We’re delighted to join you on your journey to achieving better digestive health. We offer the following options for becoming a patient:
- In-person consultation with Dr. Chutkan. This fee includes a thorough review of your medical records by Dr. Chutkan, a 1 hour in-person consultation with Dr. Chutkan, a diagnosis, a treatment plan, and a follow-up phone call: 60-minute appointment $1000
- Follow-up appointment with Dr. Chutkan: 30-minute appointment $400
- Telephone follow-up appointment with Dr. Chutkan: 15-minute appointment $200
- In-person or virtual appointment with a GutBiome certified health coach: Visit with our health coach, Kimberly Hasenberg, who will provide you with detailed dietary and lifestyle modifications, as well as the support you need to implement changes and restore your gut health. We strongly recommend all new patients schedule a nutrition appointment immediately following their initial consultation with Dr Chutkan.
- 60-minute appointment $200
- 30-minute appointment $100
- 15-minute appointment $50
Once your appointment is scheduled, you’ll receive an emailed link to our medical history intake form. Please complete the intake form and send your medical records to our office as soon as possible (at least 1 week before your scheduled appointment). See our list of FAQs below for information on sending medical records, confirming appointments, etc.
Conditions We Treat
At the Digestive Center for Wellness, we treat the following digestive conditions, including imbalanced gut bacteria (dysbiosis) and the many associated disorders that result from it:
- Abdominal pain
- Anal fissures
- Barrett’s esophagus
- Celiac disease
- Colon cancer
- Crohn’s disease
- Esophageal disorders
- Fatty liver
- Gallbladder dysfunction
- Food allergies
- Gluten intolerance
- Irritable bowel syndrom (IBS)
- Small intestinal bacterial overgrowth (SIBO)
- Pelvic floor disorder
- Nutritional deficiencies
- Microscopic colitis
- Leaky gut
- Lactose intolerance
- Yeast overgrowth (Candida)
We also provide personal comprehensive treatment plans for the following:
- Restoring imbalanced gut bacteria
- Diagnosing and treating SIBO
- Non-pharmacological treatment of reflux
- Tapering off proton pump inhibitors
Confirming & Canceling Appointments
In order to secure your initial appointment with Dr. Chutkan, we require a $200 non-refundable booking fee, which will be credited towards the cost of the appointment. You can call our office at 301-215-7700 to provide a credit card number. Please note that this $200 fee is non-refundable if you cancel your appointment. We charge this fee because Dr. Chutkan has only a limited number of appointments available for new consultations, and it is difficult to fill that spot if the appointment is then canceled.
Your appointment must be cancelled or rescheduled at least 10 business days prior to your scheduled consultation in order to avoid being charged in full for the visit. You may cancel your appointment by calling the office at 301-215-7700 or e-mailing us at admin@DigestiveCenterforWellness.com.
What is it?
Biofeedback is a behavioral therapy that incorporates the principles of learned conditioning in an outpatient setting. It is the process of getting your mind and body in sync. When considering gut health, this means training the pelvic floor muscles to respond appropriately to the signals from the brain and vice versa.
How does it work?
Sensors that detect various physiologic processes, such as muscle contraction, muscle relaxation, respiratory rate, temperature, heart rate, and blood flow, are attached to the patient in the form of a belly belt, and real-time measurements are displayed on a computer screen. Patients are trained to alter these physiologic response processes to relieve the physical and emotional symptoms associated with their disease.
The biofeedback practitioner first gathers baseline or resting measurements. Then he or she will ask you to think about something stressful to see how your measurements change. You’ll be coached in using visual imagery, guided meditation, deep breathing, and other relaxation techniques to achieve a relaxed state where the indicators begin to sync, particularly the breath and the heart rate, and the muscles begin to relax.
The biofeedback equipment allows you to monitor your body’s responses and helps you move to a more coherent, smoothly functioning state within your body. This new knowledge helps you to shift your thoughts, emotions, and physiology toward a more balanced state within. Creating balance helps to calm the gastrointestinal response – triggering improved functioning. While utilizing biofeedback you will learn exercises and strategies such as muscular relaxation, abdominal breathing, cognitive strategies, and guided imagery focused on the intestines.
For what is it used?
For decades, gastroenterologists have used biofeedback to provide symptomatic relief to patients with functional bowel disorders. It is one of the most useful strategies for treating constipation, pelvic floor disorders, anismus, and irritable bowel syndrome (IBS).
Biofeedback & Irritable Bowel Syndrome
Because stress often causes a change in bowel patterns and abdominal discomfort, it is one of the major contributing factors to the development of irritable bowel syndrome (IBS). Biofeedback can mitigate the symptoms of IBS by helping you to better monitor and change the way you handle stress. Through biofeedback you begin to recognize and gain control of your body’s stress reactions. You become familiar with “early symptom identification” so that you can intervene before your nervous system has a chance to negatively impact your gastrointestinal functioning.
Stress, anxiety, and strong emotion can also cause us to make poor food choices, sometimes even when we are not hungry. When you become more aware of what triggers your stress response, you can begin to change these behaviors.
Success with Biofeedback
Although some people require more sessions than others, biofeedback has been an extraordinarily useful part of integrative GI practices. It’s extremely helpful for the patient to see his/her heart rate decrease or temperature warm as blood vessels relax and dilate. The patient sees the changes on the computer at the same time as he/she feels the effects in his/her body. The goal is that after a few sessions the patient is able to achieve the results on his/her own without the use of sensors or a computer.
Digestive Center for Wellness Biofeedback Practitioner
To schedule an appointment with Emily Perlman, DCW’s biofeedback practitioner, you must first have a consultation with Dr. Chutkan or Kimberly Hasenberg, our health coach. To learn more about our practitioner, please visit our Meet Our Team page.
Expedited Appointments & Waitlist
We maintain an active waitlist. If you require a more urgent appointment please let us know and we will do our best to accommodate you. If you know you cannot make an appointment, please give us as much advance notice as possible so we can offer the time to someone on our waitlist.
- Initial consultation with Dr. Chutkan: $1000 (this fee includes a thorough review of your medical records by Dr. Chutkan, a 1 hour in-person consultation with Dr. Chutkan, a diagnosis, a treatment plan, and a follow-up phone call)
- Follow up visit with Dr. Chutkan (30 minutes): $400
- Telephone consultation with Dr Chutkan (15 minutes): $200
- In person or virtual visit with Digestive Center for Wellness (DCW) coach (60 minutes): $200
- Three 60 minute DCW coaching visits, in person or virtual: $585
- 30 minute visit with DCW coach: $100
- Three 30 minute visits with DCW coach: $285
- Telephone consultation with DCW coach (15 minutes): $50
You may already have an excellent diet (or a nutritionist you work with) and feel you don’t need to work with a health coach, but our Digestive Center for Wellness (DCW) certified health coaches are trained in specific dietary and lifestyle techniques to help you rehab your microbiome. Clients who work with a DCW coach have a much higher success rate of experiencing meaningful results.
Both in person and virtual options are available for our health coach offerings, which include:
- 60 minute DCW coaching visit
- Three 60 minute DCW coaching visits
- 30 minute DCW coaching visit
- Three 30 minute DCW coaching visits
- Telephone consultation with DCW coach (15 minutes)
Please note that our GutBiome coaches are not medical doctors, and their advice is for educational purposes only. Our coaches assist with the implementation of the GutBiome protocols and also provide information on how to improve general health through diet and lifestyle modification.
We do not participate with insurance or Medicare. We will provide you with a detailed bill at the time of your visit that you can submit to your insurance company for reimbursement. If you wish to check reimbursement rates you can call your insurance company and give them the following CPT codes; be sure to let them know that we are “non-participating providers/out of network”:
• 99245 New patient visit
• 99215 Follow-up visit
Once your appointment is scheduled you’ll receive an e-mail, within 1 week of your appointment, with a link to our patient intake form, which should be completed as early as possible. In the email you will see a large button labeled “Check In”. Click this button and it will immediately take you to the intake form. Fill out the form completely and submit.
We are committed to being on time with appointments. If you arrive late to the office for your consultation, your appointment will end at the scheduled time.
Location, Parking & Metro
We are located in the Chevy Chase building at 5530 Wisconsin Avenue, suite 1209, just across the DC line in Chevy Chase, Maryland. Parking is available in the building or across the street at Saks Fifth Avenue (a cash only lot). The closest metro is the red line Friendship Heights station 2 blocks south of us on Wisconsin Avenue. Click here for a map of our location.
Our office hours are Mondays and Thursdays from 8:30 am to 5 pm, Tuesdays from 8 am to 4 pm, and Wednesdays from 10 am to 2 pm ET.
Phone Calls & Messages
If you have a brief question about your treatment plan please call the office at 301-215-7700 or e-mail us at admin@DigestiveCenterforWellness.com. If you require more time to discuss symptoms, next steps, or other concerns, you will need to schedule a follow-up appointment or 15 minute phone consultation with Dr. Chutkan.
We do not use encryption or other secure methods in our e-mail communication. In agreeing to be a patient at the Digestive Center for Wellness, you are consenting to the use of regular e-mail to send and receive information.
For refills, please call the office at 301-215-7700 and leave a message including your name, date of birth, medication, and dosage. It may take up to 5 business days for us to process your prescription refill. Please plan accordingly to avoid any interruptions in your medications.
Pease note that our office does not handle medical emergencies. If you are having a medical emergency you should call 911, visit the nearest emergency room, or call your primary care doctor.
Please mail copies of all pertinent medical records at least 10 days before your appointment to: Digestive Center for Wellness, 5530 Wisconsin Avenue, Suite 1209, Chevy Chase, MD 20815. Medical records from other physicians can be mailed or faxed to 301-215-7705.
What should you send? We are particularly interested in:
- History of antibiotics and other medications you’ve taken
- Endoscopic reports (upper endoscopy and colonoscopy) plus pathology
- CAT scans, MRI, ultrasounds or any other imaging of the abdomen and pelvis
- Testing for bacterial overgrowth
- Testing for celiac disease
- Testing for leaky gut
- Stool studies
- Blood tests done in the last 12 months
- Medical summaries or letters from referring doctors
- Records from hospitalizations or surgeries in the last 10 years
Scheduling an Appointment
To schedule an appointment with Dr. Chutkan, or with one of our GutBiome certified health coaches, please email us at admin@DigestiveCenterforWellness.com or call the office at 301-215-7700.
All initial consultations with Dr. Chutkan occur in the office, although we do offer telephone follow-ups. Digestive Center for Wellness health coaches are available for virtual or in-office consultations and follow-ups.