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When you’re bloated, your stomach or abdomen can feel full and uncomfortable, or even painful.
This bloating happens when your gastrointestinal tract contains too much gas or air. Bloating can be mild, or more severe, and may present as:
– A visibly distended or swollen abdomen
– Feeling very full and uncomfortable
– Feeling of tightness in the abdomen
– Excess gas – belching and/or flatulence
– Rumbling or gurgling
There are several causes of bloating, so it’s important to diagnose the cause of your bloating and find out why it’s happening to you.

Prolonged periods of bloating could indicate an underlying health problem, if so you should see your GP.
Possible causes can include:
Irritable bowel syndrome (IBS diagnosis)
Ulcerative colitis, a form of inflammatory bowel disease (IBD), where the inner lining of the large bowel is inflamed and develops ulcers
Crohn’s disease, the other form of IBD, where some parts of your colon are inflamed
Too much bacteria in your small intestine (called small intestinal bacterial overgrowth, or SIBO)
Gastroesophageal reflux disease
Food intolerances, especially lactose or fructose intolerance
Producing too much gas (dysbiosis and fermentation)
Weight gain
Stress or anxiety
Delays in your food and drink moving on from your stomach (called gastroparesis)
Eating too quickly, so that you swallow too much air (called aerophagia)


Feeling bloated is no fun, but once you know what’s going on you can start to manage your symptoms and the underlying causes.
Testing options:
At the Functional Gut Clinic, we can run the following tests to diagnose the causes of bloating:
Gastric emptying test– which measures how quickly food leaves your stomach
Carbohydrate malabsorption breath test– which finds out if you have certain food intolerances (lactose or fructose)
Small intestinal bacterial overgrowth (SIBO) breath test– which finds out if you have an overgrowth of bacteria in your small intestine (called SIBO)
Oesophageal manometry– which measures the function of your oesophagus (food pipe)
24-hour pH impedance monitoring– which looks at whether you have any reflux
Colonic transit study-a non-invasive test which looks at how long it takes for faeces to pass through your bowl

Digestion isn’t just the mechanical process of breaking down food. What your body can’t absorb gets fermented by your gut bacteria. That might sound bad, but it’s how they extract, transform, and produce nutrients.
In fact, your body relies on them to produce specific vitamins — especially certain B vitamins and vitamin K.
Most vitamins still come from food, sunlight, or supplementation. But it is a vital source that supports your overall health. Here’s how the bacteria do it.
Yes, some gut bacteria can make vitamins.
Your gut bacteria evolved alongside humans for millions of years. The most beneficial ones that stuck around provided a vital service.
While the vitamins can benefit people, production varies considerably from person to person, depending on microbiome composition, diet, gut health, antibiotic exposure, and overall health.
Plus, the bacteria also consume and compete for vitamins. So, it’s not quite as simple as “gut bacteria make vitamins for you.”
Your gut is not just where vitamins are absorbed. In some cases, the bacteria living there help make them, especially certain B vitamins and vitamin K.
Gut bacteria are best known for helping produce B vitamins. A 2024 review found that the human gut microbiome has the ability to make several vitamins, especially group B vitamins such as folate, riboflavin, niacin, biotin, and others.
They can also produce forms of vitamin K. Some gut microbes can produce menaquinones, also known as vitamin K2, and research suggests the gut microbiome may also help remodel dietary vitamin K into other forms, although how much you absorb can vary.
Vitamin B12 is the one to be more careful with. Some gut microbes can produce or use vitamin B12-related compounds, but that does not mean your microbiome can reliably meet your B12 needs, so you still need enough from food, fortified products, or supplements where appropriate.
Gut microbes have a bigger impact on nutrients than just producing vitamins. They can influence overall absorption.
Your gut lining largely determines nutrient absorption. Gut microbes can break down fibres and resistant starches to produce short-chain fatty acids, which support the gut lining.
Plus, bacteria affect how quickly food moves through your gut. The faster it moves, the fewer nutrients are absorbed.
Vitamin D is not mainly made by gut bacteria. It’s either absorbed from food and supplements or produced in the skin after sunlight exposure.
But gut bacterial health is linked to vitamin D.
A systematic review found that vitamin D may influence gut microbiome composition. However, studies varied in design and results. Moreover, low vitamin D is common in some groups who consume a restrictive diet or who have problems with absorption.
There is no single “best vitamin for gut health”. It all depends on your diet, symptoms, medical history, and absorption.
That said, vitamin D, B12, folate, iron, magnesium, and zinc can help with fatigue, gut symptoms, and malabsorption.
It’s far better to focus on the actual foods you eat. Adding high-fibre foods to your diet can support your gut microbiome, improve nutrient absorption, and increase production of vital vitamins.
If you’re still deficient in certain vitamins, supplementation is worth considering.
Your gut bacteria can help produce certain vitamins. But that’s only part of the equation. If you’re experiencing persistent gut symptoms despite dietary changes, it’s worth getting proper support.
Proper testing may be useful if you have:
Ongoing bloating, diarrhoea, constipation, or abdominal discomfort
Fatigue, brain fog, or unexplained low energy
Low B12, vitamin D, iron, folate, or other nutrient deficiencies
Food reactions or a very restricted diet
IBS, IBD, coeliac disease, or a history of gut surgery
Symptoms that improve briefly, then keep returning
Testing can help identify poor digestion, inflammation, or a microbial imbalance. In fact, modern tests can give you a comprehensive understanding of your gut microbiome.
To understand what is happening in your own gut, The Functional Gut Clinic’s Microbiome Clinic offers advanced gut microbiome testing, expert interpretation, and tailored guidance to help you make more informed changes.
Read the next article: The Oral Microbiome: How the Bacteria in Your Mouth Affect Your Gut Health
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Burning mid-chest, worse when bending or lying down

Difficulty going to the toilet, unusual stools, often with stomach ache or intestinal cramps, bloating, nausea or appetite loss

A burning pain in your chest, just behind your breastbone.
The pain is often worse after eating...

Bringing food or drink back up, difficulty swallowing, feeling that food or drink is stuck in your throat, horrible taste in your mouth

Dysphagia - difficulty swallowing, feeling that food or drink is stuck in your throat, horrible taste in your mouth

Loose or explosive stools, can’t get to a toilet in time

Cramps; sharp or dull pain, Bloating, Excessive belching, Nausea or vomiting

Stools leak unexpectedly, Can’t get to a toilet in time

Abdominal pain or cramping, bloating, changes in bowel habits and urgency, gas