Gastroenterology

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Gastroenterology Treatment

This Gastroenterology Treatment FAQ answers the most common patient questions about digestive health, functional GI evaluation, symptoms, testing options, and advanced treatment approaches offered at Patients Medical in NYC. You’ll learn how integrative gastroenterology works, what lab and imaging tools are used, how lifestyle influences gut health, and how personalized care can help manage conditions like IBS, acid reflux, bloating, inflammatory bowel disease (IBD), and food sensitivities using a root-cause approach rather than symptomatic masking.

Fast Facts

What It Is

Integrative digestive care that blends conventional GI diagnostics with functional medicine principles.

Primary Benefits

Improved digestion, reduced inflammation, symptom relief, restored gut function, and enhanced overall wellness.

How It Works

Combines advanced testing → nutrition evaluation → targeted therapies → lifestyle optimization.

Ideal For

IBS, GERD (acid reflux), bloating, constipation, diarrhea, gas, IBD, food sensitivities.

Complementary Approach

Works well with nutrition, stress management, microbiome support, and hormone balance.

HOW GASTROENTEROLOGY TREATMENT WORKS

Symptom Evaluation: In-depth review of digestive symptoms, triggers, food patterns, and lifestyle.
Advanced Testing: Stool analysis, breath testing (SIBO), inflammation markers, GI imaging as needed.
Microbiome Optimization: Restores healthy gut flora and reduces harmful bacterial overgrowth.
Inflammation Control: Reduces chronic GI inflammation through diet, supplements, and therapies.
Lifestyle Support: Stress regulation, sleep optimization, and movement enhancers that support gut-brain balance.

POPULAR DIGESTIVE SYMPTOMS WE TREAT

Abdominal bloating & gas
Irritable Bowel Syndrome (IBS)
Acid reflux / GERD
Constipation or diarrhea
Food sensitivities / intolerances
Heartburn & indigestion
Nausea & early satiety
Chronic inflammation (IBD, colitis, Crohn’s)
Weight fluctuations linked to GI issues
Fatigue from malabsorption

Recommended Next Steps

Schedule a Comprehensive GI Consultation

Complete Advanced Testing (stool, breath, labs)

Start a Personalized Gut Optimization Plan

Track Symptoms, Diet, and Response Over Time

Integrate Stress, Sleep & Nutrition Support

Gastroenterology Treatment at Patients Medical

Who We Are & How We Practice

Patients Medical is a physician-led integrative medical clinic in New York City specializing in digestive health and functional gastroenterology. Our team combines Western medicine diagnostics with functional medicine insights to uncover why your gut symptoms started and how to resolve them, rather than just suppressing symptoms.

We treat the whole person — including gut, immune system, hormones, stress, sleep, and diet — because the digestive system interacts with every other system in the body.

Quick Facts About Patients Medical

Established: 1974
Location: Midtown Manhattan
Specialties: Integrative gastroenterology, functional medicine, nutrition therapy, hormone optimization, stress management
Team: MDs, DOs, gastroenterology specialists, nutritionists, functional medicine clinicians
Care Model: Root-cause diagnostics + customized treatment plans
Focus Areas: Gut inflammation, IBS, GERD, SIBO, food sensitivities, bloating, constipation, diarrhea, indigestion

Conditions & Symptoms We Commonly Treat

Irritable Bowel Syndrome (IBS)
Gastroesophageal Reflux Disease (GERD)
Small Intestinal Bacterial Overgrowth (SIBO)
Food Intolerances & Sensitivities
Bloating & Gas Discomfort
Chronic Constipation
Diarrhea & Urgency
Inflammatory Bowel Disease (IBD)
Malabsorption & Nutrient Deficits
Heartburn & Acid Reflux

Our Whole-Person Integrative Care Model

We believe gut health is influenced by:
• Microbiome imbalance
• Chronic inflammation
• Food triggers
• Immune dysfunction
• Stress and hormones
• Nervous system signaling

Our approach blends:
• Comprehensive GI evaluation
• Functional stool & breath testing
• Personalized nutrition plans
• Targeted supplements & botanicals
• Stress, sleep, and lifestyle optimization
• Collaboration with specialists as needed

Gastroenterology – Integrative Gut Health & Functional Digestive Care

What Is Functional Gastroenterology?

At Patients Medical, our integrative gastroenterology team listens deeply and looks beyond symptoms—connecting gastrointestinal complaints to systemic root causes. We treat the whole ecosystem of digestion: microbiome, immune health, gut lining, stress, and toxicity. This allows long-lasting relief from reflux, IBS, SIBO, IBD, and more—providing personalized healing, not just band-aid prescriptions.

Functional gastroenterology combines diagnostic and therapeutic tools to restore healthy gut function naturally:

Advanced digestive testing (stool microbiome, SIBO breath test, gut permeability)
Food sensitivity & elimination protocols
Nutritional, botanical, and probiotic therapies
Stress-focused mind-body treatments including acupuncture
Lifestyle tuning around sleep, movement, and toxin exposure
Collaboration with gastroenterologists for scopes, endoscopy, and imaging

Common Digestive Symptoms

Root Causes: Why Your Gut Isn’t Healing

Through functional lenses, we often find overlapping issues:

Imbalanced microbiome (dysbiosis) or bacterial overgrowth
Impaired digestion from low enzymes or acid
Leaky gut, inflammation, and immune activation
Hormonal imbalance, stress, or adrenal disruption
Food sensitivities or poor nutrient intake
Toxin burden (heavy metals, chemicals) affecting gut-liver axis

Comprehensive Digestive Testing

Stool microbiome & parasite analysis

SIBO breath testing

Gut permeability, zonulin markers

Food sensitivity and elimination challenges

Inflammatory markers: calprotectin, CRP

Hormone panel: cortisol, estrogen, progesterone

Heavy metals & toxin screening

Breath/metabolite testing via functional medicine profiles

Integrative Treatments for Gut Healing

Targeted Gut-Nourishing Nutrition

We craft individualized, anti-inflammatory meal plans emphasizing gut-healing foods like bone broth, fermented vegetables, prebiotic fibers, and omega-3 rich fish. Personalized elimination diet and reintroduction protocols help uncover food triggers. Digestive enzyme and hydrochloric acid support enhance nutrient breakdown. Personalized counseling supports gradual, sustainable dietary shifts for long-term gut resilience and nutrient absorption.

Botanical & Probiotic Therapeutics

We select evidence-backed botanicals (oregano oil, berberine, neem) and targeted probiotics/synbiotics to rebalance gut flora, support immunity, and reduce inflammation. Treatment is tailored to lab results and symptoms—avoiding one-size-fits-all strains. Low-dose antimicrobial rotations or herbal “bowel cleanse” protocols help manage SIBO or dysbiosis naturally. We also include prebiotic fibers suited to your gut profile to foster healthy microbial diversity

Leaky Gut & Intestinal Repair

Protocols include micronutrient support (glutamine, zinc, vitamin A), mucosal healing botanicals (aloe, marshmallow, slippery elm), and cofactors like vitamin D and omega-3s for tight-junction repair. We may include gut-repair IVs with glutathione and vitamin C. This supports epithelial regeneration, immune balance, and barrier restoration—preventing antigen penetration and systemic inflammation for a functioning, protected gut lining

Stress & Gut-Brain Axis Reset

We integrate mind-body modalities—mindfulness, breathwork, yoga, and acupuncture—to calm the autonomic nervous system, enhance motility, and reduce visceral hypersensitivity. Guided CBT or gut-directed hypnotherapy helps reset gut-brain signaling in conditions like IBS and functional dyspepsia. These therapies not only reduce anxiety-linked gut symptoms but also foster sustainable mental-emotional resilience for ongoing gut health.

Collaborative GI Procedures

When medically indicated, we coordinate with gastroenterology colleagues to perform scopes, endoscopic exams, or gastric stimulator placement—for conditions like SIBO, gastroparesis, or suspected structural disease. This allows seamless integration of conventional diagnostics with our mind-body and nutritional support, ensuring safety while avoiding repetitive or unnecessary procedures—each chosen with intention for root-cause healing.

Lifestyle & Toxicity Optimization

Fit digestive care into your daily life—sleep hygiene, movement, toxin avoidance and stress management. We address circadian regulation (light/dark cycles), EMF reduction, mold or heavy-metal detox support, and daily movement strategies (walking, yoga). These practices support digestion, motility, and detox pathways while enhancing microbiome health—making your entire lifestyle align with long-term gut vitality.

Specialized Programs

Fertility & Preconception Support

Healthy digestion supports nutrient absorption critical for reproductive health, ovulation, and early pregnancy.

Hormonal Health & BHRT

Gut issues can affect hormone metabolism; we combine digestive care with hormone balance programs for women and men.

Gut & Digestive Health

Comprehensive testing and tailored therapies improve microbiome balance, reduce inflammation, and restore normal bowel function.

Detoxification & Environmental Medicine

We support natural detox pathways, liver function, and reduction of gut irritants and toxins.

Mental Health & Integrative Psychiatry

The gut-brain connection is real — we integrate stress reduction, brain support, and mind-body tools to improve overall wellness.

How Our Process Works – Step by Step

Step 1: Initial Consultation

Detailed evaluation of symptoms, medical history, and lifestyle factors.

Step 2: Diagnostic Testing (If Needed)

Stool analysis, breath tests (SIBO), inflammatory markers, food sensitivity testing.

Step 3: Personalized Treatment Plan

Tailored to your unique gut profile, goals, and lab results.

Step 4: Therapeutic Interventions

Nutrition planning, supplements, herbal therapies, and lifestyle adjustments.

Step 5: Monitoring & Adjustments

Follow-up visits to track progress and update your plan.

Step 6: Long-Term Wellness

Maintenance strategies to keep symptoms at bay and support gut resilience.

Patient Case Study

Patient: Lauren P., 36, Upper West Side
Symptoms: Bloating, intermittent diarrhea, fatigue
Findings: SIBO + food intolerance
Treatment: Dietary overhaul + targeted antimicrobials + probiotics + stress regulation

Results:
• 80% reduction in bloating
• Regular bowel habits restored
• Better energy and mood

Case Study: Mark’s IBS Reversal

Mark, 45, had daily bloating, diarrhea, and brain fog for years. Testing uncovered SIBO, low stomach acid, leaky gut markers, and adrenal fatigue. Over 14 weeks, he followed a low-FODMAP elimination diet, herbal antimicrobials, gut repair supplements, probiotic cycling, adrenal support, and mindfulness. His symptoms resolved, lab markers normalized, and he regained energy—even weaning off daily probiotics within six months.

Testimonials

“After years of bloating and discomfort, the gastro team found the root cause and gave me lasting relief.”

“I’d seen multiple doctors with no answers. Here, I got a clear diagnosis and a plan that actually worked.”

“IBS was running my life. The personalized treatment I received here helped me heal and feel in control again.”

“After years of IBS and bloating, the team at Patients Medical finally pinpointed the root cause and gave me a plan that worked.”

“I tried every diet and supplement on my own. This clinic combined testing with real medical insight — now my digestion is normal again.”

“The breath test made all the difference and allowed us to treat SIBO effectively. I feel 10x better.”

“Digestive stress was affecting my mood and sleep. With integrative care, all of it improved.”

“Never thought I’d feel comfortable eating again. I’m finally symptom-free.”

Meet Our Doctors

Explore Our Blog For More Insights

Frequently Asked Questions

Will you prescribe antibiotics or herbs for SIBO?

Yes—based on testing, we may use low-dose herbs or rifaximin. We always pair antimicrobials with gut restoration nutrients to avoid relapse.

How long until gut symptoms improve?

Many patients start feeling relief within 4–6 weeks; full healing often requires 3–6 months of consistent care and maintenance protocols.

Are the testing methods evidence-based?

Yes—our breath, stool, and permeability tests are validated for diagnosing SIBO, dysbiosis, inflammation, and food reactivity.

Why do I have bloating after eating?

Bloating can come from microbial imbalance, food intolerances, poor motility, or small intestinal bacterial overgrowth (SIBO). Testing helps identify the cause so we can treat it.

What tests are available for digestive issues?

We use stool analysis, breath tests (SIBO), inflammation markers, food sensitivity panels, and conventional labs as needed.

Can stress worsen my gut symptoms?

Yes — the gut and brain are connected. Stress alters motility, inflammation, and microbiome balance.

Does GERD require long-term medication?

Some patients benefit from short-term acid suppression, but long-term relief often requires addressing root causes like diet, microbiome imbalance, and lifestyle factors.

What is SIBO?

SIBO stands for Small Intestinal Bacterial Overgrowth, where excess bacteria in the small intestine cause gas, bloating, diarrhea, and discomfort.

Can food sensitivities be treated?

Yes — through tailored elimination diets, gut healing, and microbiome support.

Is this approach safe?

Absolutely — all care is physician-supervised and evidence-based.

How long before I feel better?

Many patients notice improvements in 4–6 weeks, depending on the severity and complexity of symptoms.

Do you work with conventional gastroenterologists?

Absolutely—we collaborate for scopes or imaging referrals when structural evaluation is required; you’re never left without standard medical backup.

Is this approach safe if I’m on medications?

Yes—we review all current medications and monitor for potential interactions with herbs or supplements.

Does lifestyle coaching really help gut health?

Definitely—sleep routines, stress regulation, movement patterns, and toxin mitigation support motility, microbiome diversity, and long-term relapse prevention.

Will I need medication?

Not always. Some patients benefit from targeted antibiotics or botanical antimicrobials as part of a personalized protocol.

Does diet matter?

Yes — food choices directly impact microbiome health and inflammation.

Can children benefit?

Yes, functional GI evaluation can be adapted for children when appropriate.

Are supplements necessary?

Supplements may support healing when diet alone isn’t enough, but they are personalized to your testing.

Can digestive issues affect energy?

Yes — poor absorption, inflammation, and dysbiosis can lead to fatigue.

Do you treat IBS?

Yes — we offer evidence-based IBS treatment, including diet, probiotics, and lifestyle strategies.

Do results last long-term?

With follow-up care and lifestyle support, many patients experience long-lasting improvement.

Why Choose Patients Medical in NYC

Integrative care combining GI diagnostics, functional medicine & lifestyle support
Experienced team of MDs, DOs, GI specialists & nutritionists
Personalized plans, not cookie-cutter prescriptions
Root-cause focus, not symptom masking
Collaborative, supportive environment focused on long-term health

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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