SIBO Treatment in Laguna Niguel, 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.

Hill neighborhoods send us knee pain, plantar fasciitis, and low back pain. Desk-plus-commute weeks send neck pain and headaches. Functional movement screening is a plain way to see which basic patterns are limited before they become an injury story. DNS-based exercise is one way we retrain trunk control when the hills expose it.

Parents in these neighborhoods also ask about energy, cycles, and digestion while they are in the car for everyone else's sports. Hormonal imbalance and gut health are separate problems with their own exams. Labs are chosen from the history. Start from the Laguna Niguel chiropractor page if you want the full local map.

Out of network, superbill, HSA and FSA. Same policy as the rest of the county. We recheck findings instead of assuming a standing weekly visit. If you are better, the gap between visits should grow. If you are not, we change the plan or we say that someone else should see you.

Drs. Sani and Tara Kohen run the practice together. Read about them on the about page. The rooms, including the rehab space, are on the office page. No referral is required from a Laguna Niguel physician, and we will coordinate if you have one.

Laguna Niguel is hills and planned neighborhoods: Bear Brand, Kite Hill, the streets above Crown Valley, and the parks along Salt Creek. The walking is rarely flat. Youth sports and weekend rounds of golf share the calendar with freeway jobs north of here. Knees notice the downhills. Low backs notice the car. Necks notice the laptop that follows the commute. We use those specifics in the exam instead of a checkbox that says active.

Salt Creek and the regional park give people a place to walk that is not a treadmill. If walking helps your pain or provokes it, we want to know which path. A loop that is fine on the flat portion and painful on the return grade is a clue, especially for spinal stenosis patterns and for hip pain.

From most of Laguna Niguel you reach La Alameda by Crown Valley Parkway or Alicia Parkway. About 8 miles, often 15 to 25 minutes outside the Crown Valley rush. The address is 26400 La Alameda, Suite 100, Mission Viejo, CA 92691. Park at the building. Hours are Monday through Thursday, 9 to 6. Being close is an advantage. It also makes it easy to treat the clinic like a drop-in chiropractic stop. That is not how this office works.

Book enough time for an exam, not a crack on the way to an errand. The complimentary 20-minute consultation exists so you can meet the doctors before a longer visit. Call (949) 312-1754. If you are coming from the south end of town near the 73, say so when you schedule. The return toward the toll road in the afternoon is the slow direction.