Evia Medical Center

IBS/SIBO in Smithtown, NY

IBS & SIBO Care at Evia Medical of Smithtown

At Evia Medical of Smithtown, we understand that chronic digestive discomfort can impact every part of your life — from what you eat to how you feel each day. Two of the most common, yet often misunderstood, conditions we treat are Irritable Bowel Syndrome (IBS) and Small Intestinal Bacterial Overgrowth (SIBO).

Our integrative approach combines the best of modern medicine with holistic, functional strategies to identify the root cause of your symptoms and create a personalized path toward relief.

Understanding IBS

Irritable Bowel Syndrome (IBS) is a functional gastrointestinal disorder that affects how your digestive system works. While it does not cause visible damage to the intestines, it can cause a variety of uncomfortable and disruptive symptoms, including:

  • Abdominal pain or cramping
  • Bloating and gas
  • Diarrhea (IBS-D)
  • Constipation (IBS-C)
  • Alternating diarrhea and constipation (IBS-M)
  • Urgency to use the bathroom

Common Triggers

IBS symptoms can be influenced by multiple factors, such as:
  • Certain foods (spicy, fatty, or high-FODMAP foods)
  • Stress and anxiety
  • Hormonal changes
  • Gut microbiome imbalances
  • Post-infectious changes after a stomach bug

Understanding SIBO

Small Intestinal Bacterial Overgrowth (SIBO) occurs when there is an abnormal increase in the number or type of bacteria in the small intestine. This overgrowth can interfere with digestion and nutrient absorption, leading to symptoms that often mimic IBS, including:
  • Excessive bloating, especially after meals
  • Abdominal pain or discomfort
  • Chronic diarrhea or constipation
  • Unexplained weight loss or nutrient deficiencies
  • Fatigue and brain fog
SIBO can develop for a variety of reasons, such as slowed gut motility, structural changes in the intestines, scar tissue from surgery, or chronic conditions that affect digestion.

The IBS–SIBO Connection

Many patients diagnosed with IBS may actually have SIBO as an underlying cause. In fact, both conditions can overlap, making accurate diagnosis essential for effective treatment. While IBS is often a diagnosis of exclusion, SIBO can be detected with specialized breath testing that measures gas production from bacteria in the small intestine.

Our Diagnostic Approach

At Evia Medical of Smithtown, we believe in thorough, personalized evaluation. Depending on your symptoms and history, your diagnostic plan may include:
  • Comprehensive Medical History & Physical Exam
  • Specialized Breath Testing for SIBO
  • Stool Testing for Microbiome Analysis
  • Food Sensitivity & Allergy Testing
  • Nutrient Deficiency Panels
  • Functional and Integrative Gut Health Assessments

Treatment Options

We tailor every treatment plan to your unique needs, using an integrative approach that may include:
  • Targeted Antimicrobial or Antibiotic Therapy for bacterial overgrowth
  • Personalized Nutrition Plans, including low-FODMAP or gut-healing diets
  • Probiotics & Prebiotics to rebalance gut microbiota (when appropriate)
  • Digestive Support Supplements such as enzymes or herbal blends
  • Stress Management Techniques including mindfulness and acupuncture
  • Motility Support to prevent bacterial regrowth

Why Choose Evia Medical of Smithtown?

  • Integrative Expertise – We combine conventional medicine with proven holistic therapies.
  • Root-Cause Focus – We go beyond symptom relief to address the underlying problem.
  • Personalized Care – Every patient’s gut health journey is different, and so is their treatment plan.
  • Ongoing Support – We guide you through dietary changes, lifestyle adjustments, and follow-up care for lasting results.

Take the First Step Toward Relief

If you are living with unexplained bloating, abdominal pain, or unpredictable digestion, you don’t have to keep guessing what’s wrong. Our team at Evia Medical of Smithtown can help you uncover the cause, create a clear treatment path, and support you every step of the way. Call us today  To schedule your consultation and start your journey toward better gut health.