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Home / Fitness and Health / Permeated bowel syndrome is not an official diagnosis, but the symptoms are real

Permeated bowel syndrome is not an official diagnosis, but the symptoms are real



"Leaky Gut Syndrome" does not sound like something everyone wants but we've heard a lot about it lately. If you overlook the vast levels of the Internet, you will find that all types of alternative health blogs and sites warn of "leaky gut syndrome," which is often described as a condition where the lining of the intestines has become more permeable or porous. In some places it is even thought that this syndrome can be associated with everything from food allergies and nutritional deficiencies to autoimmune diseases, fatigue and joint pain.

Recently, you may have heard on Twitter about where Real Housewives is star Bethenny Frankel shared that with her today "the leaky gut syndrome was diagnosed ".

But what are we talking about here? We know (and do not know) what follows.

Here is the problem with the "leaky gut syndrome" as a diagnosis.

"Leaky bowel syndrome" is not an officially recognized disease. This does not mean that people do not have frustrating or debilitating symptoms. it just means that these symptoms are not traditionally caused by a leaky gut.

"" Bowel Syndrome "is not a true medical diagnosis," says Kirby. Aparajita Singh, MD, MPH, Gastroenterologist at UCSF Health and Associate Professor of Gastroenterology at the University of California, San Francisco, agrees: "I've never told a patient, 'You have a leaky bowel syndrome', but I have Often it does not mean that a person's symptoms are less real, there are a variety of symptoms that people generally associate with leaky guts, says Donald Kirby, a gastroenterologist Director of the Center for Human Nutrition of the Cleveland Clinic, reports SELF.These include things like:

  • diarrhea
  • constipation
  • abdominal pain
  • gas and bloating
  • headache
  • brain mist
  • memory loss [19659021] Fatigue
  • fatigue
  • joint pain and pain

However, medical experts say to associate these symptoms with something It is not a recognized condition, and emphasizes that someone with these symptoms is seen by a gastroenterologist who can help diagnose the patient problem.

That's because many of these symptoms may easily be signs of other gastrointestinal symptoms, says Felice Schnoll-Sussman, director of the Jay Monahan Center for Gastrointestinal Health at NewYork-Presbyterian and Weill Cornell Medicine. These include irritable bowel syndrome, food intolerances or allergies, bacterial small bowel overflow (SIBO) and (in rare cases) inflammatory bowel disease (such as Crohn's disease and ulcerative colitis).

Leaky Gut Syndrome "even comes from?

The idea of ​​"leaky-gut syndrome" is based on the concept of intestinal permeability, which we are beginning to understand. Your body mainly stores nutrients, bacteria and toxins actual toxins – in the intestine (and outside the bloodstream) thanks to the intestinal membrane that is lined with fingers – like villi, explains Dr. med. Singh. It is believed that a weakened gut barrier causes potentially harmful things to leak out and possibly all sorts of symptoms and problems along the line.

True, in the last two decades or so has evolved our understanding of how this barrier works. Traditionally it has been assumed that the cells of the intestinal mucosa are connected by close connections, "and one thinks of close connections such as mortar between two stones", says Dr. med. Kirby. Experts recognize, however, that these close connections are "more like channels and can open and close, so they may get a little weaker," he says.

There is, of course, some permeability in the water membrane for the flow of electrolytes, water and nutrients into the bloodstream. However, there is also evidence that the junctions are more relaxed in individuals undergoing treatment for cancer particularly chemotherapy . Kirby. The balance of bacteria that are naturally present in your gut can also play a role in permeability, Dr. Schnoll-Sussman. There is weaker evidence that your diet – including – processed foods caffeine and alcohol consumption – as well as the use of NSAIDs can increase the permeability of the membrane. Singh. For the moment, however, these are still just theories, she notes.

Even under health conditions associated with increased intestinal permeability (which still proves to be a more advanced concept), this seems to be a by-product of the disease rather than a cause. We have the best evidence that permeability of the intestine is a factor when it comes to immune-related diseases such as celiac disease and Crohn's disease. In patients with celiac disease, for example, we know that eating gluten triggers an immune response that damages the body's own intestinal mucosa. This in turn relaxes the intestinal contacts. In this particular case, it is believed that any increase in permeability is a by-product of celiac disease rather than the cause, explains Drs. Kirby.

Some research suggests that people with irritable bowel syndrome (IBS) also show increased permeability, although it has not been understood why or how. Such conditions "can lead to inflammation of the intestine and as a result, the intestinal mucosa can be damaged, which can lead to increased intestinal permeability and a passage of bacteria and toxins into the bloodstream," says dr. Schnoll-Sussman. "However, this is the hypothesis [a]," she says – and even if the permeability is increased, it has not been "clearly demonstrated" that it causes disease.

Although intestinal permeability is something and ] Even though bacteria and toxins enter the bloodstream, it is not clear how this would lead to a variety of symptoms that people often associate with a leaky gut – especially with those that are not directly related to the intestine brain fog, rashes and joint pain.

There are no medically accepted test methods for "leaky gut syndrome" or intestinal permeability. Some alternative health care providers may suggest a notoriously unreliable test to investigate the levels of indigestible sugars (lactulose and mannitol) in your urine. Some people may also use a blood test to look for markers of the protein zonulin, which we know to be involved in the regulation of permeability and is elevated in celiac sufferers. But we also do not really know how intestinal permeability works under these conditions or how elevated zonulin levels would contribute to celiac disease (which is actually diagnosed with other blood tests for specific antibodies) – not to mention on what specific outcome People without celiac disease mean.

For all these reasons, medical experts advise you to be skeptical of any treatment that claims to help with "leaky gut syndrome." "Proponents [may] use [“leaky gut syndrome”] as an opportunity to sell a range of health-related remedies that are potentially harmful and most are not FDA-approved," Dr. Kirby. Some alternative health facilities recommend supplements such as probiotics and enzymes or promote diets that cut out gluten and sugary foods (including fruits and processed foods) or recommend consuming only raw, unpasteurized dairy .

Dr. Singh says it's generally okay for people to experiment by limiting their caffeine or alcohol intake themselves. But Dr. Kirby advises people to turn to a doctor or registered nutritionist for more drastic changes in dietary habits, and to refrain from supplements sold online under the guise of treating "leaky gut syndrome."

Here's what to do if you suffer from symptoms.

New or unpleasant gastrointestinal symptoms require discussion with your doctor and possibly a specialist such as a gastroenterologist. "It is imperative that people suffering from symptoms associated with a leaky gut work with a doctor who can first screen for other severe diagnoses that may have similar symptoms," Dr. Schnoll-Sussman. However, you are unlikely to proceed with the diagnosis of "leaky gut syndrome" or increased intestinal permeability.

When a patient comes to her and asks about "leaky gut syndrome," Dr. Singh: "I do not let myself be fixated on the diagnosis, first I listen." Your doctor or gastroenterologist will probably ask you about your symptoms and family history of bowel disease. From there, they can order diagnostic tests (eg, a blood test to look for signs of celiac disease, or a breath test to look for signs of SIBO). If an allergy is suspected, your doctor may send you to an allergist for a more specialized treatment, Dr. Kirby. Or, your doctor asks you to track your symptoms and look for a pattern of what you eat in a food diary, and you must try to eliminate certain foods (19459004) (an elimination diet ) for a certain period of time See if this is the case, says Singhs.

Ultimately, whatever your problems cause, you deserve real answers – and real relief.

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