All posts in dr. michalak

Get a colonoscopy: KCAU’s Tim Seaman finds no reason to put it off

Get a colonoscopy: KCAU’s Tim Seaman finds no reason to put it off

March is Colon Cancer Awareness month, and for those who are 50 and older, it’s a good time to have a conversation with your doctor about getting a colonoscopy.

For many, just the idea of a colonoscopy produces enough anxiety to keep them from having it done. But putting it off, even for just a year or two, could mean the difference between a simple procedure to remove small polyps and having to undergo serious treatment if a polyp progresses into cancer.

In a two-part series, KCAU’s Tim Seaman shares his personal experience with this potentially life-saving screening, and assures us all that there is no reason to avoid it.

In Part One, which you can find here, Seaman talks to his doctor about the procedure, and interviews a local barber who tells a cautionary tale about waiting too long to get screened for colon cancer.

Part Two, found here, follows Seaman as he sets up an appointment with Dr. Michalak and goes through with the entire procedure, including the “dreaded” prep. Throughout it all, he found no reason to avoid getting a colonoscopy, and encourages everyone who has been putting it off to start that conversation.


Healthwatch: Regular Colonoscopies Checkups

Healthwatch: Regular Colonoscopies Checkups

This article originally appeared on

Colonoscopies can be uncomfortable to talk about. But regular checkups could save you from the second leading cause of cancer.

Siouxland News Reporter Katie Link went to Midlands Clinic to learn more about this life saving procedure.

Dr. Michalak, Gastroenterologist at Midlands Clinic said, “So colorectal cancer is the 2nd leading cause of cancer in the united states it accounts for over eight percent of all cancer deaths in the United States.”

Dr. Michalak is a Gastroenterologist at Midlands Clinic he says that many people still aren’t getting screened.

“Usually this occurs after the age of 50… about 90% of all cancers are diagnosed after the age of 50 which is why we recommend colorectal cancer screenings to begin at the age of 50 for the average risk person,” said Dr. Michalak.

Many may find it uncomfortable to do the screening but it could save your life.

“Colonoscopy is done specifically to find polyps, specifically abnormal polyps that will form into colon cancer … if we find these polyps early we can remove them and decrease the risk of developing colon cancer,” said Dr. Michalak.

Knowing your family history is important since cases of colon cancer in your family can increase your risk.

“There are risk factors though…family members that have had abnormal polyps, family members with colorectal cancer… Those patients should be screened sooner. 10 years before the time that their family member was diagnosed,” said Dr. Michalak.

To read the full article, CLICK HERE.


Heartburn: A Common Problem

Heartburn: A Common Problem

Heartburn: A Common Problem

Jeffrey Michalak, DO, Gastroenterologist
Midlands Clinic, PC

Have you suffered from repeated bouts of heartburn and sour tasting fluid in your throat?  These are classic symptoms of a common health problem called gastroesophageal reflux disease or GERD. This is a condition in which the esophagus becomes irritated because of acid flowing back from the stomach.

Your Anatomy

The esophagus is the tube connecting the throat to the stomach. When food is swallowed, it travels down the esophagus, past a sphincter that joins the esophagus to the stomach, and into the stomach. Smoking, caffeine, and alcohol all increase the level of acid in your stomach, which can make your symptoms worse. Eating certain foods or medicines can also add to the problem. 

Symptoms of GERD

  • A burning sensation in the chest (heartburn)
  • A bitter or sour taste in the back of your mouth
  • Burping
  • Pain in the lower chest/upper abdomen
  • Chronic cough and hoarseness
  • Worsening of the above symptoms when bending over or lying down flat

Causes of GERD

The exact cause of GERD is unknown. The following are contributing factors that may weaken the lower esophageal sphincter, resulting in reflux:

  • Lifestyle: Use of alcohol or cigarettes, obesity, poor posture (slouching)
  • Medications: Calcium channel blockers, theophylline (Tedral, Hydrophed, Marax, Bronchial, Quibron), nitrates, antihistamines
  • Diet: Fatty and fried foods, chocolate, garlic and onions, drinks with caffeine, acidic foods such as citrus fruits and tomatoes, spicy foods, mint flavorings
  • Eating habits: Eating large meals, eating quickly or soon before bedtime
  • Other medical conditions:  Hiatal hernia, pregnancy, diabetes, rapid weight gain

When to Seek Medical Care

Many people experience the signs and symptoms of GERD on occasion.  When the signs and symptoms occur at least twice a week, or interfere with daily activities, it is time to call your doctor. It is advised to try and relieve GERD symptoms by changing habits, diet, and lifestyle, prior to consulting a health-care professional.

  • Call your doctor when symptoms of GERD occur frequently, disrupt your sleep, interfere with work or other activities, or are not relieved by lifestyle change or over the counter medications. 
  • Inform your doctor of your lifestyle changes and  if you are using over the counter medications so that it can assessed as to how well these changes are working for you. 

If you have any of the following, go immediately to the emergency department:

  • Severe chest pain or pressure, especially if it radiates to your arm, neck, or back
  • Vomiting followed by severe chest pain
  • Vomiting blood
  • Dark, tarry stools
  • Difficulty swallowing
  • Shortness of breath

Your Medical Evaluation

The goals of treatment are reducing reflux, relieving symptoms, and preventing damage to the esophagus.  This can be done a number of ways.  The first thing your doctor will do is a thorough physical exam and request diagnostic tests.  These tests may be performed by a gastroenterologist, or GI doctor.  A gastroenterologist specializes in treating digestive problems.  The following are tests that may be performed to identify what is causing your GERD discomfort:

  • Barium Upper GI- a series of xrays to evaluate how your digestive tract works.
  • Esophageal endoscopy- allows the doctor to see inside your esophagus through a tiny flexible tube.
  • Esophageal manometry- measures the muscle tone in the sphincter between your esophagus and stomach as well as the muscle tone of the esophagus.
  • pH monitoring- test that monitors the acid in your esophagus for 24-72 hours
  • Ruling out gall bladder problems through ultrasound

Life After Treatment

GERD can often be managed through a combination of lifestyle changes, medication and sometimes surgery.  Your doctor can help you find the option that is right for you.  With the appropriate treatment, you can return to living a full and healthy life, eating the foods and doing the activities you enjoyed before your heartburn started.

Dr. Jeffrey Michalak, Gastroenterologist at Midlands Clinic, PC, sees patients for GERD and other digestive disorders.  To make an appointment with Dr. Michalak, please call 605-217-5500.