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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

Your body’s defences aren’t just about white blood cells and vitamins. A large part of your immune system operates in the gut, where it’s shaped by the bacteria that live there. This community, also known as the microbiome, helps regulate immune responses, supporting your ability to fight infections while keeping inflammation in check.
These bacteria aren’t passive. They’re in constant communication with your immune system, sending and receiving signals that influence how it behaves. When that balance is disrupted, it can contribute to issues like allergies, chronic inflammation, and even autoimmune conditions. That’s why gut microbiome testing is so important.
The gut microbiome comprises trillions of bacteria, viruses, and other microbes living in the digestive tract. We often think of all bacteria as bad. But that’s not the case. In fact, some bacteria serve vital functions, such as working with your immune system.
Gut microbes have a role in everything from digestion and metabolism to signalling and immunity. They produce many of the nutrients and molecules the body needs to fight off infections.
Your gut is the centre of your immune system. Around 70% of all immune cells are located in and around the gut, particularly in structures known as gut-associated lymphoid tissue (GALT).
That makes sense. If pathogens want to enter the body, they can either do so through the skin or the digestive tract. While the skin is a thickened barrier, the gut must still absorb nutrients, creating an entry point.
The immune system is constantly battling microbes. It uses it as a “training ground” for immune responses, helping it respond appropriately rather than overreacting or missing real threats.
Gut bacteria don’t just sit there. They actively communicate with the immune system.
Compounds like short-chain fatty acids (SCFAs) and other metabolites are constantly produced, influencing how immune cells behave. These signals fine-tune immune activity, guiding when to mount a response and when to tolerate harmless substances.
Otherwise, your body could tip into chronic inflammation like a frontline defence that shoots at everything it sees.
People say the best defence is a good offense. But for the body, every fight wastes resources. Better to protect the physical barriers that prevent pathogens from entering the body.
The gut lining is that barrier. A healthy microbiome strengthens the tight junctions binding the cells together, preventing “leakage” into the circulation.
Like all defensive operations, your immune system needs messages from the frontline. This prevents accidents where your immune system starts to attack the body itself (known as autoimmunity) or remains in a constant state of high alert (chronic inflammation).
Rather than just activating immune cells, your microbiome releases molecules that help regulate responses, supporting a balanced system. That means it’s ready when an actual attack happens.
If your gut microbiome becomes dysregulated, it’s known as dysbiosis. This occurs when bacterial numbers are low or harmful bacteria become too dominant over the beneficial ones.
You may notice:
Increased susceptibility to infections
Chronic inflammation
Digestive issues
Worsening allergies or sensitivities
Skin issues like acne
The gut microbiome is also linked to the autoimmune conditions, in which the immune system mistakenly attacks the body’s own tissues. For example, low levels of Bacteroides, Bifidobacterium, and butyrate-producing bacteria have been associated with increased inflammation and changes in immune regulation, including the activation of autoreactive immune cells.
These changes may contribute to the development or progression of conditions such as inflammatory bowel disease (IBD), rheumatoid arthritis, type 1 diabetes, and multiple sclerosis.
Eating a wide variety of fibre-rich foods is the best thing you can do to support your beneficial gut bacteria. Fermented foods are another good option, as they contain beneficial bacteria. They’re a great option if you’ve just taken a course of antibiotics.
A lack of sleep, stress, and a sedentary lifestyle work against your gut microbiome. Support your immune system by putting healthy habits in place. Just exercising 2-3 times per week and introducing something to reduce stress can make a big difference.
It’s not just what to do, it’s what not to do.
Overuse of antibiotics, highly processed diets, and chronic stress, all harm your microbiome. They provide the opportunity for harmful bacteria to thrive.
If you’re dealing with recurring infections, ongoing digestive issues, or symptoms that don’t quite add up, it may be worth looking deeper at your gut.
The Functional Gut Clinic offers personalised microbiome testing to assess the current state of your gut health.
From there, you’ll receive clear, tailored guidance on what to change. This might be diet, lifestyle, targeted support, or a bit of each. It takes the guesswork out and gives you a practical plan based on what’s actually happening in your body.
You might like to read the next interesting article: At-Home vs Clinical Microbiome Tests: What's the Difference and Which Should You Choose?
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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