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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

Inside your gut, you’ll find billions of bacteria and other microorganisms from hundreds of different species. Some of these are “good” bacteria, and others are “bad.” These bacteria provide different services, from aiding digestion to creating essential nutrients.
Supporting this community of bacteria (known as the microbiome) can transform your health. To do this, people rely on probiotics (foods containing beneficial live bacteria) and prebiotics (foods that feed the good bacteria).
They’ve both become big news in recent years. But often people get confused between the two. So, what’s the difference between probiotics and prebiotics? And what are the benefits of each of them?
Probiotics are the live, beneficial bacteria themselves. Or rather, they’re the foods or supplements that contain them. Often used if your beneficial bacteria population has lowered (e.g. after taking antibiotics), these foods can help replenish your “good” microbes.
Common probiotic strains, such as Lactobacillus and Bifidobacterium, play roles in digestion, immune function, and supporting the gut lining.
You’ll find them in fermented foods like yoghurt, kefir, kombucha, and sauerkraut. But you can also take them in supplement form.
Prebiotics are non-digestible fibres (dietary fibre) that act as food for the beneficial bacteria already living in your gut. These include things like inulin, fructooligosaccharides (FOS), and resistant starch.
Instead of adding new microbes, prebiotics may boost the numbers of your existing populations, helping to make them stronger. This, in turn, ensures they provide the essential services that make them so beneficial. For example, enhancing gut health, producing SCFAs, supporting digestion, and promoting overall wellbeing.
Prebiotics are found naturally in all kinds of foods. Popular sources include onions, garlic, leeks, oats, chicory root, bananas, legumes, and whole grains. Unlike probiotics, which are typically used in short or targeted bursts, prebiotics work best when eaten consistently as part of your lifestyle long-term.
Okay, so the main difference between probiotics and prebiotics is that one contains live bacteria (probiotics) and the other doesn’t (prebiotics).
But there are a few other differences:
First, probiotics are often taken short-term. You don’t need to keep introducing new beneficial bacteria. Not unless you’re taking regular courses of antibiotics. Once you’ve got the “good” bacteria, you’ll want to switch to a diet rich in prebiotics to support, grow and multiply them.
Next are the kinds of foods that contain pro- and prebiotics. Probiotics are typically found in fermented foods like sauerkraut, kimchi, and kefir, whereas prebiotics are usually high-fibre vegetables and legumes.
Lastly, there’s when to use them. Probiotics are recommended when your old population of bacteria has been killed off or flushed out. So, after antibiotic usage, following a bout of diarrhoea, or if you suffer from IBS. In contrast, there’s no specific timing for prebiotics. They’re most effective when eaten consistently as part of your daily diet. Prebiotics are always important for enhancing your gut health and ensuring you get regular bowel movements.
Here’s an overview table:
“Good” bacteria aren’t just optional. They’re essential to a normal functioning gut. If numbers are low, you won’t get the essential services they provide, and you’re vulnerable to harmful bacteria and fungi.
A 2022 paper found that gut bacteria offer tons of helpful services, including:
Produce SCFAs and vitamin K that reduce inflammation and support gut cells.
Strengthen the gut barrier and lower permeability.
Regulate metabolism, including glucose and fat processing.
Modulate immune responses and inflammatory signalling.
Transform bile acids and other metabolites that affect whole-body health.
Even more incredibly, beneficial bacteria might improve symptoms of depression and anxiety. There’s an increasingly known link between the gut and the brain. So, supporting your gut could literally make you feel good.
The answer is to take both.
Probiotics and prebiotics don’t work against each other; they work together. Probiotics provide the starting population, and prebiotics feed them to help them grow. Just like with any organism, if you don’t provide the right conditions, they won’t thrive and you won’t get the beneficial effects that make them so vital to our health.
Not sure which beneficial bacteria you’re lacking? Or the right combination of foods to support your gut health? We can help.
The Functional Gut Clinic offers a range of testing options and packages to analyse your current gut microbiome, offering personalised insights and advice. We can even detect the roles these bacteria have for you.
As the UK’s first integrated full-spectrum microbiome clinic, we offer world-leading testing you won’t find anywhere else. It’s time to take control of your gut health.
Book your first consultation today and unlock the power of beneficial bacteria.
"Very professional while welcoming and friendly"
"The manner and demeanour of all staff from reception to people carrying out the test was very professional but welcoming and friendly. Atmosphere is very relaxed and all instructions clear and concise."
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"Highly recommend this"
"Thanks to Dr Hobson and everyone at the Functional Gut Clinic. The whole team is very kind and generous and they are doing things that are cutting edge and they actually get results."
Manchester Patient

"Highly recommend this"
"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

"My experience could not be better"
"Pleasant and knowledgeable staff that made the experience more enjoyable than it should be!" - London Patient

"Very friendly and knowledgeable"
"An excellent service from beginning to end. I would recommend to anyone who was considering having testing done. Very friendly and knowledgeable!" - Manchester Patient

"Very kind and helpful"
"It was also great to have time to talk to the clinicians – very important when you have problems. Reception staff also very kind and helpful." - Manchester Patient


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