Dr. Domingo E. Galliano Jr.,

Dr. Domingo E. Galliano Jr.,


Dr. Galliano is the most experienced Board Certified Colorectal Surgeon with Da Vinci Robotic Surgery in Lee, Charlotte, Sarasota, and De Soto Counties. He has performed over 1600 DaVinci Robotic procedures!

General Surgery

Board Certified by
the American Board of Surgery

Colon and Rectal Surgery

Board Certified by the The American Board of Colon and Renal Surgery (ABCRS)

Surgical Critical Care

Board Certified by The American Board of Surgery


Murdock Surgical Center

Fawcett Memorial Hospital

Bayfront Health

Dr. Galliano is Medical Director of Bayfront Health's Colorectal Center of Excellence.

Why is it important you choose a Board Certified Surgeon?

A surgeon certified in general surgery by the American Board of Surgery has training, knowledge and experience related to the diagnosis and comprehensive management of surgical conditions.

Read more about Board Certified Surgeons

Irritable Bowel Syndrome Center (IBS)

Irritable bowel syndrome (IBS) refers to a complex disorder of the lower intestinal tract. It is mainly characterized by a pattern of symptoms that is often worsened by emotional stress.

It is not the same as inflammatory bowel disease (IBD), which includes Crohn's disease and ulcerative colitis.

Many intestinal disorders have similar symptoms, which can make diagnosis difficult. Irritable bowel syndrome (IBS) and inflammatory bowel disease (which includes both Crohn's disease and ulcerative colitis, collectively known as IBD) in particular have several symptoms in common. The differences between IBD and IBS are actually significant, although it might not seem that way on the surface.

IBS is often confused with ulcerative colitis or colitis, but they are not the same condition. IBS is a syndrome, not a disease, it does not lead to colon cancer, and it does not cause bleeding. Ulcerative colitis, however, is a disease, can put patients at risk for colon cancer, and bleeding is a common symptom.


Symptoms range from mild to severe, however most people have mild symptoms. IBS symptoms may be worse in patients with underlying stress or mood disorders such as anxiety and depression, but it is important to understand that these conditions do not cause IBS. Symptoms may include:

  • Abdominal distention Abdominal fullness, gas, bloating abdominal pain or tenderness that comes and goes goes away after a bowel movement occurs after meals
  • Chronic and frequent constipation, usually accompanied by pain
  • Chronic and frequent diarrhea, usually accompanied by pain
  • Emotional distress Depression Loss of appetite Nausea and vomitin


The goal of treatment is to relieve symptoms. Lifestyle changes can be helpful in some cases of IBS. For example, regular exercise and improved sleep habits may reduce anxiety and help relieve bowel symptoms.

Clinical Psychologist Rebeca Clark

Dr. Rebeca Bright specializes in providing psychotherapeutic treatment for emotional issues associated with health related conditions.

She offers bariatric surgery evaluations and IBS focused therapy. This is usually the first step to a better you.

Dietary changes can be helpful, but no specific diet can be recommended for IBS in general because the condition differs from one person to another. Increasing dietary fiber and avoiding items that stimulate the intestines such as caffeine may help.

Registered Dietitian /Nutritionist
Kim Riley, RD, LDN, CDE. Kim Riley, Registered Dietician

Nutrition can play an important factor in fighting IBS. Kim Riley has earned her Bachelor's degree from Montclair State University in NJ with a focus on human nutrition and biochemistry. She is a registered dietitian, certified diabetes educator and Licensed dietitian/nutritionist in the state of Florida. She has spent the last 20 years helping clients with weight and diabetes management with an emphasis on surgical and non surgical weight loss.

Ms. Riley can help you stay healthy while losing weight.

Please call our office to make an appointment.

Other possible treatments may include:

  • Counseling in cases of severe anxiety or depression
  • Antidiarrheal medications for those whose main symptom is diarrhea
  • Low-dose antidepressants to help relieve intestinal pain
  • Medications to stimulate bowel movements for those with constipation


IBS involve a combination of abdominal pain and alternating constipation and diarrhea. There are many possible causes. For instance, there may be a problem with muscle movement in the intestine or a lower tolerance for stretching and movement of the intestine. There is no problem in the structure of the intestine.

It is not clear why patients develop IBS, but in some intances, it occurs after an intestinal infection. This is called postinfectious IBS. There may also be other triggers.

IBS can occur at any age, but often begins in adolescence or early adulthood. It is more common in women. The condition is the most common intestinal complaint that leads to referral to a gastroenterologist.

Tests and Diagnosis

Most of the time, your doctor can diagnose IBS without ordering many tests. Tests usually reveal no problems.

Some patient may need an endoscopy, especially if symptoms begin later in life. Younger patients with persistent diarrhea may need this test to look for inflammatory diseases that can cause similiar symptoms such as Crohn's disease or ulcerative colitis. You may need additional tests if you have blood in your stool, weight loss, or signs of anemia.

Patients over age 50 should be screened for colon cancer.


Irritable bowel syndrome may be a life-long condition, but symptoms can often be improved or relieved through treatment.


  • Dehydration
  • Depression
  • Discomfort
  • Malnutrition resulting from avoiding food