Leaky Gut vs IBS: What’s the Difference?

Leaky Gut vs IBS: What’s the Difference?

    • What is Leaky Gut?

      Your gut lining acts like a filter. It lets good stuff (like nutrients) pass into the blood and keeps bad stuff out.

      With leaky gut, this lining gets damaged. Tiny holes form and allow things like toxins, bacteria, and undigested food to “leak” into your bloodstream. This can cause inflammation and many health issues. 

      Common Signs of Leaky Gut: 

      People with leaky gut often deal with several health problems that seem unrelated. One of the most common signs is bloating and gas, which happen because the gut isn't breaking down food properly. Many also notice food sensitivities, especially to things like dairy, gluten, or processed foods. Another symptom is brain fog—you might feel tired, forgetful, or have trouble focusing. Joint pain can also show up, even if you haven’t hurt yourself. Some people get skin problems like acne, rashes, or eczema, which are linked to inflammation in the gut. Lastly, fatigue is a big sign—your body feels tired all the time, even after a full night’s sleep. These symptoms can point to a gut that’s not doing its job well and may need care and support. 

      • Bloating and gas

      • Food sensitivities

      • Brain fog

      • Joint pain

      • Skin issues (like acne or eczema)

      • Fatigue 

      • Benefits of a Leaky Gut Diet

        A leaky gut diet is designed to support and heal the gut by focusing on nutrient-rich foods that help repair the intestinal lining while avoiding foods that can cause irritation or worsen symptoms. The primary goal of this diet is to ease digestive discomfort, reduce inflammation inside the intestines, and restore the natural balance of the gut microbiome — the community of good bacteria that plays a crucial role in digestion and immune health.

        Research shows that following a leaky gut diet can provide several important benefits:

        1. Eases Digestive Symptoms: Many people with leaky gut experience symptoms such as bloating, cramps, diarrhoea, or constipation. By removing inflammatory and processed foods, and focusing on whole, natural foods, this diet helps reduce these uncomfortable symptoms.
        2. Reduces Intestinal Inflammation: Inflammation in the gut lining is a key feature of leaky gut syndrome. Certain nutrients in the diet, like fibre and antioxidants, work to calm this inflammation and help the gut tissue heal.
        3. Repairs Damage to the Gut Lining: The gut lining acts as a barrier to stop harmful substances from entering the bloodstream. Nutrients such as vitamins A and D are essential for repairing this barrier, sealing any gaps, and strengthening the gut walls.
        4. Restores Balance in the Gut Microbiome: A healthy gut microbiome helps maintain the gut lining and supports digestion. Probiotics, found in fermented foods and supplements, help replenish good bacteria. Prebiotic fibres found in fruits and vegetables feed these beneficial bacteria, allowing them to flourish.

        Beyond digestive health, the leaky gut diet may also ease symptoms linked to autoimmune diseases and chronic inflammation. This is because leaky gut can trigger the immune system to overreact, leading to problems like allergies, joint pain, and skin issues. Improving gut health programme provide information spend healthy life through diet may reduce these wider health problems.

        Key nutritional components in the leaky gut diet include:

        • Probiotics: These “good” bacteria help rebalance the gut microbiome and improve digestive function. Fermented foods like yoghurt, kefir, and sauerkraut are natural sources.
        • Vitamins A and D: These vitamins help repair the gut lining and regulate immune responses, helping prevent excessive inflammation.
        • Dietary Fibre: Found in fruits, vegetables, legumes, and whole grains, fibre not only aids regular bowel movements but also produces short-chain fatty acids when fermented by gut bacteria. These fatty acids protect the intestinal barrier and reduce inflammation.
        • Amino Acids (Glutamine and Arginine): These building blocks of protein are vital for calming inflammation, sealing gaps in the gut wall, and supporting immune health.
        • Polyphenols: These plant compounds have antioxidant properties that protect the gut from oxidative damage, which can worsen leaky gut.
        • What is IBS (Irritable Bowel Syndrome)?

          IBS is a disorder that affects how your gut moves and feels. It doesn’t damage the gut lining, but it causes discomfort and changes in how your stomach and intestines work.

          Doctors often say IBS is a “functional gut disorder,” which means the gut looks normal but doesn’t work normally\

        • Common Symptoms of Irritable Bowel Syndrome (IBS) 

          Irritable Bowel Syndrome (IBS) can cause many uncomfortable problems in your stomach. One of the main symptoms is abdominal cramping, which means you may feel pain or tightness in your belly, especially after eating. Many people with IBS also have irregular bowel habits. This means sometimes they may have diarrhea (loose, watery stool), sometimes constipation (hard stool), or a mix of both. Another common issue is too much gas, which leads to bloating and a feeling of fullness in the stomach. Some people may also see mucus in their stool, which looks like a clear or white jelly. Along with these, people with IBS often feel tired or sick to their stomach, also called nausea. These symptoms usually get worse when a person is under stress, eats certain foods, or during hormonal changes like before a girl’s period. Even though IBS is not a dangerous disease, it can make everyday life difficult and uncomfortable if not managed pr

          Common Signs of IBS:

          • Stomach cramps

          • Diarrhea or constipation (or both)

          • Gas and bloating

          • Mucus in stool

          • Relief after using the bathroom 

          • Can You Have Both at the Same Time?

            Yes. Some people with IBS may also have a leaky gut. In fact, studies show that leaky gut may play a role in triggering IBS symptoms, especially in people who are sensitive to certain foods.


            What Causes Them? 

          • Leaky gut can be caused by several things that damage the protective lining of the intestines. One common cause is eating too many processed foods. These often contain harmful additives, chemicals, and unhealthy fats that irritate the gut and weaken its barrier. A high intake of sugar and alcohol also plays a big role. Sugar feeds harmful bacteria, while alcohol inflames and damages the gut lining, making it easier for unwanted substances to pass through.

            Food intolerances, like problems digesting gluten or dairy, can also lead to leaky gut. When someone keeps eating foods their body reacts badly to, the immune system stays active and inflamed, which harms the gut wall. Gut infections such as yeast overgrowth (like candida), parasites, or bad bacteria upset the balance inside the digestive system. These infections can damage the lining and cause further problems.

            Another major factor is stress. When someone is under constant stress, it affects how well the gut works. Stress hormones slow down digestion and lower blood flow to the gut, making the gut wall more vulnerable. Lastly, not eating enough fiber-rich foods like fruits, vegetables, and whole grains can harm the balance of good bacteria in the gut. Without fiber, these helpful bacteria don’t get the food they need to stay strong and protect the gut lining. Over time, all of these factors can lead to a weakened gut barrier, allowing toxins and particles to leak into the body and cause inflammation. 

          • What Causes IBS?

            Doctors are still not completely sure what causes Irritable Bowel Syndrome (IBS), but they believe that many different things can lead to it. One main reason is a problem in the way the brain and gut work together, called the gut-brain axis. When this connection is not working well, it can affect how the stomach and intestines move and feel. Some people get IBS after having a stomach infection, like food poisoning, which can upset the balance of bacteria in the gut. Others may have food intolerances, meaning their body reacts badly to certain foods like dairy, gluten, or fatty meals. The way the muscles in the intestines move, called gut motility, may also change and cause cramping, diarrhea, or constipation. Stress, anxiety, and strong emotions can also make symptoms worse because the brain sends signals to the gut when you are feeling upset or nervous. All these things together can lead to IBS and make daily life uncomfortable for many people 

            • Stress and anxiety

            • Poor gut-brain signaling

            • Changes in gut bacteria

            • Food triggers (spicy, fatty, or gas-forming foods)

            • Infections after food poisoning (post-infectious IBS)

            How is Irritable Bowel Syndrome Diagnosed?

            There is no single test that can confirm IBS. Doctors usually find out if a person has IBS by first asking about their medical history and checking all their symptoms carefully. They want to know how long the symptoms have been going on and how often they happen. To be sure it’s not another serious condition, doctors often check for other problems like coeliac disease (a reaction to gluten), IBD (inflammatory bowel disease), or even bowel cancer. This is done using blood tests, stool tests, and sometimes a colonoscopy, which is a test that looks inside your large intestine using a small camera. Doctors also use something called the Rome IV Criteria — this is a checklist of symptoms that helps them decide if it’s really IBS. It is very important not to guess or self-diagnose. If your symptoms keep coming back or don’t go away, you should always talk to a doctor. They can guide you in the right way and help you feel better.

            How Are They Treated?

            ???? Leaky Gut:

            • Eat gut-healing foods (bone broth, fermented veggies, cooked greens)

            • Remove inflammatory foods (sugar, gluten, dairy)

            • Take gut-friendly supplements (like L-glutamine, probiotics)

            • Manage stress

            • Support good sleep and lifestyle habits 

            • leaky gut, also known as increased intestinal permeability, happens when the lining of the gut becomes damaged. This allows harmful substances like toxins and undigested food to pass into the bloodstream, causing inflammation and other health issues. To support the healing process, it’s important to focus on eating natural, gut-friendly foods and avoid those that cause further harm.

              1. Natural, Whole Foods

              Start by choosing foods in their natural form—those that are fresh and not heavily processed. These include:

              • Fresh fruits and vegetables: Packed with vitamins, antioxidants, and fibre that support digestion.
              • Lentils and legumes: A good source of plant protein and fibre.
              • Nuts and seeds: Such as almonds, flaxseeds, and sunflower seeds, which offer healthy fats and nutrients.
              • Naturally raised meat: Grass-fed or free-range meat contains fewer chemicals and is easier on the gut.

              Avoid processed and packaged foods such as crisps, frozen pizza, cakes, sugary cereals, and artificial sweeteners. These often contain additives, preservatives, and unhealthy fats that can damage the gut lining and disrupt the balance of gut bacteria.

              2. High-Fibre Foods

              Fibre plays a key role in gut health. It feeds the beneficial bacteria (also called probiotics) that live in the intestines. When these bacteria digest fibre, they produce short-chain fatty acids (SCFAs) that help strengthen the gut barrier and reduce inflammation.

              Examples of fibre-rich foods include:

              • Navy beans – rich in both soluble and insoluble fibre.
              • Avocados – contain fibre and healthy fats.
              • Chia seeds – a great plant-based source of fibre and omega-3.
              • Broccoli and peas – provide fibre and vitamins that support digestion.
              • Oranges and sweet potatoes – offer both fibre and antioxidants.
              • Oats – especially rolled or steel-cut oats, which contain beta-glucan, a type of fibre that supports gut health.

              3. Prebiotic Foods

              Prebiotics are specific types of fibre that help feed the good bacteria in your gut. They act as fuel, helping probiotics grow stronger and do their job better.

              Common prebiotic-rich foods include:

              • Apples – especially with the skin, as they contain pectin.
              • Bananas – slightly green bananas are higher in prebiotic fibre.
              • Garlic and onions – contain inulin, a powerful prebiotic.
              • Berries – such as blueberries and strawberries, which are also rich in antioxidants.
              • Lentils, oats, and flaxseeds – all high in prebiotics and other nutrients.

              4. Whole Grains (for those who tolerate them)

              Whole grains like brown rice, quinoa, and oats contain fibre, B vitamins, and minerals that can support overall gut function. However, people with gut sensitivity or gluten issues should be cautious. Grains that are soaked, sprouted, or fermented are often easier to digest.

              5. Fermented Foods

              Fermented foods are natural sources of probiotics, which are live beneficial bacteria. These help restore a healthy balance of bacteria in the gut, which is especially helpful if the gut has been damaged by antibiotics, stress, or poor diet.

              Examples include:

              • Yoghurt and kefir – choose sugar-free versions with live cultures.
              • Kimchi and sauerkraut – fermented vegetables rich in probiotics.
              • Miso – a fermented soybean paste often used in soups.
              • Sourdough bread – made using natural fermentation.
              • Some cheeses – like gouda, cheddar, and Swiss, which contain probiotics.

              6. Gut-Friendly Vegetables and Fruits

              Some vegetables and fruits are easier to digest and less likely to cause bloating or irritation. They also offer nutrients and antioxidants that fight inflammation.

              Helpful vegetables include:

              • Aubergine (eggplant), broccoli, cabbage, carrots, and courgettes (zucchini) – rich in fibre and plant compounds.

              Helpful fruits include:

              • Blueberries, grapes, papaya, strawberries, and oranges – support gut health and reduce oxidative stress.

              7. Nuts, Seeds, and Healthy Dairy Options

              Nuts and seeds offer healthy fats, fibre, and minerals. These include:

              • Almonds, peanuts, cashews, and pine nuts – all support gut bacteria and digestion.

              For dairy, choose:

              • Low-lactose or plant-based options such as hard cheese, lactose-free milk, almond milk, or soy milk. These are easier to digest and less likely to irritate the gut. 
              • leaky gut, also known as increased intestinal permeability, happens when the lining of the gut becomes damaged. This allows harmful substances like toxins and undigested food to pass into the bloodstream, causing inflammation and other health issues. To support the healing process, it’s important to focus on eating natural, gut-friendly foods and avoid those that cause further harm.

                1. Natural, Whole Foods

                Start by choosing foods in their natural form—those that are fresh and not heavily processed. These include:

                • Fresh fruits and vegetables: Packed with vitamins, antioxidants, and fibre that support digestion.
                • Lentils and legumes: A good source of plant protein and fibre.
                • Nuts and seeds: Such as almonds, flaxseeds, and sunflower seeds, which offer healthy fats and nutrients.
                • Naturally raised meat: Grass-fed or free-range meat contains fewer chemicals and is easier on the gut.

                Avoid processed and packaged foods such as crisps, frozen pizza, cakes, sugary cereals, and artificial sweeteners. These often contain additives, preservatives, and unhealthy fats that can damage the gut lining and disrupt the balance of gut bacteria.

                2. High-Fibre Foods

                Fibre plays a key role in gut health. It feeds the beneficial bacteria (also called probiotics) that live in the intestines. When these bacteria digest fibre, they produce short-chain fatty acids (SCFAs) that help strengthen the gut barrier and reduce inflammation.

                Examples of fibre-rich foods include:

                • Navy beans – rich in both soluble and insoluble fibre.
                • Avocados – contain fibre and healthy fats.
                • Chia seeds – a great plant-based source of fibre and omega-3.
                • Broccoli and peas – provide fibre and vitamins that support digestion.
                • Oranges and sweet potatoes – offer both fibre and antioxidants.
                • Oats – especially rolled or steel-cut oats, which contain beta-glucan, a type of fibre that supports gut health.

                3. Prebiotic Foods

                Prebiotics are specific types of fibre that help feed the good bacteria in your gut. They act as fuel, helping probiotics grow stronger and do their job better.

                Common prebiotic-rich foods include:

                • Apples – especially with the skin, as they contain pectin.
                • Bananas – slightly green bananas are higher in prebiotic fibre.
                • Garlic and onions – contain inulin, a powerful prebiotic.
                • Berries – such as blueberries and strawberries, which are also rich in antioxidants.
                • Lentils, oats, and flaxseeds – all high in prebiotics and other nutrients.

                4. Whole Grains (for those who tolerate them)

                Whole grains like brown rice, quinoa, and oats contain fibre, B vitamins, and minerals that can support overall gut function. However, people with gut sensitivity or gluten issues should be cautious. Grains that are soaked, sprouted, or fermented are often easier to digest.

                5. Fermented Foods

                Fermented foods are natural sources of probiotics, which are live beneficial bacteria. These help restore a healthy balance of bacteria in the gut, which is especially helpful if the gut has been damaged by antibiotics, stress, or poor diet.

                Examples include:

                • Yoghurt and kefir – choose sugar-free versions with live cultures.
                • Kimchi and sauerkraut – fermented vegetables rich in probiotics.
                • Miso – a fermented soybean paste often used in soups.
                • Sourdough bread – made using natural fermentation.
                • Some cheeses – like gouda, cheddar, and Swiss, which contain probiotics.

                6. Gut-Friendly Vegetables and Fruits

                Some vegetables and fruits are easier to digest and less likely to cause bloating or irritation. They also offer nutrients and antioxidants that fight inflammation.

                Helpful vegetables include:

                • Aubergine (eggplant), broccoli, cabbage, carrots, and courgettes (zucchini) – rich in fibre and plant compounds.

                Helpful fruits include:

                • Blueberries, grapes, papaya, strawberries, and oranges – support gut health and reduce oxidative stress.

                7. Nuts, Seeds, and Healthy Dairy Options

                Nuts and seeds offer healthy fats, fibre, and minerals. These include:

                • Almonds, peanuts, cashews, and pine nuts – all support gut bacteria and digestion.

                For dairy, choose:

                • Low-lactose or plant-based options such as hard cheese, lactose-free milk, almond milk, or soy milk. These are easier to digest and less likely to irritate the gut.

                  leaky gut, also known as increased intestinal permeability, happens when the lining of the gut becomes damaged. This allows harmful substances like toxins and undigested food to pass into the bloodstream, causing inflammation and other health issues. To support the healing process, it’s important to focus on eating natural, gut-friendly foods and avoid those that cause further harm.

          Can Diet Help IBS? Absolutely.

          As a Dietitian, I often see people try to manage Irritable Bowel Syndrome (IBS) alone — cutting out foods without real guidance. But restrictive diets can backfire.

          The Low FODMAP diet is a scientifically proven approach that relieves symptoms in 75%+ of IBS cases when done with a Dietitian.

          For those struggling with constipation, a properly implemented low fodmap diet for constipation can provide relief while maintaining nutritional balance.

          • Other dietary tools:
          • Managing fibre (type + amount)
          • Reducing caffeine, alcohol, spicy/fatty foods
          • Identifying personal food triggers
          • Using gut-healing nutrients (e.g. soluble fibre, probiotics)
          • Using tools like our glycemic load calculator to manage blood sugar impacts
          • Tracking body changes with Body Shape Calculator

          If you think you might have leaky gut syndrome or symptoms linked to it, it’s important to see a healthcare professional. Your first step can be to visit your primary care doctor. They can assess your symptoms, do initial tests, and refer you to specialists if needed. Experts who focus on gut health include gastroenterologists, who are doctors specialising in digestive problems, registered dietitian nutritionists (RDNs) who can help design the right eating plan, and functional medicine physicians who look for the root causes of your symptoms.

          Finding the right support is key. For example, at 121 Dietitian, there is a structured six-week gut health programme that has helped many people. This programme involves keeping a food diary to track everything you eat. You’ll get clear guidance, recipes, and shopping lists to make healthy eating simple. During the programme, some foods that may cause gas, bloating, or diarrhoea are slowly cut out and then carefully reintroduced. This helps identify which foods your gut doesn’t handle well. Research and experience show that 95% of patients feel better within eight weeks of following this plan. The goal isn’t just to avoid certain foods but to learn how to eat in a way that feels good for your body long-term.

          For those with irritable bowel syndrome(IBS), the Low FODMAP diet is a well-known and effective way to manage symptoms. FODMAPs are specific types of sugars found in many everyday foods. People with IBS often find these sugars hard to digest, which leads to symptoms like cramps, bloating, and diarrhoea. Gillian Killiner, a specialist dietitian at 121 Dietitian Belfast, has over ten years of experience using the Low FODMAP diet. She is specially trained by King’s College London and has helped 95% of her patients find relief within eight weeks.

          At 121 Dietitian, the approach is based on the latest scientific knowledge, ensuring advice is accurate and effective. Besides IBS, their programmes also support people with reflux, diverticular disease, inflammatory bowel disease (IBD), coeliac disease, small intestinal bacterial overgrowth (SIBO), gastritis, and other digestive problems. The team guides you step-by-step, so you don’t have to guess which foods might cause trouble. Instead, you get personalised support to help your gut heal and your body feel better.

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