Leaky Gut vs IBS: What’s the Difference?

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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.
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Bloating and gas
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Food sensitivities
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Brain fog
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Joint pain
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Skin issues (like acne or eczema)
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Fatigue
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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:
- 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.
- 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.
- 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.
- 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.
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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\
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Common Symptoms of Irritable Bowel Syndrome (IBS)
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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