"At Colono, we firmly believe that patients need to be seen in a comprehensive way. "


Sometimes the bowel appears to be perfect, even when the patient does not feel well. That’s even after a pilgrimage by several doctors, including specialists. As well as a series of imaging tests, endoscopies and biopsies, whose results appear to be normal.

The problem is that in many cases, the symptoms that the patient reports (what he feels) are related to functional situations. That is, those that impact its functioning, but often without affecting the structure. And then the diagnosis is often particularly challenging.

After all, the diagnosis is clinical and presumptive, carried out by a careful evaluation of a set of symptoms reported by the patient, which determine a pattern. From a certain situation, the doctor discards some possibilities and restricts to the most probable diagnoses.

In general, at this point, organic diseases – that is, those that can be associated with specific and known causes, such as inflammation, tumors and infections – have already been ruled out from other tests. However, for some of these cases, the clinical diagnosis is not conclusive. In these scenarios, functional research enables more accurate diagnoses and allows for more assertive treatment choices.

At Colono, we firmly believe that patients need to be seen in a comprehensive way. Not just in relation to the structural aspects of the digestive organs, individually. An integrated view of how it works is needed. That is, its functional aspects.

Dr. Fábio fell in love with these aspects very early in his training as a specialist. In fact, anorectal and pelvic floor physiology was the subject of his Master’s Thesis in Surgery. Since then, he has dedicated himself to the study, clinical research and teaching at the postgraduate level (Medical Residency) of functional bowel and pelvic floor diseases. And so he realized that it was necessary to have as many diagnostic tools as he could count on for functional investigation.

This is precisely the case with Colonic Transit Time (TTC) tests, Hydrogen Breath Tests to evaluate small intestine bacterial overgrowth (SIBO), lactose and fructose intolerance. And also dynamic anorectal ultrasound and electromanometry.

Combining passion for what we do and fifteen years’ experience in carrying out functional investigation of bowel and pelvic floor diseases – with thousands of tests performed – we renew our commitment to understanding the whole in each of our patients every day!