Raphael Kellman, MD Book a Consultation
Chronic Bloating

Find out why you're bloated.

Probiotics and elimination diets treat the symptom. Dr. Kellman's microbiome-first testing finds the actual cause — SIBO, dysbiosis, or an underlying thyroid or gut imbalance — and treats that.

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Why bloating keeps coming back

Bloating is rarely just about what you ate. It's often a signal of bacterial overgrowth (SIBO), gut dysbiosis, food sensitivities, or a sluggish thyroid slowing digestion — issues that standard bloodwork and over-the-counter remedies routinely miss.

Without identifying which of these is driving your symptoms, relief is temporary at best.

The Kellman approach

Advanced gut testing
SIBO breath testing and comprehensive stool analysis to find the specific bacterial imbalance behind your symptoms.
Thyroid and metabolic screening
Because a sluggish thyroid can slow digestion and cause bloating on its own.
Targeted, not generic, treatment
A protocol built for your test results — not a one-size-fits-all probiotic or diet plan.
Rebuild the microbiome
Long-term relief comes from restoring healthy gut bacteria, not just suppressing symptoms.
"After years of trying every probiotic on the shelf, testing finally showed I had SIBO. Treating the actual cause is the only thing that's worked."
— Raphael Kellman, MD patient

Common questions

Why haven’t probiotics or diet changes fixed my bloating?
They can help symptoms temporarily, but if the root cause is SIBO, dysbiosis, or a thyroid issue, generic remedies won’t resolve it long-term.
What tests will I get?
Depending on your history, typically a SIBO breath test, comprehensive stool analysis, and thyroid panel — well beyond standard bloodwork.
How soon will I know what’s causing it?
Most patients have initial test results and a clear explanation within one to two weeks of their first visit.
Do you treat patients outside NYC?
Yes — we see patients in person at our NYC office and via telemedicine for many aspects of care.

Find out what's actually causing your bloating.

Book a Consultation