How Long Does It Take To Heal Leaky Gut, Plus Tips For Treatment
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Medically reviewed by Saurabh Sethi, M.D., MPH — Written by Scott Frothingham — Updated on February 3, 2023- Causes
- Symptoms
- Treatment
- Diets
- Prevention
- Seeking help
- Outlook
Leaky gut, also known as increased intestinal permeability, is not a recognized medical diagnosis. That said, the treatment depends on the underlying cause.
There’s limited clinical data about the leaky gut, including how long it takes to recover from it. But estimates can be made from research that has explored similar conditions.
For example, a 2005 study from the University of Manitoba studied people with celiac disease, which is often associated with intestinal permeability. Although researchers concluded more research is needed, the study indicated that intestinal permeability was normal for 87 percent of the participants after a year on a gluten-free diet.
Keep reading to learn more about leaky gut, including symptoms, causes, diet recommendations, and tips for prevention.
Is leaky gut real?
Your gut, also known as the gastrointestinal tract, includes over 4,000 square feet of intestinal epithelial lining that controls what gets into your bloodstream.
If unhealthy, this lining may be “leaky” with holes or cracks that allow bacteria, toxins, antigens, and partially digested food to penetrate the tissues beneath it.
That can trigger inflammation and changes in the gut flora (normal bacteria), which could lead to problems within your digestive tract and beyond.
Although leaky gut is not recognized by mainstream medical professionals as a condition, it’s generally recognized as a symptom.
According to a 2014 study, the proponents of leaky gut syndrome claim it can cause many health problems, including:
- allergies
- chronic fatigue syndrome
- depression
- fibromyalgia
- skin disorders
Although not generally accepted as a cause by the medical community as a whole, damage to the intestinal epithelial lining has been associated with the following conditions:
- celiac disease
- HIV
- inflammatory bowel disease (IBD)
- irritable bowel syndrome (IBS)
- ulcerative colitis
- Crohn’s disease
- multiple sclerosis
- rheumatoid arthritis
- type 1 diabetes
What are the symptoms?
Symptoms of leaky gut may vary depending on the underlying cause. For example:
- Celiac disease can cause abdominal pain, diarrhea or constipation, fatigue, nausea and vomiting, bloating and gas, and weight loss.
- IBD can cause abdominal pain, severe diarrhea, weight loss, fatigue, fever, and bloody stools.
- IBS can cause abdominal pain, bloating, cramping, constipation or diarrhea, mucus in stools, and excess gas.
How to heal leaky gut
There are no FDA-approved treatments currently available specifically for leaky gut. The treatment recommendations you’re likely to receive from your doctor will be focused on the underlying condition they’ve diagnosed, which might include leaky gut as a symptom. For example:
- If you’ve been diagnosed withceliac disease, following a gluten-free diet may help heal your gut.
- If you’ve been diagnosed with IBD, anti-inflammatory drugs, immune system suppressors, antibiotics, pain relievers, and supplements such as iron, calcium, and vitamin D may help the lining of your gut to recover.
- If you’ve been diagnosed with IBS, anticholinergic medications, tricyclic antidepressants, SSRIs, antidepressants, antibiotics, pain relievers, or medications specifically for IBS (alosetron, lubiprostone, linaclotide) may help reduce your symptoms.
Are there diets that can help treat leaky gut?
Your doctor may recommend adjusting your diet to remove inflammatory foods that could impact gut flora, such as:
- processed foods
- high-fat foods
- high-sugar foods
- foods that may trigger allergies or sensitivities, such as gluten or dairy
- alcohol
They may also recommend a low FODMAP diet. This diet is often recommended in people with IBS, but it may help relieve some of your symptoms from leaky gut.
You may also want to try adding foods that contain probiotics and prebiotics. Probiotics and prebiotics can help promote healthy bacteria in your gut. Some examples include:
- kefir
- kimchi
- bananas
- berries
- probiotic yogurt
Tips for prevention
Taking self-care steps that promote overall digestive health may be the best way to protect yourself from leaky gut.
- Increase your intake of high-fiber foods. The soluble fiber found in vegetables, legumes, and fruit support your gut’s beneficial bacteria, according to a 2016 study.
- Reduce your intake of refined carbohydrates. Too much sugar can negatively impact gut barrier function, according to a 2014 study.
- Reduce your use of NSAIDs. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, and naproxen, can increase intestinal permeability, according to a 2009 study.
- Take probiotic supplements. The beneficial bacteria of probiotics are considered helpful for many gastrointestinal conditions, such as IBS, according to a 2009 study.
- Reduce your stress levels. Gut bacteria can be harmed by chronic stress, according to a 2017 study.
- Reduce your alcohol intake. Overindulging in alcohol may increase intestinal permeability, according to a 2014 study.
- Quit smoking. Tobacco smoke may increase digestive tract inflammation and is a risk factor for a number of bowel conditions, according to a 2013 study.
When to seek help
See a doctor if:
- Your abdominal pain is causing you concern.
- Your abdominal pain lasts for more than a few days.
- You experience persistent heartburn or heartburn that becomes increasingly severe.
- You experience pain when passing stool.
- Your discomfort interferes with your daily activities.
Seek emergency medical attention if you experience:
- severe pain
- severe abdominal tenderness when touched
- fever
- bloody stools
- abdominal swelling
- persistent nausea and vomiting
Outlook
Leaky gut — also known as increased intestinal permeability — is generally recognized as a symptom, not a condition, by mainstream medicine. Most clinical studies have focused on correlation as opposed to cause and effect, which makes it difficult to determine the amount of time needed to heal leaky gut.
The healing time will be based on the underlying condition, such as IBS or IBD, and the time it takes you and your doctor to get that condition under control.
Part of treatment will most likely include lifestyle changes, which are also suggested for reducing your risk of leaky gut. This can include:
- eating a healthy diet
- taking probiotics
- limiting alcohol and NSAIDs
- reducing stress
- quitting smoking
How we reviewed this article:
SourcesHistoryHealthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.- Biedermann L, et al. (2013). Smoking cessation induces profound changes in the composition of the intestinal microbiota in humans.https://www.ncbi.nlm.nih.gov/pubmed/23516617
- Bischoff SC, et al. (2014). Intestinal permeability - A new target for disease prevention and therapy. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253991/
- Bjarnason I, et al. (2009). Intestinal permeability in the pathogenesis of NSAID-induced enteropathy. https://www.ncbi.nlm.nih.gov/pubmed/19148789
- Campos M. (2017). Leaky gut: What is it, and what does it mean for you? https://www.health.harvard.edu/blog/leaky-gut-what-is-it-and-what-does-it-mean-for-you-2017092212451
- Duerksen DR, et al. (2005). Intestinal permeability in long-term follow-up of patients with celiac disease on a gluten-free diet.https://www.ncbi.nlm.nih.gov/pubmed/15844719/
- Foster JA, et al. (2017). Stress & the gut-brain axis: Regulation by the microbiome.https://www.ncbi.nlm.nih.gov/pubmed/29276734
- Hoveyda N, et al. (2009). A systematic review and meta-analysis: Probiotics in the treatment of irritable bowel syndrome.https://www.ncbi.nlm.nih.gov/pubmed/19220890
- The intestinal epithelial barrier: A therapeutic target? (2016). https://www.nature.com/articles/nrgastro.2016.169?WT.feed_name=subjects_small-intestine&foxtrotcallback=true
- Klinder A, et al. (2016). Impact of increasing fruit and vegetables and flavonoid intake on the human gut microbiota.https://www.ncbi.nlm.nih.gov/pubmed/26757793
- Mayo Clinic Staff. (2017). Inflammatory bowel disease (IBD).https://www.mayoclinic.org/diseases-conditions/inflammatory-bowel-disease/symptoms-causes/syc-20353315
- Mayo Clinic Staff. (2018). Irritable bowel syndrome. https://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/symptoms-causes/syc-20360016
- Mayo Clinic Staff. (2019). Abdominal pain: When to see a doctor. https://www.mayoclinic.org/symptoms/abdominal-pain/basics/when-to-see-doctor/sym-20050728
- Mu Q, et al. (2017). Leaky gut as a danger signal for autoimmune diseases. https://www.frontiersin.org/articles/10.3389/fimmu.2017.00598/full
- Odenwald MA, et al. (2013). Intestinal permeability defects: Is it time to treat?https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3758766/
- Odenwald MA, et al. (2016). The intestinal epithelial barrier: A therapeutic target? https://www.nature.com/articles/nrgastro.2016.169?WT.feed_name=subjects_small-intestine&foxtrotcallback=true
- Solan M. (2018). Putting a stop to leaky gut.https://www.health.harvard.edu/blog/putting-a-stop-to-leaky-gut-2018111815289
- Symptoms of celiac disease. (n.d.).https://celiac.org/about-celiac-disease/symptoms-of-celiac-disease/
- Wang Y, et al. (2014). Effects of alcohol on intestinal epithelial barrier permeability and expression of tight junction-associated proteins.https://www.ncbi.nlm.nih.gov/pubmed/24718485
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Medically reviewed by Saurabh Sethi, M.D., MPH — Written by Scott Frothingham — Updated on February 3, 2023Read this next
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