Bloating

Struggling with bloating? Here’s what you need to know to find relief.

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What is bloating?

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.

Why does bloating happen?

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)

Diagnosing bloating

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

Learn more about bloating

Gut Microbiome and Sleep Explained

Gut Microbiome and Sleep: Does Gut Health Affect Rest?

August 17, 20264 min read

Sleep can be elusive these days. Screens, caffeine, stress, hormones — everything seems set on disrupting your seven to eight hours. But there’s another factor that’s talked about much less often: your gut bacteria.

Inside your gut is a community of trillions of bacteria, fungi, viruses, and other microorganisms known as the gut microbiome. These microbes communicate with your brain via the gut-brain axis and may influence sleep quality, circadian rhythm, inflammation, and even insomnia risk.

So, if you’ve noticed poor sleep after eating the wrong foods, your gut may be part of the explanation. Thankfully, it may also be one route to a better night’s sleep.

Does Gut Health Affect Sleep?

In short, yes.

Gut health is a hidden factor in sleep. Evidence suggests that your gut microbiome composition plays a significant role in sleep quality via the gut-brain axis. But the reverse is also true. The worse you sleep, the more it can damage your gut microbiome.

How Gut Bacteria May Influence Sleep

There isn’t a single way that gut bacteria influence sleep. Instead, gut bacteria have several indirect effects that can help you sleep.

  • Gut bacteria produce short-chain fatty acids that may affect sleep through inflammation and brain signalling. These compounds are made when gut bacteria ferment fibre, and a recent review suggests they may influence sleep by supporting the gut-brain axis, immune balance, and nervous system activity.

  • The microbiome may also influence tryptophan, serotonin, and melatonin pathways. Tryptophan is used to make serotonin and melatonin, both of which are involved in sleep-wake regulation, and research suggests gut bacteria may affect how this pathway functions.

  • Gut bacteria may affect calming neurotransmitters such as GABA, but the evidence is still developing. Some microbes can produce or influence GABA and other signalling molecules linked with relaxation and sleep, although current research suggests the microbiome is one part of a wider picture that also includes stress, light exposure, diet, inflammation, and circadian rhythm.

The Gut Microbiome and Insomnia

But what about insomnia?

This is a persistent inability to get to sleep each night. Many individuals with insomnia try everything to get a good night’s sleep, from sleep hygiene to melatonin.

The underlying problem might be in their gut.

A 2025 systematic review found specific gut microbiota alterations in people with insomnia, including lower levels of specific microorganisms.

That said, insomnia is rarely caused by a single problem. It’s influenced by stress, anxiety, light exposure, caffeine, pain, hormones, and much more.

How Poor Sleep Can Affect Your Gut

Poor sleep can affect your gut in several ways.

First, it can interfere with your circadian rhythm, leading to changes in digestion and microbial activity. While a single night of disturbed sleep is unlikely to make a difference, persistent disruption may harm beneficial bacteria.

Secondly, sleep-deprived people tend to prefer more unhealthy foods. It can lead to later-night eating and ultra-processed foods, which disrupt the gut microbiome.

Lifestyle Habits That Support Your Gut and Sleep

You don’t have to overhaul your entire lifestyle. But a few sensible changes can make a big difference. Try to include or avoid these foods:

  • High-fibre foods: oats, beans, lentils, vegetables, fruit, wholegrains, nuts, and seeds.

  • Prebiotic foods: onions, garlic, leeks, asparagus, bananas, oats, and legumes.

  • Fermented foods: yoghurt, kefir, kimchi, sauerkraut, and fermented vegetables.

  • Polyphenol-rich foods: berries, cocoa, olive oil, herbs, spices, tea, and colourful plants.

  • Magnesium-containing foods: nuts, seeds, leafy greens, legumes, and wholegrains.

  • Avoid heavy, high-fat, spicy, or very late meals if they worsen reflux, bloating, or discomfort.

Can Probiotics Help You Sleep?

Some research says yes.

Probiotics contain live bacteria. They’re useful if your gut microbiome was recently disrupted. It might be a useful tool for people with insomnia; however, it shouldn’t be a first-line treatment.

Further research is needed to understand the size of the effect, the specific strains needed, and how long it should be taken for. But there’s no harm in adding a probiotic supplement or fermented food to your diet to help aid your gut microbiome.

Take a Closer Look at Your Gut Health

If poor sleep comes with bloating, irregular digestion, food reactions, or ongoing gut symptoms, it may be worth looking deeper.

The Functional Gut Clinic’s Microbiome Clinic offers advanced gut microbiome testing, expert interpretation, and tailored guidance to help you better understand your gut and make changes based on your results.

You may find the next article interesting to read: How Your Gut Bacteria Make Vitamins: The Microbiome's Role in Nutrient Production

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Are you experiencing any other symptoms

Symptoms are often closely connected. Find out more below.

Reflux

Burning mid-chest, worse when bending or lying down

Constipation

Difficulty going to the toilet, unusual stools, often with stomach ache or intestinal cramps, bloating, nausea or appetite loss

Heartburn

A burning pain in your chest, just behind your breastbone.

The pain is often worse after eating...

Regurgitation

Bringing food or drink back up, difficulty swallowing, feeling that food or drink is stuck in your throat, horrible taste in your mouth

Swallowing Issues

Dysphagia - difficulty swallowing, feeling that food or drink is stuck in your throat, horrible taste in your mouth

Diarrhoea

Loose or explosive stools, can’t get to a toilet in time

Abdominal Pain

Cramps; sharp or dull pain, Bloating, Excessive belching, Nausea or vomiting

Faecal Incontinence

Stools leak unexpectedly, Can’t get to a toilet in time

IBS

Abdominal pain or cramping, bloating, changes in bowel habits and urgency, gas