Irritable bowel syndrome affects up to one in ten people. It's diagnosed when symptoms persist without visible inflammation — but a 'normal' colonoscopy doesn't mean nothing is wrong. IBS has real, findable drivers: post-infectious changes, SIBO, bile acid malabsorption, pancreatic insufficiency, dysbiosis, visceral hypersensitivity, and gut-brain axis dysfunction.
My job is to figure out which IBS you have. That means careful history and targeted functional testing — breath tests, stool analysis, and less common tests most workups skip. Then we treat the actual driver instead of managing symptoms forever.
New patient visits in person in Portland or by telehealth. I've spent 18 years on complex GI cases — including my own.
