Gut health, in plain language

Glossary

Every symptom, treatment, and test on GutPattern comes with an “explain like I’m twelve” definition. This is the home for all of them — the same definitions you see when you hover a term anywhere on the site.

Symptoms

Bloating
A feeling of pressure or fullness in the belly, often from gas building up in the gut.
Distension
When your belly visibly swells or gets bigger — bloating you can actually see and measure.
Constipation
When it's hard to go, or you go less often than usual, and stools are dry or difficult to pass.
Diarrhea
Loose, watery stools, often more frequent and urgent than normal.
Reflux (GERD)
When stomach acid comes back up into the throat or chest, causing heartburn or a sour taste.
Abdominal pain
Aches, cramps, or sharp feelings anywhere in the belly area.
Urgency
The sudden, strong need to get to a bathroom fast.
Nausea
The queasy, sick-to-your-stomach feeling that you might throw up.
Excess gas
Passing more wind than usual, or a lot of trapped gas that builds up and causes pressure.
Fatigue & brain fog
Feeling wiped out and mentally hazy — hard to focus or think clearly. Common when the gut is inflamed or off-balance.
Histamine intolerance / MCAS
Trouble breaking down histamine (a chemical in many foods), causing reactions like flushing, hives, headaches, or gut upset. MCAS is a related condition where mast cells over-react.
Early fullness (satiety)
Feeling full after only a few bites, before you've eaten much — often linked to slow stomach emptying.

Treatments

Rifaximin
An antibiotic that mostly stays in the gut. Often used for SIBO because it targets gut bacteria without spreading through the whole body.
Neomycin
Another gut antibiotic, sometimes added to rifaximin when the breath test shows high methane (IMO).
PHGG (Sunfiber)
A gentle, prebiotic fiber (partially hydrolyzed guar gum) that feeds good bacteria and can help regulate stool.
Low-FODMAP diet
An eating plan that temporarily cuts certain hard-to-digest carbs that commonly trigger gas and bloating, then adds them back to find your triggers.
Elemental diet
A short-term liquid diet of pre-broken-down nutrients that gives the gut a rest and starves overgrown bacteria.
Prokinetics
Treatments that help the gut move things along, used to keep bacteria from building back up (especially after SIBO treatment).
Probiotics
Supplements of live 'good' bacteria. They help some people and make others feel worse — which is why comparing outcomes matters.
Biofilm disruptors
Agents meant to break up the protective 'slime' bacteria hide in, so other treatments can reach them.
Herbal antimicrobials
Plant-based compounds (like oregano oil or berberine) used as an alternative or addition to antibiotics for reducing gut bacteria.
Metronidazole (Flagyl)
A broad antibiotic sometimes used for gut infections and overgrowth. Unlike rifaximin, it's absorbed through the whole body.
Low-dose naltrexone (LDN)
A tiny dose of a drug used off-label to calm gut inflammation and, for some, help motility. Very different from its full-dose use.
Digestive enzymes
Supplements that help break down food (fats, carbs, proteins), taken with meals to ease digestion and reduce bloating for some people.
Betaine HCl
A supplement that adds stomach acid at mealtimes, used when low stomach acid is suspected of causing poor digestion.
Elimination diet
Temporarily cutting out suspected trigger foods, then adding them back one at a time to see which ones cause symptoms.

Tests & Diagnoses

SIBO
Small Intestinal Bacterial Overgrowth — too many bacteria in the small intestine, where there normally shouldn't be many. A common cause of bloating and gas.
IMO
Intestinal Methanogen Overgrowth — an overgrowth of methane-producing microbes, strongly linked to constipation.
Hydrogen breath test
A test where you drink a sugar solution and breathe into tubes over a few hours. Spikes in hydrogen suggest bacterial overgrowth.
Methane (on breath test)
Methane gas measured on the same breath test. High methane points to IMO and is often tied to constipation.
Hydrogen sulfide
A third gas (the 'rotten egg' one) some newer breath tests measure, linked to diarrhea-type patterns.
PPM
Parts per million — the unit breath tests use to measure how much of a gas is in your breath. Higher numbers mean more gas.
Stool test (e.g. GI-MAP)
A lab test of a stool sample that maps the bacteria, yeasts, and markers in your gut.
Gastric emptying test
A test that measures how fast food leaves your stomach, used to check for slow motility.
Gastroparesis
A condition where the stomach empties too slowly, causing fullness, nausea, and bloating even after small meals.
IBS
Irritable Bowel Syndrome — a common diagnosis for ongoing belly pain with diarrhea, constipation, or both, when tests don't show damage. Often an umbrella label rather than a root cause.
Celiac disease
An immune reaction to gluten that damages the small intestine. Diagnosed with blood tests and a biopsy — different from gluten sensitivity.
Candida / SIFO
An overgrowth of yeast in the gut. SIFO (Small Intestinal Fungal Overgrowth) is the fungal cousin of SIBO.
H. pylori
A stomach bacterium that can cause gastritis, ulcers, and reflux-type symptoms. Detected by breath, stool, or biopsy tests.
GI-MAP / stool DNA test
A stool test that uses DNA to map the bacteria, parasites, yeasts, and markers in your gut.
Calprotectin
A stool marker of gut inflammation. High levels point toward inflammatory bowel disease rather than IBS.
Endoscopy / colonoscopy
Camera tests that look directly inside the gut — endoscopy for the upper tract, colonoscopy for the lower — to spot damage or take biopsies.
SeHCAT (bile acid) test
A scan that checks whether your gut is losing too much bile acid, a treatable cause of chronic diarrhea.