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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

Fibre isn’t just for digestion. We’re often told that it acts like a scrubbing brush, cleaning out your bowels. But it’s also food, just not food for you. Your gut bacteria rely on fibre to sustain themselves. Without it, their levels can become dysregulated (known as dysbiosis).
Dietary fibre is fermented by the gut bacteria, producing short-chain fatty acids (SCFAs) which help with everything from maintaining gut barrier integrity to regulating inflammation. SCFAs are a big part of your health. If your gut microbiome is affected, it’s often one of the first things to be affected.
Below, we explore what fibre is, how it supports the gut microbiome, and where short-chain fatty acids fit into everything.
Fibre is an indigestible plant carbohydrate. Unlike other carbohydrates (like sugars and most starches), fibre is not digested or absorbed in the small intestine. Instead, it reaches the colon intact.
That’s where the gut bacteria take over.
Fibre comes in three different forms:
Soluble fibre (feeds bacteria, forms gels)
Insoluble fibre (adds bulk, supports bowel movements)
Resistant starch (important for SCFA production)
The two big categories are soluble and insoluble fibres. However, fibres can vary in their solubility depending on their source and level of processing.
SCFAs are a byproduct of fibre fermentation. Two of the most common SCFAs are acetate and butyrate, known for their ability to reduce inflammation.
But they’re only produced when we eat the right foods. Oats, rice, and potatoes become rich in resistant starch when they are cooked, cooled, and reheated, while unripe (green) bananas are naturally a good source. These forms of resistant starch help promote the production of SCFAs. In contrast, when whole grains are ground into flours, they tend to be lower in this type of fibre and so produce fewer SCFAs.
When you eat more fibre, your gut produces more SCFAs which can protect the intestinal lining. It can also prevent harmful bacteria from overgrowing and help absorb certain minerals like calcium.
Butyrate is one of the most important short-chain fatty acids your gut produces. It acts as the primary fuel source for the cells lining the colon, helping them function properly and stay healthy.
This supports the integrity of the gut barrier, prevents ‘leaky gut’, and therefore reduces the risk of unwanted substances passing through. It also has a natural anti-inflammatory effect, making it a key part of maintaining overall gut balance.
Most foods are digested as they pass through the stomach and small intestine. Fibre is different. It reaches the colon (large intestine), where bacteria ferment it. SCFAs are produced as a result, alongside certain gases like H2 (hydrogen) and CO2 (carbon dioxide).
You might think the fermentation process is bad. But it’s actually extremely beneficial. Without it, the “good” bacteria wouldn’t survive, and no SCFAs would be produced.
Each bacterium relies on a specific fibre (or a handful). The more sources of dietary fibre you introduce, the more variety of bacteria you support.
Relying on just a single bacterium for SCFA production is risky. It’s better to rely on lots of different species, as this creates a more resilient microbiome. It also means there isn’t a single “superfood.” Rather, it’s about eating a varied, balanced diet to cater to the varied bacteria species.
Short-chain fatty acids have numerous beneficial functions. These include:
Strengthened gut lining (reduce “leaky gut” risk)
Reduced inflammation
Supported immune function
Regulated metabolism and blood sugar levels
Regulated appetite and satiety
Most people probably don’t get enough fibre. Even when they do, it’s often from processed foods, which could harm beneficial bacteria.
Common signs your fibre intake is poor include:
Constipation or irregular bowel movements
Bloating after low-fibre meals
Low energy or poor satiety
Limited variety in diet
Digestive discomfort
Vegetables, fruits, legumes, and whole grains are excellent sources of soluble fibres, which all support different microbial populations. Oats, rice, and potatoes, and unripe bananas (as mentioned above) are especially useful for SCFA production.
Sudden increases in fibre can cause bloating and flatulence. Gradually increase your intake so your microbiome has time to adapt.
It’s also incredibly important to make sure you’re drinking enough water when eating more fibre. If you’re eating lots of fibre or increasing the amount you’re having, drinking enough water ensures the smooth running of your digestive system, and helps reduce the risk of dehydration and or constipation.
If you’re dealing with ongoing digestive or hormonal symptoms, it may be worth going beyond guesswork.
The Functional Gut Clinic offers personalised microbiome testing to assess the balance of your gut bacteria and how well it’s functioning. From there, you will receive targeted guidance on diet and lifestyle changes to support SCFA production and your overall gut health.
It’s a more precise way to understand what’s actually going on and what to do about it.
Read the next article: The Microbiome and Your Immune System
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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