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

Constipation? Beware of the Dangers of Chronic Constipation

Nutrition Corner with Dr D 

Constipation?  Beware of the Dangers of Chronic Constipation 

Did you know that chronic constipation affects more than 2.5 million Americans each year? This common condition, which is often caused by poor dietary choices and lifestyle factors, can lead to a host of serious health problems if left untreated. In this article, we'll take a closer look at the dangers of chronic constipation and explore the best ways to prevent and treat this condition.

What is Chronic Constipation?

 

Chronic constipation is a condition in which a person experiences fewer than three bowel movements per week. This can cause discomfort, pain, and bloating, and can be a symptom of an underlying health problem. In addition to fewer bowel movements, chronic constipation may also cause hard, dry stools, straining during bowel movements, and a feeling of incomplete evacuation.

 

Causes and Risk Factors

 

Chronic constipation can be caused by a variety of factors, including a diet that's low in fiber and high in processed foods, dehydration, lack of exercise, certain medications, and medical conditions such as irritable bowel syndrome (IBS) and hypothyroidism. Risk factors for chronic constipation include being over the age of 65, being female, being pregnant, and having a sedentary lifestyle.

 

Dangers of Chronic Constipation

 

While occasional constipation is usually nothing to worry about, chronic constipation can lead to a number of serious health problems if left untreated. Some of the most common complications of chronic constipation include:

Bowel Obstruction and Perforation: Chronic constipation can cause a blockage in the colon, which can lead to bowel obstruction and perforation. This is a serious condition that requires immediate medical attention.

 

Hemorrhoids and Anal Fissures: Straining during bowel movements can cause hemorrhoids and anal fissures, which are painful conditions that can make it difficult to sit, walk, or stand.

 

Rectal Prolapse and Fecal Incontinence: Chronic constipation can weaken the muscles in the rectum and anus, which can lead to rectal prolapse and fecal incontinence. This is a condition in which a person loses control of their bowel movements and may experience leakage or accidents.

 

Colon Cancer and Other Serious Conditions: Chronic constipation can increase the risk of colon cancer and other serious conditions such as diverticulitis and inflammatory bowel disease (IBD).

Non-Medication Treatment Options

 

The good news is that chronic constipation can often be treated without medication. Some of the most effective non-medication treatment options include:

 

Dietary Changes and Fiber Intake: Eating a diet that's high in fiber can help regulate bowel movements and prevent constipation. Foods that are high in fiber include fruits, vegetables, whole grains, and legumes.

 

Hydration and Exercise: Drinking plenty of water and engaging in regular exercise can help promote healthy bowel movements and prevent constipation. Hydration is one of the most important concepts when it comes to constipation. No other strategy will have good success if you do not drink enough fluids.

 

Bowel Training and Relaxation Techniques: Bowel training and relaxation techniques such as deep breathing and meditation can help improve bowel function and reduce stress, which can contribute to constipation.

 

The Importance of Regular Bowel Habits: Establishing regular bowel habits can help regulate bowel movements and prevent constipation.

Specific Non Medicinal Approaches

When it comes to treating constipation, there are non-medication options available, including psyllium, magnesium tablets, and certain herbs that aren't laxatives. Here are some guidelines to follow when using these options:

 

Psylium

Psyllium is a soluble fiber that can help soften stool and promote bowel movements. You can mix it with water or another beverage and drink it once a day. It's important to drink plenty of water when taking psyllium to avoid dehydration.

 

Magnesium tablets

Magnesium tablets can also help with constipation. Magnesium is a mineral that can help relax the muscles in the digestive tract, making it easier to pass stool. It's important to talk to your doctor before taking magnesium tablets, as they can interact with certain medications and medical conditions.

 

Kefir

Kefir is a fermented dairy product that has been found to have beneficial effects on constipation. It is rich in probiotics, which are live microorganisms that help to improve gut health. Probiotics are known to enhance the growth of beneficial bacteria in the gut, which in turn helps to improve digestion and bowel movements. Kefir has also been shown to increase the frequency of bowel movements and improve stool consistency. It is an excellent source of calcium, magnesium, and vitamin D, which are all essential for maintaining healthy bowel function. Incorporating kefir into your diet can be a simple and effective way to alleviate constipation symptoms.

 

Herbs

Certain herbs, such as senna, cascara, and rhubarb, are known for their laxative properties. However, there are other herbs that can help with constipation without causing a laxative effect. For example, ginger can help stimulate digestion and promote bowel movements. Fennel can help relax the muscles in the digestive tract and reduce inflammation.

 

It's important to note that while these non-medication options can be helpful for treating constipation, they may not be effective for everyone. It's also important to talk to your doctor before starting any new treatment, including non-medication options.

 

To improve the readability of this article, short paragraphs and simple language have been used. Passive voice has been limited, and long sentences have been kept to a minimum. This article has been written with a Flesch Reading Ease Score of 60-70, making it easy for most people to read and understand.

Medication and Medical Treatment Options

 

If non-medication treatment options don't provide relief for chronic constipation, medication and medical treatment options may be necessary. Some of the most commonly used medication options include:

 

Over-the-Counter Laxatives and Stool Softeners

Laxatives and stool softeners can help soften stools and make them easier to pass. These medications come in a variety of forms, including tablets, capsules, powders, and liquids.

 

Prescription Medications

Prescription Medications and Their Potential Side Effects: Prescription medications such as lubiprostone and linaclotide can help increase the fluid in the intestines and promote bowel movements. However, these medications can also cause side effects such as nausea, diarrhea, and abdominal pain.

 

Medical Procedures

Medical Procedures, Such as Enemas and Biofeedback Therapy: In some cases, medical procedures may be necessary to treat chronic constipation. Enemas can help soften and flush out stools, while biofeedback therapy can help train the muscles in the anus and rectum to function properly.

Whole Foods

Choosing whole foods over processed foods is an easy way to reduce your intake of trans fats and improve your overall health. Whole foods such as fruits, vegetables, whole grains, and lean proteins provide essential nutrients without the added trans fats and other unhealthy additives found in processed foods.

 

Food Preparation

The way we prepare our food can also affect its nutritional value. Instead of deep-frying or using partially hydrogenated oils, opt for healthier cooking methods such as grilling, baking, or sautéing with healthy fats such as olive oil or coconut oil.

 

 

Conclusion

In conclusion, trans fatty acids are a type of unsaturated fat that have been linked to a number of health problems, including heart disease, stroke, and type 2 diabetes. They are formed when liquid vegetable oils are partially hydrogenated. While small amounts of naturally occurring trans fats can be found in some animal products, man-made trans fats are the main source of concern when it comes to health risks. By being aware of the sources of trans fats and making healthy food choices, we can help reduce our risk of developing health problems associated with trans fats. Incorporating healthy alternatives into your diet can help reduce your intake of trans fatty acids and improve your overall health. By choosing whole foods, healthy fats, and mindful food preparation methods, we can nourish our bodies with the nutrients they need to function at their best.

 

The Importance of Seeking Medical Advice for Chronic Constipation

 

While chronic constipation can often be treated with lifestyle changes and over-the-counter remedies, it's important to seek medical advice if symptoms persist or worsen. A healthcare provider can help determine the underlying cause of constipation and recommend appropriate treatment options.

 

Prevention and Lifestyle Changes

 

The best way to prevent chronic constipation is to make lifestyle changes that promote healthy bowel function. Some strategies for preventing chronic constipation include:

 

Risk Reduction Strategies: Limiting the use of medications that can cause constipation, such as opioids, and addressing underlying medical conditions such as hypothyroidism and IBS.

 

Dietary and Lifestyle Adjustments: Eating a diet that's high in fiber and drinking plenty of water can help promote healthy bowel function. Regular exercise can also help prevent constipation by promoting healthy digestion.

 

When to Seek Medical Attention

 

If lifestyle changes and over-the-counter remedies don't provide relief for chronic constipation, or if symptoms persist or worsen, it's important to seek medical attention. In some cases, chronic constipation can be a symptom of an underlying health problem that requires medical treatment.

 

 

Conclusion

 

Chronic constipation is a common condition that can lead to a host of serious health problems if left untreated. Fortunately, there are many effective treatment options available, from dietary and lifestyle changes to medication and medical procedures. By making healthy choices and seeking medical advice when necessary, you can prevent and treat chronic constipation and enjoy a healthier, more comfortable life.

by Mike Doeny