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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 Lighting up a cigarette might feel like a quick stress relief