Irritable Bowel Syndrome (IBS)

IBS/ Functional Bowel Disorders

Millions of Americans, most of them women, suffer from Irritable Bowel Syndrome (IBS). In fact, it ranks as the most common intestinal-related complaint.

IBS affects the colon (large intestine) and is characterized by cramping and pain in the abdomen along with changes in bowel movements. Stress can cause the colon to contract more then usual and exacerbate the condition. Fortunately, IBS does not permanently damage the colon, nor does it lead to cancer.

IBS typically begins during adolescence or early adulthood and can continue throughout one’s life, which is why managing symptoms is vital. While the severity of symptoms varies from person to person, for most people they are mild and usually come and go.

There is no diagnostic test specifically for IBS, but blood tests and stool cultures may be done to rule out other missed diagnoses. NJ gastroenterologists Dr. Howard N. Guss and Dr. Gagan D. Beri complement lab work with state-of-the-art Breath Testing, a noninvasive cost-effective tool to check for the presence of bacteria and malabsorption diseases that can contribute to IBS. Additionally, they take diagnosis to the next level with sigmoidoscopy and colonoscopy screenings, which examines the intestinal structure via endoscopy.

Symptoms of Irritable Bowel Syndrome (IBS):

  • Cramping
  • Abdominal pain
  • Feeling of fullness
  • Bloating and gas
  • Diarrhea
  • Constipation
  • Bloody stools

Treatments of Irritable Bowel Syndrome (IBS):

  • Stress management
  • Regular exercise
  • Increased dietary fiber
  • Eating smaller meals
  • Avoiding caffeine, alcohol, milk products, chocolate, wheat, barley and rye
  • Over-the-counter medications (talk to your doctor before taking)
  • Prescription medications (anticholinergics, loperamide, lubiprostone, tricyclic antidepressants)
  • Counseling in cases of severe depression/anxiety

Patient Education

Celiac Disease – A Missed Diagnosis

Celiac Disease – A Missed Diagnosis

I wanted to share an interesting article on celiac disease that was presented recently in the Well Blog section of the NY Times. I felt it raised a few very important points regarding celiac sprue, namely: 1.  The disease tends to run in families and first..

What is Barretts Esophagus?

What is Barretts Esophagus?

Barretts Esophagus is a change in the lining of the esophagus or food pipe thought to be caused from chronic acid refluxing into the esophagus from the stomach (GERD or acid reflux).  The change in cellular structure is also known as Intestinal Metaplasia of the..

Top 10 Reasons to Join a Celiac Support Group

Top 10 Reasons to Join a Celiac Support Group

Recently, I ran into Bernice Hettesheimer at Jersey Shore University Medical Center’s Endoscopy section.  For those of you who don’t know her, Bernice is a retired endoscopy nurse who now runs the Jersey Shore Celiac Support Group. She writes about the Top 10 Reasons to..


For more information or to schedule a consultation,



Ira Gross

Dr. Guss to all his staff has been excellent. Anytime I call with a question or concern it was answered right away. I wholeheartedly recommend Dr. Guss. The only was the wait for my initial appointment but taking all other factors into account this is a great place

Dawn E

Dr Beri is patient, kind and loving. His staff is equally as knowledgeable. He saved my life as 3 well known Gastros misdiagnosed me. I am very glad he is not under the Allied Digestive Health LLC to which 42 drs in Monmouth County read each others notes and do not thoroughly individualize treatment. Thank god for Dr Beri. So grateful to my co worker for sending me to him.

Ruby Burton

Dr Beri is so sweet and caring and genuinely cares about his patients. He listens to the things you are feeling and does not dismiss any feelings. His front desk girls are always so welcoming when you come in and the medical assistants are sweet and lovely to talk to. They make it a great experience when you are not feeling well.