Dr. Domingo E. Galliano Jr.,
MD, FACS, FASCRS
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
HOSPITALS
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
Anorectal Manometry
Anorectal manometry measures the tone in the anal sphincter and rectal muscles. This procedure can diagnose problems with defecation (moving your bowels) involving:
- Resting anal sphincter tone
- Releasing anal sphincter tone
- Squeezing anal sphincter tone
- Muscle coordination
- Expulsion of materials
- Sensation of the rectum
A probe inserted into the anal canal measures the pressure exerted by the sphincter muscles that ring the canal and, by relaxing and contracting, control bowel movements. Higher-than-normal pressure in the rectum may lead to constipation, while pressure that is too low may cause fecal incontinence. 
During this test, a small plastic tube (a manometry catheter) is passed into your rectum through your anal sphincter (anus). The anal sphincter is a ring of muscles at the opening to the outside of your body. The rectum is the last part of the large intestine (please see diagram at right).
The manometry catheter is connected to a machine that records the contractions (squeezing movements) and relaxations of your rectum and anal sphincter.
The movements are recorded on a graph. A gastroenterologist (gas-troh-en-ter-OL-o-jist), a doctor trained in treating diseases of the stomach and intestinal tract, will read the graph and report the results.
Measurements made at different points in the rectum help locate any problem in the functioning of the rectal muscles or nerves. Abnormal reflexes in the rectum may also signal disease. For example, internal sphincters should relax when the rectum is full. Failure to relax when the rectum is dilated with a balloon may indicate Hirschsprung's disease.
SmartPill Capsule-Based GI Testing
This is a crucial test in evaluating patients with gastrointestinal symptoms such as irritable bowel syndrome (IBS), bloating, nausea, abdominal pain, constipation, and fullness.
It is pain-free and less invasive than most other GI procedures. Once the capsule is ingested, this device collects important information such as pressure, PH and temperature and transmits this data to a receiver the patient wears on a belt for a period of four days.
The physician then downloads the input to his computer and reviews the test results with the patient. This greatly facilitates the patient’s diagnosis and treatment plan without any discomfort or disruption of normal activities for the patient.
Same day appointments available. Call today!
CLINICS
Clinic for Fecal and Urinary Incontinence, Constipation and Pelvic Disorders
Psych and Nutrition Center for IBS and IBD
IBS Irritable Bowel Syndrome Clinic
Ostomy, Ileostomy and Colostomy Clinic
Chronic Abdominal Pain Clinic
Heartburn Clinic (GERD)
Hernia Clinic
Hemorrhoid Clinic
Breast Cancer Clinic
Skin Cancer Clinic
Colorectal Clinic
GI GU Testing Center
Minimally Invasive Procedures
Experience less pain, minimal scarring, faster recovery, and better results.