Leaky Gut/Intestinal Permeability

1011 S. W. Blvd. Jefferson City, MO 65109 Telephone: 573.635.6767 | FAX: 573.636.3007

Use this scale to rate how frequently you experience the following:

0 = symptom not present 1 = mild/sometimes 2 = moderate/often 3 = severe/almost always

• Constipation and/or diarrhea.
• Abdominal pain or bloating.
• Mucus or blood in stool.
• Joint pain or swelling/arthritis.
• Chronic or frequent fatigue or tiredness.
• Food allergies, sensitivities or intolerance.
• Sinus or nasal congestion.
• chronic or frequent inflammations.
• Eczema, skin rashes, or hives.
• Asthma, hay fever, or airborne allergies.
• Confusion, poor memory or mood swings.
• Use of nonsteroidial antinflammatory drugs, Aspirin, Tylenol, or Motrin.
• History of antibiotic use.
• Alcohol consumption.
• Ulcerative colitis, Chrohn's disease or Celiac disease.

Score:

1-5 Leaky gut less apt to be present. 6-10 Leaky gut may possibly be present. 7-19 Leaky gut probably present. 20 Leaky gut almost certain. Click here to learn more about leaky gut or intestinal permeability.

1011 S. W. Blvd. Jefferson City, MO 65109 Telephone: 573.635.6767 | FAX: 573.636.3007