Heartburn

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

ALL TEST ARE ACCREDITED & REGULATED BY

What is heartburn?

Heartburn is a burning pain in your chest. This pain is caused by stomach acid rising from your stomach into your oesophagus (the pipe that takes food from your mouth to your stomach).

This can cause:

- Burning pain in the middle of your chest

- Pain which is worse when you bend over or lie down

- Burning pain that radiates into your back

By learning more about the causes of, tests for, and treatment for heartburn, you can understand it better and make informed decisions to get back on track.

Why does heartburn happen?

There are several possible causes of heartburn, and it’s important to find out what’s causing yours.

Here are the main causes of heartburn:

  • Gastroesophageal reflux disease (GORD)

  • Hiatus hernia, when part of your stomach moves up into your chest

  • Surgery you’ve had in the past (especially bariatric surgery)

  • Certain foods and drinks, such as alcohol, coffee, chocolate, and fatty or spicy foods

  • Being overweight

  • Smoking

  • Pregnancy

  • Stress or anxiety

  • Medication, such as anti-inflammatory painkillers

  • Overgrowth of bacteria in your small intestine (this is called SIBO)

Diagnosing heartburn

Diagnostic testing allows us to pinpoint the exact cause so we can recommend the right solution.

Oesophageal manometry, 24-hour pH, malabsorption breath tests, SIBO & gastric emptying

At the Functional Gut Clinic, we use the following highly accurate and trusted diagnostic tools, to identify the underlying cause of your heartburn:

  • Oesophageal manometry – which measures the function of your oesophagus (food pipe)

  • 24-hour pH impedance monitoring – which looks at whether you have any reflux

  • 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)

  • Gastric emptying test – which measures how quickly food leaves your stomach

Learn more about heartburn

Capsule Endoscopy in Gastrointestinal Disease

In this post, we're going to explore the benefits of capsule endoscopy for complete GI tract imaging, aiding diagnosis with minimal discomfort. Read more. ...more

Education

February 24, 20255 min read

Capsule Endoscopy in Gastrointestinal Disease

Lower Esophageal Sphincter Explained

In this article, we're going to learn about the lower esophageal sphincter’s role in preventing reflux and how to manage its weaknesses. Read more. ...more

Education ,Reflux

February 17, 20255 min read

Lower Esophageal Sphincter Explained

What is Silent Acid Reflux?

In this article, we're going to cover everything you need to know about silent reflux, from the symptoms to diagnosis and treatment. Read more. ...more

Education ,Reflux

February 10, 20255 min read

What is Silent Acid Reflux?
Back to Home

Hear from people we’ve helped, just like you.

"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

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

Bloating

Feeling uncomfortably full and tight, excess belching/breaking wind, abdominal pain or gurgling

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

© Copyright The Functional Gut Group 2025