Leaky Gut: Trendy Diagnosis or Real Problem?

From the desk of a nurse who talks poop professionally

Let’s cut to the cheese (because dairy might be triggering your gut, but we’ll get there): Is “leaky gut” just the latest health buzzword, or is your digestive system actually betraying you one cell at a time?

As a nurse with 22 years of experience—who now spends her days talking about guts, wounds, ostomies, and everything in between—I’ve heard “leaky gut” tossed around more than a salad at a wellness retreat. So, let’s break it down in plain speak, minus the fear-mongering and plus a whole lot of real talk.


What Even Is Leaky Gut?

Leaky gut—also known in the science world as increased intestinal permeability—is when the lining of your intestines becomes damaged or inflamed. Normally, your gut lining is like a super-selective bouncer at a VIP club: it lets the good stuff (nutrients, water) in and keeps the riffraff (toxins, undigested food, bad bacteria) out.

When it becomes “leaky,” it’s like the bouncer got tired, took a nap, and now anyone can stroll into the bloodstream. Cue: inflammation, bloating, fatigue, skin breakouts, brain fog, and the dreaded poop problems.


Is It Real or Just Really Instagrammable?

Here’s the deal—leaky gut is real, but it’s not officially recognized as a diagnosis by all mainstream medical communities. Why? Because it’s tricky to prove directly in humans, and many of its symptoms mimic other conditions like IBS, food sensitivities, or even chronic stress.

But from my nurse perspective? I believe it’s a red flag. Not just a TikTok trend. When someone comes in with mystery rashes, chronic bloating, or poops that range from rabbit pellets to Niagara Falls, I start thinking gut barrier.


Signs Your Gut Might Be Leaking More Than Gossip

  • Bloating after every meal (no, it’s not just “getting older”)
  • Food sensitivities that didn’t used to be a thing
  • Fatigue no matter how many B12 shots you get
  • Skin issues: eczema, acne, or mystery breakouts
  • Frequent colds or “meh” immune function
  • Poop problems (constipation, diarrhea, or both on rotation)
  • Brain fog or mood swings that come out of nowhere

What Can You Actually Do About It?

I’m glad you asked. (Or maybe you didn’t, but I’m answering anyway.)

🥦 Eat Real Food

Minimize processed stuff. Think fiber-rich foods (veggies, fruits, whole grains), bone broth, and fermented foods like kimchi and kefir. Your gut bugs LOVE that stuff.

🚫 Avoid Gut Saboteurs

Common culprits? Excess sugar, alcohol, NSAIDs (like ibuprofen), and chronic stress. Yes, stress messes with your poop. Science backs me on this.

💊 Consider Supplements

Zinc, L-glutamine, collagen, and probiotics are often used to help support gut lining repair. Talk to your provider before adding a cart full of Amazon supplements, though.

💧 Hydrate Like It’s Your Job

Because it is your job—if you want better poops, better skin, and better energy.

🧘‍♀️ Chill the Heck Out

Stress is a major gut-wrecker. Meditation, yoga, deep breathing, or just screaming into a pillow in the supply closet (nurses, I see you)—whatever works.


So… Should You Panic?

Nah. Don’t panic. But don’t ignore your gut either.
If you’ve got skin flare-ups that won’t quit, poop that’s unpredictable, or you’re feeling “off” in ways that labs can’t explain—your gut might be trying to tell you something. And as your friendly, wound-and-gut-loving nurse in her 40s, I say: listen.

You don’t have to go full kale-smoothie-cleanse (please don’t), but you do need to take your gut health seriously. Because when your gut’s not happy, your skin, mood, and poop will absolutely snitch on it.


Nurse’s Final Note:

You can’t slap a collagen cream on a leaky gut. Skin glow starts inside—and yes, it often begins with your poop. 💩


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