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.

Learn why SIBO keeps coming back →

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