Bloating, stool changes, and food reactions
You might bloat by evening, swing between loose stool and constipation, or feel fine until a specific meal. Reflux, nausea, and a noisy abdomen belong in the same history. So does the week the pattern started, after travel, an antibiotic, or a stretch of high stress.
FRI treats that timeline as the map. Drs. Sani Kohen, D.C. and Tara Kohen, D.C. ask what you eat, how fast you eat it, and whether pain, not food, is what ruins your appetite. Functional Medicine does not start by forbidding half the grocery store.
Tests are chosen from the history
Not everyone needs every gut test. A person with gas an hour after fruit is a different case from someone with blood in the stool, and the second of those needs a physician promptly. The kit is picked to match the question, not to fill a panel.
GI-MAP stool testing looks at organisms and digestion markers in the stool. SIBO breath testing asks about fermentation in the small intestine. Food sensitivity testing is a separate question about immune reactivity, not a substitute for either of those.
Three neighbor problems, three different pages
Small intestinal bacterial overgrowth, intestinal permeability, and food reactivity get mixed together online. They are neighbors, not copies. The SIBO page is about breath testing and fermentation. The leaky gut page is about the barrier question. Food sensitivities covers IgG and IgA, which are not an allergy diagnosis.
You might need one of those conversations, or more than one, but only if the history points there. Ordering all three on the first day is not the default. A clear question beats a thick stack of paper you cannot use.
Digestion, energy, and the rest of care
Poor digestion can sit beside fatigue, skin changes, or joint stiffness. That overlap is a reason to look, not a reason to blame the gut for every symptom you have. Sleep, thyroid pace, and medications belong in the differential your physicians are already managing.
Functional medicine at FRI does not replace a primary physician, endocrinologist, gastroenterologist, or mental health clinician. Bleeding, black stool, unexplained weight loss, or trouble swallowing goes to a gastroenterologist. Nutrition and supplementation here follows the test you actually needed.
What to expect when you are seen for Gut Health
A complimentary 20-minute consultation is available if you want to describe the pattern before testing. FRI is out of network, provides superbills, and accepts HSA and FSA funds. Hours are Monday–Thursday, 9–6.
You will be asked about stool form, timing of bloating, antibiotics, and travel. One test may be enough to start. Results are read with symptoms, not as a list of foods banned for life.
Westside shops, Eastside neighborhoods, and the 55
Costa Mesa is physically split. The Westside and the streets around the LAB and the action-sports shops mean standing, lifting, and a younger training culture. The Eastside and Mesa Verde are more residential. South Coast Plaza adds retail shifts on hard floors. The 55 freeway is the spine of the commute for people heading inland. Neck and low back complaints often belong to that freeway. Shoulder and knee complaints often belong to training or to a job on your feet. We ask which Costa Mesa, because the city is not one ergonomic story.
Action sports and gym culture also mean people arrive having already tried a lot of soft tissue. If you have had months of massage without a change in the movement that hurts, say what was actually done. ART and IASTM are specific tools. They are not a more expensive version of a general rub, and they are not always the right next step.
Reaching La Alameda from the 55
The usual drive is the 55 south to the 73, then toward Mission Viejo and La Alameda. From the Westside, some people prefer the 405 south to the 73. About 16 miles and 25 to 40 minutes. The address is 26400 La Alameda, Suite 100, Mission Viejo, CA 92691. Parking on site. Open Monday through Thursday, 9 to 6.
Afternoon returns to Costa Mesa on the 55 are slow. A morning visit is kinder to a fresh neck exam and to your schedule. Call (949) 312-1754. If you work a retail shift at South Coast Plaza, bring that standing schedule to the history. It changes how we dose a plantar fascia or low back plan.
What Costa Mesa visits focus on
Shoulder pain, neck pain, and knee pain cover a lot of the training and work injuries. Whiplash after a freeway crash needs a careful exam and, often, coordination with other clinicians. Functional movement screening is useful for people who train hard and still cannot explain a recurring tweak.
Gut and hormone questions are welcome in the same practice. Food sensitivities and hormonal imbalance each have their own explanation so we are not pretending a adjustment will answer them. The Costa Mesa chiropractor page is the overview.
Payment and first-visit logistics
Out of network, superbill, HSA/FSA. No referral. Bring imaging if a physician already ordered it after a crash. Do not wait on a lawyer to be examined if you are hurting, and do not expect us to manage the legal side of a claim.
The doctors are Drs. Sani and Tara Kohen. Biographies are on the about page. The clinic itself is on the office page. The complimentary consultation is 20 minutes if you want to compare this model with a high-volume office closer to Harbor Boulevard.
Questions patients ask
Do I need GI-MAP, a breath test, and a food panel?
Usually no. Each test answers a different question, and FRI picks from your history rather than dumping a panel on everyone. Stool testing looks at what is in the colon sample. Breath testing looks at fermentation related to the small intestine. A food sensitivity panel is another decision. You should know why a kit was chosen.
When should I see a gastroenterologist first?
Blood in the stool, black stool, trouble swallowing, persistent vomiting, or unintentional weight loss needs a physician, often a gastroenterologist, before a functional kit. Functional medicine at FRI does not replace that clinician, your primary physician, an endocrinologist, or a mental health clinician. Come here for the pattern that remains after urgent problems are ruled out, or alongside that care.
Can gut symptoms affect energy?
They can travel with fatigue, brain fog, and joint stiffness. That does not mean the gut is the only cause. Thyroid, sleep, mood, and medications are still on the list. FRI will say so. If a stool or breath test is used, it is to answer a digestion question you can describe, not to explain your entire health in one report.
Will you put me on a strict diet immediately?
No. A long forbidden-food list on day one is not the plan. Food changes, if any, come after the history and after the test that matches it. They are individualized and revisited. There is no brand protocol and no supplement dose on this page. Chiropractic Sports Medicine is separate care if pain, not digestion, is the main limit.
Related care for Costa Mesa
Gut Health is handled at the Mission Viejo clinic, not in a satellite office in Costa Mesa. The related pages below stay on that same visit and add the methods or neighboring problems that usually come up in the history.
- Costa Mesa chiropractor
How people from Costa Mesa reach 26400 La Alameda and what the three pillars cover.
- Gut Health clinical overview
The non-geographic condition page, if you want the clinic-wide explanation without the drive.
- Functional Medicine
The pillar this problem sits in at Functional Restoration Institute.
- SIBO in this city
Small intestinal bacterial overgrowth means microbes are fermenting food higher up than they should, which can bring bloating, gas, and stool changes..
- Leaky Gut in this city
People say leaky gut when they mean the gut barrier might be letting more through than it should. The plainer name is.
- Food Sensitivities in this city
A food sensitivity panel that looks at IgG or IgA is not an allergy test. Allergy, the IgE kind, is a different.
- Chronic Inflammation in this city
Inflammation is a process your body uses, not a personality and not a mood. It can be useful while you heal and.
- GI-MAP Stool Testing
GI-MAP is a stool test that uses a PCR-style method to ask about microbes, including possible pathogens, and about selected markers of.
