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Permeability_ Intestinal |
The term permeability refers to the ability a substance has
to permeate, or get through, from one area to another. In this case, that would
involve passage of a substance from within the intestine, through the
intestinal wall and into the body. Altered intestinal permeability is the
change in permeability that can occur that allows a substance that would
ordinarily be excluded to pass through. This is sometimes referred to as the
"leaky gut syndrome." The implications of this alteration are still
being discovered, but we know it to at least be responsible for certain types
of food allergies, as well as allowing the passage of certain toxic by-products
from an overgrowth of unfriendly bacteria in the gut.
The exact cause or trigger of altered intestinal
permeability is not always known in any given patient. But, the following
things have been associated with causing altered intestinal permeability:
Stress
- Age
- Medications, especially NSAID's
- Surgery
Health conditions including:
- Rheumatoid Arthritis
- Ankylosing spondylitis
- Crohn's Disease
- Burns
- Pancreatic disease
- HIV
- Celiac disease
- Food allergies
- Atopic dermatitis
- Alcoholism
The tie-in that altered intestinal permeability can have
with current, on-going medical problems is that the use of a medication, a
surgical procedure, or a lifestyle issue such as alcohol abuse can create
increased intestinal permeability. This becomes a factor in the development of
your current medical problem, such as your irritable bowel syndrome or your
chronic fatigue, even though the trigger is in the distant past, and not
ostensibly linked to your current symptoms.
There are a number of symptoms that have been associated
with altered intestinal permeability. These symptoms can occur alone or in
combinations, and when a specific medical condition or syndrome cannot be
identified after a work-up, these patients may benefit from addressing altered
permeability, such as with a 4-RTM Program. These symptoms include:
- Fatigue
- Joint and muscle pain
- Food intolerance, allergy
- Abdominal pain, gastrointestinal symptoms (diarrhea, constipation)
- Skin disorders, rashes
- Allergies, respiratory symptoms
- Some cognitive and memory problems
There are also a number of diseases associated with altered
intestinal permeability, to include:
- Inflammatory bowel disease, irritable bowel syndrome
- Acne, eczema, psoriasis, urticaria
- Autism, ADD
- Multiple chemical sensitivity
- Chronic fatigue syndrome
- Hepatic and pancreatic dysfunction
As we work to address your current medical concerns, the
idea of altered intestinal permeability may come up. At times, a diagnostic
study to check for leaky gut may become necessary.
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