelled as IBS (irritable bowel syndrome) or spastic bowel disease and
treated symptomatically by general practitioners and gastroenterologists with
antispasmodic drugs, tranquilizers or different types of soluble (psyllium) and
insoluble (bran) fiber.
The Leaky Gut and IBS
The mainstream thinking on IBS is that it is caused by stress. Irritable
bowel syndrome is the number one reason for general practitioner referrals to
specialists. In well over 80% of the cases, tests like the intestinal
permeability test (a special urine test involving the determination of
absorption rates of two sugars called lactulose and mannitol), CDSA or livecell
darkfield microscopy reveal the presence of an overgrowth of fungi, parasites or
pathogenic bacteria. The one-celled parasite, blastocystis hominis and different
species of candida are the most common microbes seen in IBS. The only stress
associated with IBS is that which is generated by infection and the leaky gut
syndrome. If allowed to persist without the correct treatment, IBS can progress
into more serious disorders like the candidiasis syndrome, multiple chemical
sensitivities, chronic fatigue syndrome, many autoimmune diseases and even
cancer. If treated medically, IBS is rarely cured. To treat it correctly,
natural treatments work best and must include the removal of the cause,
improvement of gastrointestinal function and healing the lining of the gut.
How to Reverse Leaky Gut Syndrome
Band-aid treatments with corticosteroids, prescription antibiotics and immuno
suppressive drugs may be temporarily life-saving for acute episodes of pain,
bleeding or severe inflammation as occurs in lupus or colitis. In the long run,
however, none of these treatments do anything to heal the leaky gut problem. To
reverse the leaky gut syndrome the diet must be completely changed to one which
is as hypoallergenic as possible. Sugar, white flour products, all
gluten-containing grains (especially wheat, barley, oats and rye), milk and
dairy products, high fat foods, caffeine products, alcohol and hidden food
allergies determined by testing must all be eliminated for long periods of time
(several years in the most severe cases).
Treatment might also include the use of natural antibiotics (echinacea,
colloidal silver, garlic), antiparasitics (cloves, wormwood, black walnut) and
antifungals (taheebo, caprylic acid, grapefruit seed extract) depending on the
type of infection which shows up on objective tests. It is rare that victims
require prescription drugs for these infections and they should be discouraged.
The drugs are usually expensive, have unpleasant side effects and are best
reserved for life-threatening conditions.
Leaky gut syndrome patients can help themselves by chewing their food more
thoroughly, following the basic rules of food combining, eating frequent small
meals rather than three large ones and taking more time with their meals.
Gastrointestinal function can be improved with a juice fast or a hypoallergenic
diet and supplements like lactobacillus acidophilus and bifidus as well as FOS
(fructooligosaccharides) derived from Jerusalem artichoke, chicory, the dahlia
plant or burdock root.
Beneficial Supplements for Leaky Gut Syndrome
Natural digestive enzymes - from plant (e,g, bromelain, papain) or pancreatic
animal tissues (porcine, bovine, lamb) and aloe vera juice with a high
MPS concentration (good brands are International Aloe, Earthnet and
Royal) stomach acidity enhancing supplements - betaine and pepsin, glutamic
acid, stomach bitters, apple cider vinegar amino acids - L-glutamine,
N-acetyl-glucosamine (NAG) essential fatty acids - milled flax, flax
seed oil, evening primrose oil, borage oil, olive oil, fish oils, black
currant seed oil soluble fiber - psyllium seed husks and powder, apple
or citrus pectin, the rice derived gamma oryzanol, antioxidants - carotenoids,
B complex, vitamin C, E, zinc, selenium, germanium, Coenzyme Q10, bioflavonoids,
especially quercetin, catechin, hesperidin, rutin and proanthocyanidins
(pycnogenols, grape seed extract, pine bark extract, bilberry) herbs
and plant extracts - kudzu, various high chlorophyll containing green
drinks like spirulina, chlorella and blue green algae, burdock, slippery
elm, Turkish rhubarb, sheep sorrel, licorice root, ginger root, goldenseal,
bismuth and bentonite. Combination Green Foods - see Exsula
Supefoods
Due to the increasing recognition of chronic fatigue syndrome, the leaky gut
syndrome and multiple chemical sensitivity, a number of supplement companies
have been marketing powdered hypoallergenic formulations containing most of the
nutrients mentioned above in one convenient package. Some brand names include
Ultrabalance?, UltraClear Sustain?, UltraClear Plus?, Pro-Cleanse?, Pro-Support?
and ActiClear?. The products are only available through natural health care
practitioners like chiropractors, nutritional doctors and naturopaths. If you
suspect you may be suffering from leaky gut syndrome, the most important thing
to do is get yourself tested by a natural health care practitioner. A
personalized natural program of diet and supplements can then be instituted to
help you reverse this debilitating condition.
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