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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

“Gut instinct” isn’t just a random turn of phrase. It hints at the bidirectional connection between the gut and the brain. We often talk about your gut and feelings in the same sense without realising it. If you’re anxious, you might say you’ve got “butterflies in your stomach,” you “go with your gut,” or find a traumatic experience “gut-wrenching.”
The common theme is that they’re borderline instinctual. They communicate core, practical information to your brain. This isn’t just a nice idea, the gut-brain axis is a genuine connection.
But how does the gut affect the brain? What does this relationship look like day to day? And why gut microbiome testing can help support your brain? Find out below.
The gut-brain axis is a two-way biochemical signalling pathway taking place between the gut and the nervous system. There’s also a third component; the gut microbiome. Information is constantly passed between these two systems, including physical and emotional messages.
In fact, your gut is sometimes known as the ‘second brain.’ It contains more nerve cells than anywhere else in your body outside of your brain.
If the gut has an urgent message, it gives your brain a call. The vagus nerve is the main link between the gut nerves (enteric nervous system) and the brain. It’s one of the twelve cranial nerves.
The vagus nerve carries sensory information from inside your gut in response to chemical changes or the presence of food. The gut microbiome can even activate the vagus nerve by releasing specific molecules.
Slower messages are sent by the body’s version of the post. Gut bacteria, in particular, release or influence neurotransmitters like serotonin and GABA. These hormones have a direct effect on gut performance, regulating food movement and sensation.
But there’s a behavioural and mood component.
Changes in the gut microbiome are linked to depression, anxiety, and bipolar disorder, which is perhaps due to the effect on serotonin and other neurotransmitters.
The immune system is an indirect link between the brain and the gut. Gut bacteria can influence levels of inflammation. For example, certain bacteria turn fibre into short-chain fatty acids (SCFAs), which can downregulate inflammation.
Systemic inflammation is known to alter mood and cognitive function. When chronic inflammation occurs, people often notice brain fog or low mood.
Your gut is home to trillions of bacteria, viruses, and other microbes, which form the gut microbiome. They play an active role in brain function, altering neurotransmitters and regulating inflammation.
You’ll notice changes in:
Mood regulation
Stress response
Sleep quality
Cognitive clarity (focus, brain fog)
Dysbiosis, or harmful changes in the gut microbiome, can occur due to antibiotics, chronic stress, or a highly processed diet. You’ll often notice immediate changes in your brain function.
Common effects include anxiety and low mood, brain fog, stress-related digestive issues, and increased inflammation.
People often think it’s the foods themselves. Or they might wonder why they don’t feel suddenly better when they change bad habits. The reason is that gut bacteria play the mediating role.
The easiest way to support the gut-brain axis is to help the gut microbiome. Fibre feeds beneficial bacteria, increasing numbers and protecting against harmful bacteria. Eating a range of different fibre sources helps support a greater diversity of bacterial species.
Fermented foods contain helpful bacteria. If you’ve just taken a hit from antibiotics or chronic stress, these foods can help restore your gut to normal.
Stress is kryptonite to your gut-brain axis. It causes cortisol levels to spike, which negatively impacts beneficial bacteria, lowers your immune system, and allows harmful bacteria to proliferate.
Tackling stress doesn’t have to be complicated. Just going for a walk, practicing mindfulness, or taking some downtime can make a big difference.
Most of the time, the problem is the basics. People don’t get enough sleep, exercise, or eat too much processed food. Ensure you get your 7-8 hours of sleep per night, exercise around 3 times per week, and eat a healthy, balanced diet.
You’ll notice the beneficial effects on your gut-brain axis within a few days. But the real results are felt after a few weeks or months.
If you’re dealing with brain fog, low mood, or stress alongside digestive issues, it may be worth looking at your gut more closely.
The Functional Gut Clinic offers personalised microbiome testing, along with clear guidance on what to change. It’s a simple way to move from guesswork towards a plan that actually works for you.
Read the next interesting article: Long-Term PPI Side Effects: What 20+ Years of Evidence Actually Shows
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"After stopping my lansoprazole, every time I had a warm drink, I could feel it burn all the way down to my stomach. Thank you to Sam for making me feel at ease." - Manchester Patient

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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