QUOTE (holdthegluten @ Jun 24 2008, 12:13 PM)

Before all of this happened I had a really bad case of the Stomach flu...........i was actually hospitalized and sent home the following day.............Since then nothing has been the same.........Should I have a test done to see if i Have leaky gut for sure...........what other tests would indicate leaky gut? I apprecite your help a great deal. I never test positive for candida, but my symptoms match pretty closely............Do you think all of this is caused by leaky gut.......... What causes leaky gut and why cant i heal it?
Were you given antibiotics for this stomach flu?? Have you taken alot of antibiotics in the past for various infections? Do you have mercury fillings? These are just a couple of things that can set the stage for gut problems....but there are many things that can happen to upset the balance.
Basically one of the main problems contributing to leaky gut is dysbiosis. There are billions of bacteria and other organisms in the GI tract.....there are hunderds of different species of bacteria and several species of yeast. There are more of these living organisms then there are cells in the entire body.
The majority of these organisms are "friendly"......meaning they are not harmful. In fact they are there for a reason....they enhance the immune system and they do a variety of things which help to keep the gut (and the body as a whole) in a healthy state.
Under normal circumstances yeast is also not harmful...its a normal part of the intestinal environment. It is not harmful in small amounts and in a healthy gut the friendly bacteria are the majority...yeast are in the minority.
There are some bacteria in the gut which serve no purpose and can be considered pathogenic....they are also in the minority.
The friendly bacteria keeps yeast in check....they also ward off other potentially pathogenic organisms...protecting us from infection. Because the friendly bacteria are the majority the yeast (or any pathogenic organism) does not have room to overgrow. If for some reason we lose this "army" of friendly bacteria these other "not so friendly" organisms can become the majority. If this happens we are in trouble.
These unfriendly organisms can produce toxins which cause inflammation and make us ill. They can also cause damage to the intestinal lining (especially yeast). When the GI tract is not healthy digestion may be impaired....which means undigested food begins to add to the problem. Once the gut becomes leaky we are headed for more problems.
Not only does undigested food leak into the bloodstream but also toxins (including the ones produced by unfriendly organisms) and even bacteria, fungi, parasites and other "invaders" can gain access to the bloodstream and to body tissue outside of the gut.
As things begin to escalate the immune system becomes more overwhelmed. The immune system is not used to seeing undigested food in the bloodstream...nor is it used to seeing an overwhelming amount of toxins ciculating through the body. The immune system will respond to these things and so we will begin to react to them in ways we've never expereinced before. All of these circulating toxins also burden the liver and other body systems...such as the adrenals and thyroid glands....may also slow down as a result. Eventually the whole body can be affected.
This is why people with leaky gut tend to develop autoimmune problems....all of these possible "triggers" are basically invading areas of the body that they should never have access to under normal circumstances.
Many things can play a part in upsetting the balance in the intestinal tract and its not usually something that occurs overnight. The main one is anitbiotics....because antibiotics dont descriminate...they kill bacteria....including the "good guys". Broad spectrum antibiotics can kill off enough of the army to allow for pathogenic organisms to take over.
Yeast is not a bacteria....therefore it is not killed off by antibiotics.....instead it can take over as more space is made available. Eventually you end up with more bad guys and the good guys are in the minority...which is not good.
The toxins produced by yeast are the same ones which will give you the feeling of "hangover" after a night of partying.....only this one doesnt wear off. So brainfog or memory problems can be a result of too much yeast in the body.
Some pathogenic bacteria can produce the same type of symptoms that are common with yeast overgrowth so testing is important. You can self diagnose yeast and by treating that you may make a bacteria overgrowth worse...or vice versa. Also, alot of people with dysbiosis will actually have yeast AND bacteria problems so just treating yeast isnt going to be enough....and just treating the bacteria isnt going to be enough.
All of the "bad guys" need to be identified (including parasites) and treated and at the same time the gut needs to be restored with friendly bacteria.
Also, a toxic body provides an environment which is favorable for the bad guys and not so good for our friendly army. This means that if you have mercury toxicity, Lyme Disease, too much lead, too much copper, or some other imbalance that is keeping the body toxic....no matter what you do the bad guys will keep coming back and they will remain in the majority.
That why I say that in most cases the problem is multifactorial....and you can see how just eliminating the reactive foods isnt going to "cure" the problem.
Things usually pile up over time....so you have to address whichever things are putting the heaviest burden on your system.
Besides antibiotics alot of other things can disrupt the balance. Mercury is a "natural" antibiotic.....it has antibacterial properties. The mercury vapor from fillings is not only toxic to us...but it can also upset the balance in the gut by providing a more toxic environment which is favorable for pathogens and it can kill off friendly bacteria.
Chlorine is another toxic substance which can upset the balance of good/bad bacteria.
Here is a short list of things which can disrupt the balance in the GI tract.
Antibiotic use
Use of the birth control pill
Use of other hormones, especially immunosuppressants like steroids
Diet
Alcohol
Stress
As for causes of leaky gut...there are many possibilities. Here are some:
QUOTE
Antibiotics - because they lead to the overgrowth of abnormal flora in the gastrointestinal tract (bacteria, parasites, candida, fungi)
Alcohol and caffeine (strong gut irritants)
Foods and beverages contaminated by parasites like Giardia lamblia, cryptosporidium, blastocystis hominis and others
Foods and beverages contaminated by bacteria like helicobacter pylori, klebsiella, citrobacter, pseudomonas and others
Chemicals in fermented and processed food (dyes, preservatives, peroxidized fats)
Enzyme deficiencies (e.g. celiac disease, lactase deficiency causing lactose intolerance)
NSAIDS (non-steroidal anti-inflammatory drugs) like ASA, ibuprofen, indomethacin, etc.
Prescription corticosteroids (e.g. prednisone, hydrocortisone, DepoMedrol, etc.)
High refined carbohydrate diet (e.g. candy bars, cookies, cake, soft drinks, white bread)
Prescription hormones like the birth control pill
Mold and fungal mycotoxins in stored grains, fruit and refined carbohydrates
Dysbiosis and gastrointestinal Disease
Chemo-therapy and radiation therapy causing immune overload
Personally, I do not think a test for leaky gut itself is of much use. If there are multiple food intolerances its pretty much a given and I tend to focus more on tests that will provide more clear answers as to *why* the gut is leaky. Just knowing that the gut is leaky doesnt really change anything and there is no effective treatment without actually knowing the causes.
The reason that you cannot heal your gut is because you still dont know whats causing it to be leaky. You cant treat something without knowing what needs to be treated....and you cannot heal without treatment.....so you just stay in the same place.
If a person has Celiac they will not get better until they know why they have the symptoms. Once they know that gluten is the cause for their symptoms they can remove it and they can resolve those symptoms. Its not any different with leaky gut....you have to know what the problem is in order to get better.
And yes...a person can have both Celiac Disease and leaky gut....which is why some people (such as yourself) may not get better even though they've treated the Celiac by removing gluten. So you've identified one problem....but you still may have others that are left untreated.
I have had a few tests for yeast. The stool tests were unreliable. Blood antibody tests were very clear....I had extremely elevated antibodies for intestinal yeast (one of the highest my doctor had ever seen). Prior to that I had different types of alternative tests (including muscle testing) which all indicated a significant yeast issue.
Currently, I'm doing additional testing to try to get the clearest picture as far as the gut issues go.
These are the most common tests that Dr.'s are using.....Comprehensive Digestive Stool Analysis (CDSA) from a well known lab such as Genova (formerly Great Smokies).
Organic Acid Test (OAT) from Great Plains Laboratory.
This one is used often by doctors treating Autism. It provides the Dr. with alot of info. as far as metabolic imbalances and yeast/bacteria issues.
It tests for many different things but the main focus of the test is yeast and bacteria. It will identify yeast and bacteria metabolites in the urine. Not the yeast and the bacteria itself....but their metabolites.
Here are a couple links with info. on this test.
http://www.greatplainslaboratory.com/home/eng/full_oat.asphttp://www.nbnus.com/testkits/product_info...?products_id=18I am currently doing both the CDSA and the OAT. I have done a CDSA in the past...but it was a few years back and long before I was working with good doctors. So now we are getting a more updated CDSA and the OAT....between the two tests we should hopefully get a better picture on my gut issues.
I can definately let you know how well these tests serve me and if I find the info. to be very valuable. I should get results in 3-4 weeks.
I'm doing the OAT + yeast culture and sensitivity. Basically the second part is added on (at extra cost) and includes a stool sample. If yeast is found in the stool they will culture it and then test various antifungals to see which works best against the yeast. So it can provide important info. as to how to procede with treatment....since some strains of yeast will not respond to certain treatments.
These are the two tests I would recommend from the start. Other than that I would also recommend Lyme testing (Igenex) if you've never been tested....because that can lead to these problems as well.
The most important part is finding a knowledgeable doctor who knows how to interpret these tests and who is familiar with them and uses them routinely in diagnosing and treating patients. You can take all of the tests in the world but if your Dr. doesnt know what to do with them its all a waste.
Another useful test is the hair analysis from Doctors Data.....again proper interpretation is critical. Not every doctor knows how to interpret these tests and in the case of mercury you have to know how to identify a problem even when mercury levels are low in the hair analysis results. Mercury does not usually show up in the hair test (it hides in the body)....but there are other things to look at which can identify mercury as a problem.
So those are the main things.
Hope this is helpful.