SIBO Treatment in Irvine, 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.

Corrective exercise and DNS are how we retrain sitting and breathing patterns after the exam shows they matter. Chiropractic adjustments are used when a joint is not moving, not as a subscription. Carpal tunnel symptoms get a neck screen and a nerve exam, because a keyboard is not automatically the wrist.

The same city asks functional medicine questions: thyroid, burnout-style fatigue people want explained, and gut symptoms after years of desk lunches. Those are history-first visits. The hub page is the Irvine chiropractor page.

Many Irvine employers offer HSA or FSA accounts. Those cards work here. We are still out of network and we still give a superbill rather than billing your plan directly. Lab work is quoted before it is ordered. We will not tell you to stop a medication from your Irvine physician.

Drs. Sani and Tara Kohen lead the clinic. Training details are on the about page. If you want to see the rehab gym before you drive the 5, use the office page.

Irvine's villages do not share a body. Woodbridge and University Park are older loops and pools. Turtle Rock and Quail Hill have more grade. The Spectrum and the Great Park are newer and more spread out. The job, for a lot of patients, is a campus along Jamboree, Barranca, or the Irvine Business Complex: long meetings, a badge, and a walk that is only from the garage. Neck, upper back, and headache complaints often start there. Knee and hip complaints often start on the village trails people use to undo the job.

We do not treat Irvine as a single activity level. A cyclist on the San Diego Creek trail and a software lead who has not exercised since a move from Woodbridge need different exams. Neck pain and headaches are common desk presentations. Hip and SI pain shows up when someone adds mileage fast. Say which village and which campus.

From central and north Irvine, I-5 south toward Mission Viejo is the simple drive. From the south villages and from many business parks, the 133 to the 73 toll road is often cleaner. About 12 miles. Twenty minutes is realistic off peak. Thirty-five is realistic when the 5 is slow through Lake Forest. The office is 26400 La Alameda, Suite 100, Mission Viejo, CA 92691. Building parking. Monday through Thursday, 9 to 6.

Irvine patients are used to efficient clinics. This one is deliberately less efficient. An exam takes time. If you need to be back on Jamboree for a meeting, book a morning visit and leave a buffer. Phone (949) 312-1754. The 20-minute consultation is the right first step if you are shopping for a style of care rather than ready for testing.