Leaky gut: What is it, and how does it affect you?

Medicine Corner with Dr D 

Leaky gut: What is it, and how does it affect you?

In the mysterious realm of our bodies, the gut takes on the role of an enigmatic maestro, conducting a complex symphony of microorganisms and physiological processes. Once brushed aside by modern medicine, the gut's potential influence on our overall health is now emerging as a fascinating and vital topic of investigation. The ancient belief that imbalances within the stomach could cause illness, once deemed obsolete, is now being revisited as new discoveries suggest a link between a dysfunctional gastrointestinal system and various chronic diseases prevalent in today's society.

Enter the intriguing world of "leaky gut," a term gaining momentum in medical discussions and online forums. This relatively new concept, which explores the impact of increased intestinal permeability, has piqued the interest of researchers and medical professionals alike. As we delve into the depths of the gut, we will uncover its fascinating secrets, its potential effects on our health, and the steps we can take to foster a healthier gastrointestinal system.

Prior to advancements in medical knowledge regarding disease-causing mechanisms, physicians believed that certain illnesses could arise from imbalances within the stomach, referring to this as hypochondriasis. Derived from Ancient Greek, "hypochondrium" refers to the upper abdomen, the area between the breastbone and navel. As science progressed, this concept was dismissed, and the term "hypochondriac" came to describe individuals with a constant, often baseless fear of serious medical conditions.

 

However, is it possible that the ancient notion of illnesses originating in the gut holds some merit? Could various chronic diseases prevalent in society today be connected to a dysfunctional gastrointestinal system?

What is “leaky gut”?

The term "leaky gut" has been gaining traction in medical blogs and social media, although it may not be familiar to many doctors. Also known as increased intestinal permeability, leaky gut is a relatively new concept primarily studied in basic sciences. Nevertheless, there is a growing interest in developing medications to counteract the effects of this issue.

 

So, what is leaky gut? Our intestines are lined with a vast intestinal lining that covers over 4,000 square feet of surface area. When functioning optimally, this lining forms a secure barrier, regulating what is absorbed into the bloodstream. An unhealthy gut lining may have significant cracks or openings, enabling partially digested food, toxins, and microorganisms to infiltrate the underlying tissues. This infiltration may lead to inflammation, changes in gut flora (normal bacteria), and potential issues within the digestive tract and beyond. Current research is thriving, with studies suggesting that alterations in intestinal bacteria and inflammation might contribute to the development of numerous chronic diseases.

Modern lifestyles may be the primary contributor to gut inflammation. Emerging evidence suggests that the typical American diet, low in fiber and high in sugar and saturated fats, may trigger this process. Excessive alcohol consumption and stress also appear to impact this balance.

 

Who is affected by leaky gut and why?

Everyone experiences some degree of leaky gut, as the intestinal barrier is not entirely impervious (nor should it be). Some individuals may possess a genetic predisposition, making them more susceptible to alterations in the digestive system, but genetics alone are not the sole factor.

It is well-established that increased intestinal permeability plays a role in gastrointestinal conditions such as celiac disease, Crohn's disease, and irritable bowel syndrome. The primary question is whether leaky gut can cause issues elsewhere in the body. Some research indicates associations between leaky gut and other autoimmune diseases (lupus, type 1 diabetes, multiple sclerosis), chronic fatigue syndrome, fibromyalgia, arthritis, allergies, asthma, acne, obesity, and even mental illness. However, causal relationships have not yet been established through human clinical studies.

 

Towards a healthier gut:

Although "increased intestinal permeability" is not a common term in most doctor's offices, alternative and integrative medicine practitioners have focused on gut healing as an initial step in treating chronic diseases for years. Various cultures around the world often recommend specific diets for improved health. Even in the United States, dietary changes are common after illness. Many practitioners begin by eliminating inflammatory foods and those that may disrupt gut flora, such as alcohol, processed foods, certain medications, and any allergenic or sensitivity-causing foods.

 

There is still controversy over whether leaky gut contributes to the development of diseases outside the gastrointestinal tract in humans. However, consuming a nutritious, unprocessed diet that includes anti-inflammatory foods (and avoids inflammation-triggering foods) may, in theory, help repair the gut lining and restore balance to gut flora. This approach could lead to improved health without adverse side effects, making it worth considering.

by Dr. Michal Domeny DNP, L.Ac, CD/N

GERD and Diet :The Truth About Which Foods Trigger GERD

Nutrition Corner with Dr D 

GERD and diet :The Truth About Which Foods Trigger GERD  

Are you one of the millions of people who suffer from gastroesophageal reflux disease (GERD)? If so, you're probably all too familiar with the burning sensation in your chest. But did you know that your diet may be the reason for these symptoms?

While many people think of GERD as a problem that's primarily caused by overproduction of stomach acid, recent research suggests that diet can play a major role in the development and severity of GERD symptoms.

 

In fact, some experts believe that as many as 60% of people with GERD may be able to manage their symptoms simply by making changes to their diet.

 

So, how exactly does diet affect GERD? When we eat, our stomach produces acid to help break down the food. If this acid flows back up into the esophagus, it can cause irritation and inflammation, leading to the classic symptoms of GERD such as heartburn, regurgitation, and difficulty swallowing.

 

Certain foods and drinks can increase the production of stomach acid, making reflux more likely to occur. Other foods can weaken the lower esophageal sphincter (LES), the muscle that normally keeps stomach acid from flowing back up into the esophagus.

 

In this article, we'll explore the link between diet and GERD in more detail, discussing the foods and drinks that can trigger GERD symptoms as well as those that may help to alleviate them. Whether you're dealing with mild symptoms or severe GERD, the information in this article can help you take control of your diet and manage your symptoms more effectively.

Foods that Trigger GERD

Foods that trigger GERD symptoms are those that may not necessarily cause GERD on their own but can aggravate symptoms in people who already have GERD. Certain foods can cause the lower esophageal sphincter (LES) to relax, allowing stomach acid to flow back into the esophagus, leading to heartburn, regurgitation, and other uncomfortable symptoms.

 

However, trigger foods can differ from person to person, and it's important to identify your own food triggers to manage your GERD symptoms effectively.

 

Caffeine

Caffeine is a common trigger for GERD symptoms. It stimulates the production of stomach acid and relaxes the LES. Coffee, tea, soda, and chocolate contain caffeine and can exacerbate GERD symptoms in some people.

 

Alcohol

Alcohol can also trigger GERD symptoms. Alcohol can irritate the esophagus and stomach lining, causing inflammation and increasing stomach acid production.

 

Fatty foods

Fatty foods are another trigger for GERD symptoms. They can slow down digestion and cause the stomach to produce more acid, leading to reflux. Fried and greasy foods, as well as high-fat meats and dairy products, are common culprits.

 

Other common trigger foods

Other common trigger foods include spicy foods, citrus fruits, tomatoes, onions, and garlic, black pepper. These foods can irritate the esophagus and trigger reflux symptoms. It's essential to note that not all of these foods will trigger GERD symptoms in everyone. Each person is different, and it's essential to identify your specific trigger foods to manage your symptoms.

In addition to the foods mentioned above, some people may also experience GERD symptoms after consuming certain types of foods. For example, people who are lactose intolerant may experience reflux after consuming dairy products. Additionally, those with gluten intolerance or celiac disease may experience reflux after consuming gluten-containing foods.

 

Gluten is found in many processed foods and beverages that contain certain grains, such as bread, pasta, cereal, beer, and some types of sauces and condiments. It's important for those with gluten sensitivity or celiac disease to read food labels carefully and avoid foods that contain gluten.

 

It's essential to keep a food diary to identify your own trigger foods. This way, you can avoid these foods and manage your symptoms more effectively. Try eliminating one food at a time and see if your symptoms improve. Keep in mind that it may take several weeks to identify all of your trigger foods.

In conclusion, certain foods can trigger GERD symptoms by causing the LES to relax, increasing stomach acid production, and irritating the esophagus. However, trigger foods can differ from person to person, and it's essential to identify your specific trigger foods to manage your symptoms effectively. Keep a food diary and eliminate trigger foods one at a time to improve your quality of life and manage your GERD symptoms.

 

Foods to avoid if you have GERD

For people with gastroesophageal reflux disease (GERD), certain foods can make their symptoms a lot worse. To manage GERD effectively, it's crucial to avoid foods that can irritate the esophagus and trigger acid reflux. Here are some of the foods that should be avoided.

 

Chocolate

Chocolate contains a compound called methylxanthine, which can weaken the lower esophageal sphincter (LES) muscle and allow stomach acid to flow back up into the esophagus. Dark chocolate, in particular, has a higher concentration of methylxanthine compared to milk chocolate.

 

Mint

Mint can also relax the LES and cause acid reflux. This includes peppermint, spearmint, and other mint flavors found in chewing gum, breath mints, and even toothpaste.

Spicy Foods

Spicy foods, such as hot peppers and chili powder, can irritate the lining of the esophagus and cause heartburn. They can also increase stomach acid production, which can make GERD symptoms worse.

 

Fatty and Fried Foods

Fatty and fried foods can slow down digestion and stay in the stomach longer, which can increase the likelihood of acid reflux. These foods also put pressure on the LES, making it easier for stomach acid to flow back up into the esophagus.

 

Citrus Fruits and Juices

Citrus fruits and juices, such as oranges, lemons, grapefruits, and tomatoes, are acidic and can worsen GERD symptoms. They can also irritate the lining of the esophagus and cause heartburn.

 

Carbonated Beverages

Carbonated beverages, such as soda and sparkling water, can cause bloating and put pressure on the LES, making acid reflux more likely. They can also increase stomach acid production and irritate the esophagus.

Alcohol

Alcohol can relax the LES and increase stomach acid production, making GERD symptoms worse. Beer and wine, in particular, can trigger acid reflux due to their carbonation and acidity.

 

Foods that help with GERD

Non-citrus fruits are a great example of helpful foods. These fruits are low in acid and can provide necessary vitamins and minerals without causing discomfort. Bananas, apples, and melons are all good choices. However, be cautious of fruits high in acid, such as oranges and grapefruits.

 

Lean proteins, such as chicken and fish, can also help manage GERD symptoms. These proteins are low in fat, which is important because fatty foods can trigger GERD symptoms. Additionally, proteins are necessary for maintaining muscle mass and keeping you feeling full, which can prevent overeating and reduce the likelihood of symptoms.

 

Whole grains are another helpful food for those with GERD. These grains, such as brown rice and whole wheat bread, are high in fiber, which can help keep your digestive system functioning properly. Additionally, fiber can help keep you feeling full, which can reduce the likelihood of overeating and triggering symptoms.

 

In addition to these specific foods, it is important to maintain a balanced diet overall. Eating a variety of nutrient-dense foods, such as fruits, vegetables, and lean proteins, can help reduce the likelihood of GERD symptoms. It is also important to eat smaller, more frequent meals, as opposed to large, infrequent meals.

 

So, how do these foods help manage GERD symptoms? Non-citrus fruits, lean proteins, and whole grains are all low in acid, which can reduce the likelihood of discomfort. Additionally, these foods are all nutrient-dense and can provide important vitamins, minerals, and fiber to support overall digestive health. By maintaining a balanced diet and including these helpful foods, you can manage GERD symptoms and improve your overall health and well-being.

 

Diet tips for GERD

Managing GERD symptoms through diet can be challenging, but with some simple tips and tricks, it's possible to improve your symptoms and lead a more comfortable life. One of the most important things to consider is meal timing. It's recommended that you eat smaller, more frequent meals throughout the day rather than three large meals. This can help prevent the stomach from becoming too full, which can trigger symptoms of GERD. Additionally, it's important to avoid eating within three hours of bedtime. Laying down after a meal can cause acid reflux, so it's best to wait a few hours before lying down.

 

Portion control is also key for managing GERD symptoms. It's important to avoid overeating and to stick to recommended serving sizes. This can help prevent the stomach from becoming too full and can help reduce symptoms of GERD. Additionally, it's important to eat slowly and to chew your food thoroughly. This can help reduce the amount of air you swallow while eating, which can help prevent bloating and discomfort.

 

Maintaining a healthy weight can also be beneficial for managing GERD symptoms. Excess weight can put pressure on the stomach, which can increase the risk of acid reflux. Additionally, losing weight can help reduce symptoms of GERD. If you're overweight or obese, it's important to work with your health care provider to develop a safe and effective weight loss plan.

 

Finally, it's important to stay hydrated throughout the day. Drinking plenty of water can help dilute stomach acid and can help prevent symptoms of GERD. Overall, managing GERD symptoms through diet requires some trial and error. It's important to pay attention to your body and to keep a food diary to identify trigger foods.

 

Conclusion

In conclusion, diet plays a crucial role in managing GERD symptoms. Avoiding trigger foods such as caffeine, alcohol, chocolate, mint, and spicy foods, and consuming helpful foods such as non-citrus fruits, lean proteins, and whole grains can go a long way in alleviating GERD symptoms. Additionally, practicing portion control and meal timing can also help in reducing symptoms.

 

It's important to note that while certain foods may be triggers for some individuals, they may not be for others. It's essential to pay attention to how your body reacts to certain foods and adjust your diet accordingly.

 

Maintaining a healthy weight is also vital in managing GERD symptoms. Excess weight can put pressure on the stomach and increase the risk of acid reflux. Therefore, incorporating a healthy and balanced diet with regular exercise can help in managing GERD symptoms and reducing the risk of complications.

 

In summary, managing GERD symptoms through diet requires a personalized approach. By avoiding trigger foods, consuming helpful foods, practicing portion control, meal timing, and maintaining a healthy weight, individuals with GERD can improve their symptoms and enhance their quality of life. It's essential to consult with a healthcare provider or a registered dietitian to create a personalized diet plan that meets your individual needs and preferences. By taking control of your diet, you can take control of your GERD symptoms and live a healthy and comfortable life.

by Dr. Michal Domeny DNP, L.Ac, CD/N