Bloating

Struggling with bloating? Here’s what you need to know to find relief.

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What is bloating?

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.

Why does bloating happen?

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)

Diagnosing bloating

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

Learn more about bloating

How Gut Bacteria Make Vitamins Explained

How Gut Bacteria Make Vitamins and Support Nutrient Absorption

August 19, 20264 min read

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.

Do Gut Bacteria Make Vitamins?

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.”

Which Vitamins Can Gut Bacteria Produce?

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.

How the Microbiome Supports Vitamin Digestion and Nutrient Absorption

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 and Gut Health

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.

The Best Vitamins for Gut Health

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.

When to Consider Testing or Getting Professional Support

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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Are you experiencing any other symptoms

Symptoms are often closely connected. Find out more below.

Reflux

Burning mid-chest, worse when bending or lying down

Constipation

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

Heartburn

A burning pain in your chest, just behind your breastbone.

The pain is often worse after eating...

Regurgitation

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

Swallowing Issues

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

Diarrhoea

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

Abdominal Pain

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

Faecal Incontinence

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

IBS

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