Intestinal Permeability – Urine Test
Summary
Leaky gut syndrome
is a condition of altered or damaged bowel lining, caused by
antibiotics, toxins, poor diet, of infection that can lead to increased
permeability of the gut wall. The normal immune system jumps into action
only when it detects significant amounts of foreign proteins in the
body. It reacts aggressively because these foreign proteins may signal
the arrival of disease-causing microorganisms, such as bacteria or
viruses. For example, when the body encounters a bacteria or virus, it
mounts an immune reaction. And what’s a major way we encounter foreign
proteins and substances? Through eating - immune soldiers sit under the
cells that line the intestine, ready to pounce and call in
reinforcements. This is called your GALT (gut associated lymphoid
tissue). So, considering that we eat protein on a daily basis, how come
our immune system isn’t constantly being activated? Well, before our
defenses encounter anything that might trouble them, our digestive
system usually breaks down most ingested proteins into its building
blocks (called amino acids). However, for someone with increased
intestinal permeability, intact proteins and peptides are allowed to
seep out of the gut and elicit an immune reaction.
What Does It
Measure
Lactulose, a
disaccharide, normally penetrates poorly through the gastrointestinal
barrier so an elevated level of lactulose indicates hyper-permeability.
Mannitol, a monosaccharide, is readily absorbed and serves as a marker
of transcellular uptake so a low percent recovery of mannitol is
indicative of malabsorption. A high lactulose/mannitol ratio indicates
an increase in gut permeability.
Results Can Assist
in Determination of Proper Supplementation
It has been
suggested that intestinal permeability is one key factor in the
autoimmunity-causing trinity. Autoimmunity is the failure of the body to
recognize its own constituent parts as self, which allows an
immune response against its own cells and tissues. Any disease that
results from such an aberrant immune response is termed an autoimmune
disease and some common examples of such diseases are Celiac disease,
Crohn’s, Ulcerative Colitis, Diabetes Mellitus type 1, Lupus, Sjogren’s
syndrome, Hashimoto’s thyroiditis, Grave’s disease, and Rheumatoid
arthritis. Therefore, addressing altered intestinal permeability can be
very effective at treating the disease process.
Talk to your
health care provider about
having an intestinal
permeability test done today!