SIBO Treatment in Anaheim, CA

The small intestine is built to absorb, not to host a heavy ferment. When bacteria there break down carbohydrates, gas can build under the ribs within an hour or two of eating. You may look pregnant by evening, belch, or swing between diarrhea and constipation.

That pattern is the concept behind SIBO. It is not a verdict you can make from bloating alone. Dr. Sani Kohen, D.C. and Dr. Tara Kohen, D.C. ask what you ate, how soon symptoms started, and whether an antibiotic, a stomach bug, or abdominal surgery came first.

SIBO breath testing measures gases in your breath after a sugar drink. Lactulose is not absorbed early, so it travels farther down the intestine. A rise can reflect the small bowel, and it can also reflect fermentation once the drink reaches the colon, which is why timing is part of the reading.

Glucose is absorbed higher up, so it mainly challenges the upper small intestine and can miss a problem farther down. Neither sugar is a better test for every person. FRI chooses with you, then reads the graph next to symptoms. A number without a story is not a plan.

A positive breath test in someone who bloats after meals is a different situation from a positive test in someone who feels well. FRI does not treat the printout as the patient. Constipation, diarrhea, and upper abdominal swelling point the plan in different directions.

Stool testing answers a colon question, not this one. The gut health overview explains when GI-MAP is the better first step. If food reactions dominate the history, that is yet another page. Stacking tests without a reason is how people end up confused.

In Functional Medicine, some people feel better when fermentable carbohydrates are reduced for a while. Others get worse if the diet becomes so narrow that they under-eat. Nutrition and supplementation is built around what you tolerate and what the test showed. There is no herbal antibiotic dose on this page, and no brand protocol.

Functional medicine at FRI does not replace a primary physician, endocrinologist, gastroenterologist, or mental health clinician. Weight loss you did not intend, bleeding, or vomiting needs medical care. A breath test does not rule those out.

You can start with a complimentary 20-minute consultation. The office is out of network, accepts HSA and FSA payment, and provides a superbill. Visits run Monday–Thursday, 9–6.

If a breath test is ordered, you follow a prep diet and a collection schedule. Results are reviewed with your symptom timing. Any food change is revisited, not handed down as a permanent menu.

We build home programs specifically because you should not need to live on I-5. Corrective exercise, McKenzie self-treatment, and a small number of hands-on visits beat a permanent weekly commute for a crack. Sciatica care includes nerve testing and clear red flags. Bowel or bladder change with leg pain is an emergency, not a drive to south county.

Metabolic syndrome and weight questions are handled with labs and food, without a promised number of pounds, and beside your physician. The Anaheim chiropractor page is the index.

Out of network, superbill, HSA/FSA. No referral. We do not manage work injuries as a legal case. We will examine the injury. Bring any restrictions your employer or physician already wrote down.

Drs. Sani and Tara Kohen's training is on the about page. The clinic is on the office page.

Anaheim contains a resort economy and a hill suburb that do not share a skeleton. The resort district and the streets around it mean hospitality shifts, standing, and odd hours. The Colony and central Anaheim mean older neighborhoods and short local trips piled onto I-5. Anaheim Hills means grades, trails, and the 91 or the 55. Low back and neck pain from resort shifts are a standing-and-sleep story. Knee pain from the Hills is a descent story. Tell us which Anaheim.

Shift work also wrecks sleep, and sleep wrecks pain tolerance. If you work nights near the resort and you are also asking about sleep or headaches, bring the schedule. We will not hand you a sunrise routine you cannot use.

From central Anaheim and the resort area, I-5 south toward Mission Viejo is the direct freeway. From Anaheim Hills, the 55 south is often cleaner than fighting across to the 5. About 26 miles. Thirty-five minutes is off-peak. Fifty-five is rush hour, especially if you start on the 91. The office is 26400 La Alameda, Suite 100, Mission Viejo, CA 92691. Monday through Thursday, 9 to 6. Building parking.

Book the first appointment you can stand if you are coming from the Hills in the morning or returning north in the afternoon. Call (949) 312-1754. A 20-minute consultation can be scheduled before you invest in a full evaluation and a long freeway day.

On the days before a consult, write what you ate and the minute bloating started. An hour after fruit is a different clue than midnight discomfort after a large late dinner. Note prior antibiotics, food poisoning, and any abdominal surgery, because those details change how a breath test is valued. If constipation is the main issue, say whether gas is trapped or whether you simply do not go. Those are not the same mechanism. Bring old breath tests too, including ones that were called borderline, so the new graph is compared with the old one rather than treated as a first look.

Food changes work when they are narrow enough to teach you something and wide enough that you can live. A week of careful notes beats a month of a diet you resent. If a reduction in fermentable foods helps, FRI still plans the return of foods, not a permanent short menu. Supplements, if any, are discussed one at a time. Chiropractic Sports Medicine and Neuromuscular Rehabilitation do not treat overgrowth, but they matter if back or rib pain is changing how you breathe and eat. A breath test is reread with symptoms, not treated as a score you must beat.