Makam, Raj MD MRCP FACP

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Physicians & Surgeons, Mental Health Services, Physical Therapists

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(919) 854-0041Call Visit WebsiteVisit Website Map & DirectionsDirections1120 SE Cary PkwyCary, NC 27518 Write a ReviewWrite Review

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Hours

Regular Hours

Mon - Thu:	8:00 am - 5:00 pm
Fri:	8:00 am - 4:30 pm

Makam, Raj MD MRCP FACP

General Practitioners

Arthritis
Under normal conditions, there are minimal imperfections in this barrier system. However, in Leaky Gut Syndrome, the tight junctions in between each of the epithelial cells become defective and allow for widespread direct communication between the intestinal contents, bacteria, and the bloodstream. This ongoing and long-term injury to the gastrointestinal tract can lead to inflammation manifesting as chronic conditions such as Irritable Bowel Syndrome or Functional Dyspepsia, and, in genetically predisposed people, Inflammatory Bowel Disease (Ulcerative Colitis or Chron’s Disease), and autoimmune diseases such as rheumatoid arthritis and type 1 diabetes.

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Specialties

Makam, Raj MD MRCP FACP has not yet specified any specialties.

More Info

Other Link: http://www.centerfordigestivediseases.com
Categories: Physicians & Surgeons, Mental Health Services, Physical Therapists, Physicians & Surgeons, Allergy & Immunology, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Gastroenterology (Stomach & Intestines), Physicians & Surgeons, Gynecologic Oncology, Physicians & Surgeons, Gynecology, Physicians & Surgeons, Neurology, Physicians & Surgeons, Obstetrics And Gynecology, Physicians & Surgeons, Oncology, Physicians & Surgeons, Plastic & Reconstructive, Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Rheumatology (Arthritis), Physicians & Surgeons, Weight Loss Management, Stress Management & Prevention

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Phone: (919) 854-0041

Address: 1120 SE Cary Pkwy, Cary, NC 27518

Website: http://www.centerfordigestivediseases.com

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Makam, Raj MD MRCP FACP

General Practitioners

Arthritis
Under normal conditions, there are minimal imperfections in this barrier system. However, in Leaky Gut Syndrome, the tight junctions in between each of the epithelial cells become defective and allow for widespread direct communication between the intestinal contents, bacteria, and the bloodstream. This ongoing and long-term injury to the gastrointestinal tract can lead to inflammation manifesting as chronic conditions such as Irritable Bowel Syndrome or Functional Dyspepsia, and, in genetically predisposed people, Inflammatory Bowel Disease (Ulcerative Colitis or Chron’s Disease), and autoimmune diseases such as rheumatoid arthritis and type 1 diabetes.
Medical Weight Loss
According to high quality research on the statistics of long-term maintenance of weight loss, those who undergo weight loss tend to regain some of the weight, however, fortunately for most people, it is not back to baseline.1
Primary Care
Food does not solve emotional problems – Food may help with emotions in the short term, but in reality, there are better ways to cope with stress. Finding coping mechanisms to stress that don’t involve food pays off in the long term. Many people find hobbies that they can turn to in order to cope: needle work, painting, reading, exercising, meditating, doing Yoga, doing crafts, wood working, etc. Find what works best for you and stick to it. One important thought to consider, however: an eating disorder is a medical condition that must be treated accordingly. If you believe you may struggle with your food intake and have concerns, make an appointment with your primary care doctor to be evaluated.
High Cholesterol
Colonoscopy
If any of the stool tests have a positive result, make sure you schedule an appointment promptly with a gastroenterologist for a follow up colonoscopy.
Constipation
Irritable Bowel Syndrome
Manage stress: Stress affects all people. However, when stress levels increase to distressing levels, it can have psychological and physical detrimental effects. There is robust research emerging in regards to the brain-gut-axis, which shows gut health directly impacting brain health and vice-versa. Unmanaged psychological stress has been linked with decreased gastrointestinal motility, increased IEC permeability, negative shifts in the microbiota, to name a few. All these can lead to inflammatory bowel disease, irritable bowel syndrome, GERD, etc. A classic example of how stress affects the gut is seen in children suffering from anxiety, manifesting itself as a daily “tummy ache” in the mornings before going to school, which leads to multiple school absences and poor school performance. Managing stress and anxiety are best done by meditation, journaling, Yoga, talk therapy, and psychotherapy.
Diarrhea

Endometriosis
Other pharmacologic methods for pain include the use oral medications, including gabapentin, tricyclic antidepressants and and baclofen. These prescriptions are considered first line approaches of pharmacotherapy. Vaginal estrogen may be prescribed in the cases of co-existing atrophic vaginitis. Although NSAIDs are commonly used to relieve pelvic pain especially that associated with cramping and endometriosis, experts state that this may only provide relief to those with mild complaints, and women with chronic pain require further treatments
Pelvic Pain
One of the most difficult disorders of pelvic floor dysfunction to diagnose and treat is pelvic pain. Chronic pelvic pain (CPP) is defined as sub-umbilical pain that persists for at least six months and impairs normal function
Labor and Delivery
1. Risk factors shared broadly across all forms of pelvic floor dysfunction include increasing age, obesity, and childbirth.

Gastroenterology
Fecal immunochemical testing test for human hemoglobin. It is more specific than the guaiac fecal occult blood test. The American College of Gastroenterology has recommended abandoning the Guaiac stool testing, in favor of the fecal immunochemical testing. The fecal immunochemical testing tests for human hemoglobin. It won’t have the false positives that the Guaiac stool test have from upper gastrointestinal bleeds and foods. Fecal immunochemical testing should be done every year, it is very convenient, it can be done at home, and is non-invasive.
Colon Cancer
There are several effective ways to catch colon cancer early. The American Cancer Society (ACS) recently updated their colorectal cancer screening guidelines. ACS guidelines now make a recommendation to begin screening persons at average risk for CRC at age 45 years. The guidelines also now offer six testing options to select among...
Endoscopy
Capsule Endoscopy lets your doctor examine the lining of the middle part of your gastrointestinal tract, which includes the three portions of the small intestine (duodenum, jejunum, ileum).

Autism
Much research has recently emerged in regard to the gut microbiota and its role in immune regulation as well as how the IEC acts as a protective barrier against harmful substances entering the bloodstream. Goblet and Paneth cells, both of which are embedded within the IEC, secrete substances that contribute towards protection of that barrier. The IEC and immune cells that produce IgA (antibodies that work against invaders), work together to protect against invasion. The immune system that we are born with is regulatory of the tight junctions of the IEC. In addition, several receptors on the mucosal side of the IEC communicate with the microbiota and in the setting of tissue damage, leading to an immune response by the body for protection. Disruption of this system can occur due to antibiotic usage, or a diet high in processed foods, for example. This disruption then leads to inflammation. Moreover, the gut has a major influence on the blood-brain barrier of the brain (which has the same type junctions as the barrier in the IEC) due to its hormonal secretion. Disruption in its permeability may lead to degeneration in the neurological system, seen in cases of patients who have been found to have Celiac Disease, which also have some features of Schizophrenia, Autism Spectrum Disorder, dementia, Alzheimer’s Disease, and depression. Therefore, the microbiota of the gut needs to be properly balanced in order for the brain/gut axis to work effectively. Even in people who have Celiac Disease without experiencing symptoms, there are changes in neurotransmission within the central nervous system when the microbiota is out of balance. Dysregulation of the

Stress Management
One of the first steps in initiating therapy is to identify associated patterns or triggers that predispose women to flares. For some women this involves stress management or changing of physical activity to avoid repetitive motions. Physical therapy should also be included as an initial treatment for women with MPSS
Depression
Anxiety

Endocrinologist

Diabetes Care

Ultrasound
NAFLD can be diagnosed using ultrasound or labs done with blood tests. A liver biopsy may also help your doctor determine your liver disease’s severity.
Chemotherapy
Colorectal cancer is the fourth most diagnosed cancer in the United States. It is also the fourth leading cause of cancer related deaths, accounting for 14 percent of cancer deaths. Treatment for colorectal cancer includes surgical resection and/or chemotherapy.

Reconstructive Surgery
Injections may be offered to provide relief during acute, debilitating flares. Injections are typically performed by specialists of Female Pelvic Medicine and Reconstructive Surgery (FPMRS) although gynecologists may be able to provide a similar service depending on their personal practice procedures. Injections of bupivacaine alone 1-3 mL of 0.25% is sufficient for rapid relief

Acne Treatment
Eczema
Psoriasis

Physical Therapists

Physical Therapy
A variety of treatment modalities are in current use for the resolution of MPSS symptoms, however each patient requires a tailored approach specific to her. Ideally, treatments utilize a combination of modalities including physical therapy, pharmacotherapy, and cognitive therapy/ behavioral counseling. Once the patient becomes aware of specific pain triggers, the goal is to implement lifestyle changes to avoid painful reoccurrences

Allergies

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