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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 health is a big factor in childhood. Kids are always catching tummy bugs from their friends and classmates. But if their symptoms go on longer than normal, it might be a sign that something else is going on.
The microbiome refers to the community of trillions of bacteria, viruses, fungi, and other microbes living in your gut. We usually think of these “nasties” as responsible for your child’s tummy bugs. However, a thriving microbiome is critical for healthy digestion and can even affect other parts of the body.
Not sure what to look for? Below, we cover the signs of poor gut health in kids, how it’s linked to the microbiome, and when you should get a gut test.
You aren’t born with your microbiome. You gather it slowly from the environment as you grow up. Some comes from your mother, others from soil, food, and other environmental factors you come across. The exact composition of species is unique to you. Think of it like a fingerprint.
Because kids’ digestive systems are still developing, it’s much easier for harmful bugs to take over the digestive tract. Plus, things like diet, antibiotics, stress, and other illnesses can hamper the “good” bacteria and help the dangerous ones.
But gut health isn’t just restricted to the gut. Healthy bacteria produce essential micronutrients, lift our mood, dampen inflammation, and much more. When they’re disrupted, the symptoms can involve a child’s entire body.
The most common sign of poor gut health in kids is regular stomach pain (especially without a clear cause). Listen to your child’s complaints after meals or look for a swollen or gassy belly.
“Normal” bowel habits differ from child to child. Some kids often have loose stools or struggle with constipation. That being said, a pattern of alternating constipation and loose stools can indicate something else is going on.
It’s worth thinking about your child’s microbiome.
Many harmful bacteria can ferment food in the gut, creating unpleasant smells. If you notice excessive gas or unusually strong-smelling stools, it can be a sign of gut problems in children.
Trapped gas (and the associated discomfort) also occurs when your gut bacteria become imbalanced. This is known as “dysbiosis.”
Changes in your gut microbiota can affect the gut lining. This can increase intestinal permeability, allowing compounds to irritate the gut and trigger inflammation. Often resulting in food sensitivities. Milder than an allergy, sensitivities can appear as skin issues, digestive problems, or even mild confusion.
If your child is avoiding meals or feels full quickly, a food sensitivity might be the cause.
Your gut bacteria modulate your immune system. They’re responsible for controlling inflammation or strengthening your immune defence. Lots of colds or infections in short succession can be linked to dysbiosis.
So, if your child catches every bug going around, that might be the reason.
We don’t think of the skin and gut as linked. But when inflammation ramps up, it often presents as skin issues like eczema. That’s not always the case though, as eczema can occur without any gut problems.
Is your child always sleepy? Are they struggling to concentrate at school? If they’re getting enough sleep, it’s worth considering their gut bacteria. It might be the hidden cause.
This sign of poor gut health in kids gets easily missed. Parents just think their child is playing up for no reason. However, anxiety, meltdowns, or mood swings can occur alongside digestive symptoms. That’s due to the gut-brain connection, where compounds from the gut alter how the brain responds.
Most children get the odd tummy bug. But when symptoms stick around or start affecting daily life, it’s worth taking a closer look. Speak to a GP or healthcare professional if your child has:
Ongoing digestive issues
Poor appetite
Low energy
Frequent infections
If you’d like deeper answers, The Functional Gut Clinic may be able to help explore what’s happening inside your child’s microbiome. Our team provides specialist testing which could help get to the bottom of your children’s gut problems.
You might be interested in reading the next article: Can intermittent fasting improve 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