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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

Trillions of bacteria and other microbes live inside your gut, collectively known as your “gut microbiome.” Far from being harmful, these microorganisms are vital to your health, supporting everything from your immune system and heart to brain function and mood.
Your diet determines your gut microbiota. It can either support it, by feeding the healthy bacteria, or disrupt it, damaging your intestinal microbes and causing broader problems.
Below, we’re covering the gut microbiome: what it is, why it’s important, and how it affects your health. We’ll also look at what you can do to support your gut microbiome clinic.
Your gut microbiome is all the non-human cells living in your gut. There are trillions of bacteria and other microbes living within your gut, helping you digest fibre and releasing compounds that influence how your body functions — even your mood.
Most of these microbes are found in a pocket of your large intestine known as the caecum — it’s the dividing point between the large and small intestine (where your appendix is).
Different people have slightly different gut microbiota. But there can be thousands of different species. In one study called the PREDICT program, identical twins had around 34% of their gut microbes in common; usually, it’s around 30% in unrelated people.
So, it’s extremely unique to each person.
Most of us are raised to think of bacteria as being bad. But that’s not the case. In fact, we evolved alongside bacteria, forming symbiotic relationships that support our health.
The “good” bacteria in our gut:
helps digest food by breaking down complex carbohydrates, fibres, and proteins that the body can’t process alone.
produces vital nutrients, including vitamins B12 and K, as well as short-chain fatty acids (SCFAs) like butyrate that nourish the gut lining.
regulates the immune system, training it to respond appropriately and preventing excessive inflammation.
protects against pathogens by competing with harmful bacteria and strengthening the gut barrier.
influences metabolism by affecting how the body stores fat, regulates blood sugar, and balances energy.
supports brain function through the gut–brain axis, influencing mood, stress levels, and cognition.
Your gut microbiome isn’t only beneficial microorganisms. It’s a delicate balance of over 100 different species (out of over 1,000 possible species). The most dominant organisms are:
Firmicutes, including Lactobacillus
Bacteroidetes, including Prevotella
Actinobacteria, including Bifidobacterium
These bacteria initially come from your mother’s birth canal — exposure happens at birth. Then, as you grow, the colony begins to diversify. It’s believed that a higher microbiome diversity is good for your health.
So, a diverse gut microbiome is good for you. It supports many aspects of your body, from digestion and nutrient availability to immune regulation and metabolism.
But what happens if your microbiome isn’t quite right?
Well, the evidence indicates that “dysbiosis” — an imbalance in your gut bacteria — can lead to obesity, heart disease, diabetes, and even cancer.
In the gut itself, dysbiosis is linked to conditions like irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD). So, if you notice symptoms such as bloating, cramps, or abdominal pain, the underlying cause might be your gut microbiome.
Indeed, people who take probiotics (containing Bifidobacterium and Lactobacilli) can relieve IBS symptoms. Because your gut bacteria rely on what you eat, your diet is the single biggest factor shaping your microbiome.
Most animals have a preferred diet. The presence of certain foods in an environment can determine if an animal thrives or dies. The same is true for bacteria.
Feeding your gut microbiota a variety of different and nutritious foods helps them to thrive and survive. Opting for large amounts of ultra-processed foods may not be as supportive.
To support your gut microbiome, you can:
Eat fermented foods like kimchi, sauerkraut, or yoghurt – they contain friendly live bacteria
Add a wide variety of healthy foods to your diet (particularly different colours)
Reduce your intake of ultra-processed foods
Give yourself a gap between meals to let digestion happen
Up your intake of plant-based foods
You might also want to consider taking a specific probiotic supplement. They contain healthy bacteria, crucial for replacing any lost good bacteria. You may notice some disruption after taking antibiotics, so it’s a useful remedy to get your gut microbiota back on track.
Suspect your gut microbiome may not have the right balance? The Function Gut Clinic offers the UK’s first fully integrated, full-spectrum microbiome clinic.
We offer a range of tests:
Stool microbiome analysis
Hydrogen sulphide breath testing
SIBO breath testing (hydrogen and methane)
Gastric acid output testing
Gut motility and transit studies
Gut permeability assessments
Together, these tests inspect your gut microbiome, identifying any issues and providing a roadmap to better digestive health. You’ll receive a full action plan and ongoing care and support.
Book your microbiome test today and take control of your digestive health.
"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."
London Patient

"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