Our Gastroenterology Blog

Posts for category: blog

By GI Associates
March 20, 2018
Category: blog


Know your options 

We’ve said it before and we’ll say it again: Getting screened is essential to the detection and prevention of colon cancer.

Choosing what’s best for you. 

Colonoscopy is the most common and effective colorectal cancer screening option because it is the only test that both detects and prevents colorectal cancer.

During a colonoscopy, your doctor examines the lining along the entire length of your large intestine. If your doctor sees abnormal growths of tissue called polyps, tiny instruments are inserted through the colonoscope to remove them. The tissue samples are sent to a pathologist to evaluate whether they are benign, precancerous or malignant. Screening colonoscopy is recommended every 10 years between 50 and 75 years of age. It may be more frequently based on your findings and risk factors.

Good for:

  • Patients with average to high risk of colon cancer
  • Preventing colon cancer

Stool DNA test

Another option you can discuss with your doctor is a stool DNA test such as Cologuard.

The stool DNA test looks for abnormal DNA associated with colon cancer or colon polyps and detects hidden blood in the stool, which can indicate the presence of cancer. If a stool DNA test is positive a colonoscopy is usually recommended.  The stool DNA test is recommended for average risk patients with no symptoms and is usually recommended every 3-5 years.

Good for:

  • Patients at average risk with no symptoms, conditions, personal or family history of colon cancer
  • Patients who cannot tolerate colonoscopy prep or procedure

Not recommended for:

  • Patients at higher risk with a personal history of colon polyps or cancer
  • Patients with underlying conditions and/or symptoms including:
    • inflammatory bowel conditions
    • diarrhea
    • blood in their urine or stool
    • bleeding hemorrhoids
    • rectal bleeding, or are menstruating.

If a stool DNA test is positive a colonoscopy is usually recommended to identify the source.  It is important to note that colonoscopy performed due to a positive stool DNA test is classified as a diagnostic service by most payers, so out of pocket costs may apply.

But wait, there’s more . . .

Other options include: Flexible sigmoidoscopy, double barium enema, and CT colonography. See our “Colon Cancer Screenings” blog to learn more about these.

The most important thing in the fight against colorectal cancer is screening. Early detection is crucial and potentially lifesaving. Fortunately, you have options. We encourage you to speak to your doctor about which screening is best for you.

If you have any concerns about coverage or payment for colon cancer screening services, our GI Associates Financial Counselor will work with you to help understand your benefits.  

Schedule your colon cancer screening today. Call 877-442-7762 or request an appointment online.

By GI Associates
March 07, 2018
Category: blog


The choice is yours

When it comes to colon cancer, getting screened is an essential part in your wellness plan. The key is to do something and you have screening options.

It is recommended that colon cancer screening start at age 50 for men and women who are at an average risk with no symptoms.

If colorectal cancer runs in your family or you have certain underlying conditions, you may need to get tested before age 50. Talk to your doctor about what is best for you.

Know your options

Colonoscopy is the most common test to detect colon cancer. Other tests include stool DNA tests, flexible sigmoidoscopy, double barium enema, and CT colonography. Based on your personal health history, your doctor can recommend the right test for you.

1. Colonoscopy:  This is the only colorectal cancer screening option that both detects and prevents colorectal cancer. Prior to a procedure you complete a bowel preparation process that cleans out the colon to enable your doctor to see the lining of your rectum and colon. During a colonoscopy, your doctor gently inserts a colonoscope, which contains a tiny video camera at its tip, through the rectum into your large intestine.  Your doctor examines the lining along the entire length of your large intestine.

If your doctor sees abnormal growths of tissue called polyps, tiny instruments are inserted through the colonoscope to remove them. The tissue samples are sent to a pathologist to evaluate whether they are benign, precancerous or malignant. Screening colonoscopy is recommended every 10 years between 50 and 75 years of age. It may be more frequently based on your findings and risk factors. If you’d like to learn more about what to expect before a colonoscopy, check out our video.

2. Fecal Immunochemical Test (FIT): FIT detects hidden blood in the stool, which can indicate the presence of cancer. When a FIT test is positive a colonoscopy is usually recommended.  FIT tests are recommended annually for average risk patients, age of 50 and over, with no symptoms.

3. Stool DNA Tests: The stool DNA test looks for abnormal DNA associated with colon cancer or colon polyps. The test also detects hidden blood in the stool, which can indicate the presence of cancer. If a stool DNA test is positive a colonoscopy is usually recommended.  The stool DNA test is recommended for average risk patients with no symptoms and is usually recommended every 3-5 years.

The stool DNA test is not recommended for higher risk patients with a personal history of colon polyps or cancer, or who have inflammatory bowel conditions, diarrhea, blood in their urine or stool, bleeding hemorrhoids, rectal bleeding, or are menstruating. It is important to note that colonoscopy performed due to a positive stool DNA test is often classified as a diagnostic service by most payers.

4. CT Colonography (also referred to as virtual colonoscopy): A small tube is placed in the rectum and air is pumped into the colon to inflate the bowel. A special computer program creates both 2-dimensional x-ray pictures and a 3-dimensional view of the inside of the colon and rectum, which lets the doctor look for polyps or cancer. If the test is positive a colonoscopy is usually recommended to remove the growths. Preparation is the same as a colonoscopy. This test may be recommended when completion of a colonoscopy is not possible. It is usually recommended every 5 years.

5. Flexible Sigmoidoscopy: Similar to colonoscopy, this test uses a thin flexible tube with a camera to examine the rectum and left side of the colon. Whereas colonoscopy examines the entire length of the colon, sigmoidoscopy is a partial exam. The preparation is the same as a colonoscopy. When considering colon cancer screening options, flexible sigmoidoscopy is not as complete as a colonoscopy and therefore is not widely recommended for screening purposes. It’s typically repeated every 5 years.

6. Double Barium Enema: This is also called a lower GI tract radiography, in which a barium solution and air are introduced into the colon and a series of x-rays are taken of the entire colon and rectum. Double Barium Enema is often performed in combination with a flexible sigmoidoscopy.  If the either of these test is positive a colonoscopy is usually recommended.

Early detection of colorectal cancer is crucial and potentially lifesaving. The most important step you can take is to get screened. GI Associates is proud to offer options to our patients so that together we can determine the best plan for you.

If you have any concerns about coverage or payment for colon cancer screening services, our GI Associates Financial Counselor will work with you to help understand your benefits.  

Schedule your colon cancer screening today. Call 877-442-7736 or request an appointment online.

By GI Associates
March 02, 2018
Category: blog
Tags: colon cancer  

8 ways to minimize your risk

 Colon Cancer Awareness Month is here. At GI Associates, we are passionate about the prevention and treatment of this potentially deadly disease. Below are eight ways you can minimize your risk of colon cancer:

  1. Don’t Smoke There’s nothing that is helped by smoking. You can reduce your risk for almost every kind of cancer when you quit. Find more reasons and help here.
  2. Drink in Moderation While some alcohol in moderation, like a glass of red wine with dinner, may have some health benefits.  Keep in mind it’s better for your colon—and the rest of you, if you drink only in moderation.
  3. Cut Back on Red Meat As with alcohol, a moderate amount of red meat (2-3 servings a week) is just fine. However, studies have shown that a high consumption of red meat can increase your risk of colon cancer by 28%. Save the steak for special occasions.
  4. Eat Vegetables, Fruits, and Whole Grains Naturally, cutting back on red meat and replacing it with, say, chicken strips will not do you nearly as much good as it will to replace unhealthy foods with the holy trinity of cancer-fighting foods: green veggies, antioxidant-rich fruit, and whole grains.
  5. Healthy Lifestyle: Exercise Exercise is good for you for many reasons, and one of them is that it reduces your risk of colon and other cancers. In fact, exercise helps fight colon cancer even in those who have the disease.
  6. Healthy Lifestyle: Weight No surprise here. Even otherwise healthy people who are overweight are at a higher risk for colon cancer.
  7. Get screened.  It’s not anyone’s favorite thing, but getting regular colonoscopies is the best way to prevent colon cancer. Learn more about them here.
  8. Know Your Family History If your primary relatives (mother, father, brother or sister or your children) is diagnosed with colon cancer, you are at higher risk. Ask around at your next family gathering to make sure you know your family history.

One of the very few “good things” colon cancer has going for it is that it’s preventable. We encourage you to make an appointment to learn more about how to stay free of colon cancer your whole life long.



By GI Associates
January 05, 2018
Category: blog
Tags: GERD; Snacks  

When your stomach is growling so loudly that the person across the room can hear it, it’s tempting to grab a handful of chips or a cookie (or three). But if you have GERD, mindless snacking can have painful consequences. Be prepared for when the hunger pangs hit by adding these reflux-busting snacks to your grocery list.

  • Non-citrus fruits
  • Crackers with any type of nut butter
  • Raw vegetables with dip or hummus
  • Baked chips
  • Edamame
  • Pretzels
  • Nuts
  • Half an avocado and some corn chips
  • Baked chicken strips (or any small quantity of lean meat, besides red meat)
  • Oatmeal or high-fiber cereal
  • A baked potato, sweet potato, or yam
  • Any type of grain
  • Rice cakes
  • Granola bars
  • Salad
  • Half a bagel
  • Lowfat dairy, such as lowfat cottage cheese with vegetables or crackers or fruit
  • A hard-boiled egg
  • A veggie or fruit (non-citrus) smoothie  

Moderation is key

Even when you choose healthy snacks, too much of a good thing is, well, not good at all – especially when you have GERD. Limit your nibbles to small serving sizes, which will keep both your hunger and reflux under control. Experts recommend that you eat three small meals and two snacks daily.

Plan ahead and keep reflux-friendly foods within easy reach for when the hunger pangs hit. Board-certified gastroenterologists at GI Associates can help you manage GERD symptoms and create a diet plan that works best for you. For more information, call (877) 442-7762 or fill out our online form today.

By GI Associates
November 16, 2017
Category: blog
Tags: Holiday; GERD  

'Tis the season for smart eating

With the holidays approaching, you’ve no doubt thought about the wonders of the season: that first snowfall, the singing of children, and Mom’s green bean casserole. Or maybe Grandma’s famous stuffing, or Cousin Jim’s signature deep-fried turkey. The point is, it’s hard to think about the holiday season without thinking about the food and the fun that comes with it.

However, if you’re among the 60% of Americans who experience GERD (gastroesophageal reflux disease) at least once a year, the indulgences of the holidays might make the season particularly painful. Here are some tips for avoiding painful symptoms during the holidays.

Round Up the Usual Suspects

And dispose of them! We all know the primary culinary culprits for acid reflux and GERD, but a reminder is good now and then. Many of these appear frequently on holiday tables, so look out!

  • Fatty foods
  • Spicy foods
  • Acidic foods, like tomatoes and citrus
  • Mint
  • Chocolate
  • Onions
  • Coffee or any caffeinated beverage
  • Carbonated beverages

Eat More Meals with Less

Eating five or six little meals is a much better idea than eating three big meals for a number of reasons. You feel fuller more of the time, you tend to eat less, there is less pressure on your esophagus, and, you guessed it, GERD is reduced.

Take a Stand

Or at the very least, don’t lie down. Although it’s the tempting thing to do—especially after a big meal like Thanksgiving, taking a nap is terrible for GERD symptoms. Keep upright and let your digestive system do its thing—without having to work against gravity. Your stomach and esophagus will thank you.

Go Easy on the Drinks

Alcohol can trigger heartburn and GERD because it relaxes the muscles in your esophagus, making conditions optimal for acid to sneak up your esophagus and wreak havoc. Consider the consequences and then ask yourself if that cocktail is really worth it.

Quit Smoking

As if you needed another reason to quit! Among a whole list of other bad things, smoking, like alcohol, may actually cause your muscles in your esophagus to relax, which can cause stomach acid to rise up and cause pain.

Lose Weight

The holidays are usually when you can expect a few pounds to creep up on you, but be vigilant: taking steps to lose weight or at least not gain more weight will help relieve heartburn and GERD symptoms. Obesity is closely linked to not only heartburn but also many other serious health conditions, so take the holidays in stride and be ready to keep or achieve a healthy weight in 2018.

For more information on GERD and heartburn, plus tips on how to treat them, visit http://www.giassoc.org/heartburn.html

By GI Associates
September 19, 2017
Category: blog

GI Associates is proud to support the annual Crohn’s and Colitis walk

Dr. Eric Johnson is the Honorary Chair of Wausau’s “Take Steps for Crohn’s and Colitis” walk. The event will take place on October 7th. It’s a cause that means a lot to him as a gastroenterologist—and as a son.


“When I was growing up, my dad had a significant case of Crohn’s disease. It was hard to watch someone you idolize suffer like he did. It was one of the reasons I went into gastroenterology,” says Dr. Johnson.


Today, the outlook for those diagnosed with Crohn’s or colitis is much better. “Much better than even ten years ago,” says Dr. Johnson. “We’re getting closer to a cure, but we still have a ways to go.”


It’s Dr. Johnson’s fourth year of being involved with the walk.


The walk is a celebration of those fighting these diseases as well as an opportunity to educate people about Crohn’s and colitis.


“It’s a great event,” says Dr. Johnson. “It raises money and awareness for Crohn’s and colitis. We have foods that are Crohn’s and colitis-friendly, ‘heroes’ who come and speak about their experience with the disease, and lots of people who are there to support loved ones suffering from Crohn’s or colitis.”


Even more important than the money and awareness that the walk raises, says Dr. Johnson, is the sense of community it gives people living with Crohn’s and colitis.


“These are silent diseases,” says Dr. Johnson. “There hasn’t been a lot of access to education, historically, in this part of the state. This walk is changing that.”


What does a successful walk look like to Dr. Johnson? “Every year we’ve grown,” he says. “This year’s event will be successful if we reach even more people, raise more money for a cure, and show everyone living with Crohn’s and colitis that there is support for them.”


For more information on the walk, visit the website here.



By GI Associates
July 06, 2017
Category: blog

Stay regular as you travel this summer

It’s summertime, and chances are you’ve got travel plans coming up! There are lots of things to love about travel—seeing new sights, experiencing new things, and making your world just a little bigger. Unfortunately, there’s one thing that can put a damper on even the trip of a lifetime: digestive issues.

Don’t let constipation or diarrhea cramp your style (or your stomach). Be prepared and stay regular, even on the other side of the world.

Stay hydrated.

From the moment those wheels go up, to the second your plane lands, it’s essential to stay hydrated. Whatever mode of transportation you’re using, it’s important to keep drinking water, but airplanes are particularly dehydrating spaces. The recirculate air and the inability to move around very much takes its toll on your body. And guess what? The four ounces of water they pass out every six hours is not going to be enough. Either buy the biggest bottle of water you can find after you pass through security or be prepared to ring the call button again and again.

Eat fiber.

Alas, going on vacation doesn’t mean you can take a break from eating smart. Avoid indulging too much in low-fiber foods, however tempting they may be. And if nothing else, make it a point to eat a healthy, high-fiber breakfast and start the day right.

Keep moving.

Go out and see the sights! Climb the ancient ruins, walk though the old town, and be active on your journey! Walking and other exercise is as good for your heart as it is for your digestive system.

Don't drink the water. 

In certain parts of the world, tap water can wreak havoc on your digestive system. Buy bottled water to avoid diarrhea and other stomach issues.

Don’t let digestive issues ruin your summer travel. Don’t spend the whole time in the bathroom or wishing you were! Take the proper precautions, eat and drink smart, and have happy memories to last a lifetime!

By GI Associates
May 19, 2017
Category: blog
Tags: Produce; Diet  

Fruits and vegetables taste the best—and cost the least—when they are in season. Spring, summer, and fall all offer waves of delicious in-season produce. Make it your mission to hit the farmers markets, or even just your grocery store, to take advantage of tasty, healthy savings.

But what happens when you’re up to your eyeballs in Swiss chard? How much kale can you expect your family to eat in one week? And it’s great all that broccoli only cost a dollar, but now what are you going to do with it? Try these tips to get the most out of your food. After all, that package of strawberries does you no good if it ends up in the garbage can.


Think Outside the Oven: When the weather is nice enough for a bountiful produce section, chances are it’s nice enough to grill! Grilling is a great way to infuse otherwise boring vegetables with a bit more flavor and interest. Experiment with grill baskets or kebabs and pair a host of grilled veggies with some grilled chicken for the ultimate healthy meal from the grill.

Sauce What’s in Season: Especially good for picky eaters, chopping and dicing vegetables and sneaking them into your favorite pasta sauce is a great way to use a lot of your fresh produce. Also try adding them as a layer or two in your signature lasagna recipe.

Freeze It: Not all fruits and veggies freeze well, but the ones that do—like hearty green vegetables and fruits like apples and strawberries—can be enjoyed year-round. Save money later on by using your frozen food in the winter months, when prices increase and produce selection decreases.

Sip More Smoothies: Another great use for your stock of frozen produce, smoothies are a great solution to an overflowing fridge or freezer. Splash some almond milk in a blender, add whatever you have on hand, from kale to kiwi, and enjoy the best way to drink your vitamins.

Start a Harvest Table: Talk to your church, community center, or schools about setting up a “Harvest Table.” Perhaps your garden is chock full of zucchini, while someone else was blessed with more tomatoes than one family could ever eat. Share the wealth by establishing a place to leave and take produce as it comes in season.

For more ways to incorporate seasonal fruits and vegetables in an acid-reflux-friendly diet, try these recipes!

Nothing ruins a block party, backyard BBQ, or Fourth of July cookout like accidental food poisoning. When the weather is warmer, it’s natural to want to get out and enjoy it as often as possible, but this can often mean dangerous consequences when it comes to food. Read these tips and have a happier, healthier summer!

1. Limit Sun Exposure: Too much sun is not good for you, and it’s not good for your food, either. Two hours is the maximum amount of time food should be sitting out—half that time if the temperature is above 90 degrees Fahrenheit. Bacteria thrive when food sits out in the warm summer sun. Don’t let your potato salad become a petri dish. Keep time limits on sun exposure.

2. Keep Chilled: Separate coolers, lots of ice. Your car can quickly become way too hot for foods that are stored there without protection. Keep your food in coolers with plenty of ice. Even better if you can use a number of smaller coolers to prevent cross-contamination.

3. Never Mix, Never Worry: Raw meat stays solitary! Don’t let raw foods like chicken or ground beef anywhere near their cooked counterparts. It takes just a minuscule amount of exposure to contaminate your food and ruin your day—or longer—with food poisoning.

4. Grill Like a Pro: There’s nothing better than burgers on the grill—unless you count safely prepared burgers on the grill. Undercooked meat can be as dangerous as raw meat. Cook burgers, chicken, and shrimp thoroughly. You don’t have to burn foods to a crisp, but do make sure that they are done well, if not “well done.”

5. Wash your hands. Always. This is perhaps the single most important tip for your best health. Wash your hands. Before handling food, after handling food, and before eating food. Always wash your hands, even if it's not handy. In a pinch, try hand sanitizer or wipes, but nothing beats good old soap and hot water.

Foodborne illnesses that were once deadly have been given the slip in recent history, thanks to modern refrigeration and a better understanding of bacteria. But when you bring food outside or don’t prepare it properly, food poisoning can occur even today. Stay alert and follow these tips to have fun in the sun without having to worry about picnic poisoning.

By GI Associates
May 02, 2017
Category: blog
Tags: Constipation   Diet  

Constipation is like a leaky roof: you only remember it’s a problem when it rains. And so often in the case of constipation, we only think about it when we are experiencing it. Fortunately, there are a lot of things we can do to stay regular and avoid the discomfort of constipation—it’s as easy as planning your next meal.

Constipation becomes more of an issue as you age. It can also happen when you’re on certain medications, are dehydrated, or don’t get enough exercise. In addition to drinking plenty of water and staying active, try to incorporate a healthy amount of fiber in your diet. And if you think that means loading up on whole grains, think again! There are a lot of surprisingly tasty foods that will put you on the path to regularity.

1. Beans, especially black and Lima: Beans pack an amazing fiber punch and are especially filling. Sneak them into your favorite stews or other hearty recipes for a fiber-fueled meal.

2. Artichokes: With about 10 grams of fiber for each cooked artichoke, this is the leader in fiber content among vegetables. Great on veggie pizzas or on their own, drizzled with a little olive oil and garlic, artichokes add a sophisticated flair to your fiber routine.

3. Avocados: There isn’t much an avocado can’t do; in addition to being loaded with nutrients and healthy fats, the avocado shines when it comes to fiber content. Avocados can make any meal better.

4. Whole-wheat pasta: Pasta addicts rejoice. You can enjoy your favorite pasta dishes and boost your fiber intake when you swap regular pasta for whole wheat. Feel free to “ease in” to the transition by replacing half the pasta with healthier whole wheat and increasing each time you make the dish.

5. Berries, especially blackberries and raspberries: For a high fiber dessert, use plenty of blackberries and raspberries. Antioxidants and fiber abound in these guys and make a sweet finish to your favorite meals.

Staying regular doesn’t necessarily have to mean dramatic lifestyle changes like giving up your favorite foods or starting medication. Simply add more fiber to your meals and start seeing better results sooner. 

For more information on constipation and other treatments to try, visit: http://www.giassoc.org/constipation-in-adults.html