General Practitioners

• Osteoporosis
• Arthritis
• Medical Weight Loss
  EUS provides your doctor with more information than other imaging tests by providing detailed images of your digestive tract. Your doctor can use EUS to diagnose certain conditions that may cause abdominal pain or abnormal weight loss.
• Nutritional Counseling
• Primary Care
  When calling to schedule an appointment, please have your insurance information as well as the name and address of your Primary Care Physician available to provide to our representative who will be scheduling your appointment. This information is necessary as we verify all insurance eligibility prior to your office visit.
• Emergency Care
  Candy Thorpe is a native of Ohio. She received her Bachelor of Science in Nursing from Muskingum University in 2008. She was a Registered Nurse in the GI Lab in Colorado Springs and in the Emergency Department in Columbus, Ohio until obtaining her Master of Science in Nursing from the University of Cincinnati in 2016. After graduation she worked for a GI practice In Newark Ohio until 2020, when she joined Cape Fear Center for Digestive Diseases, PA. She is board certified by the American Academy of Nurse Practitioners. In her spare time she enjoys crafting and spending time with her husband and two children.
• Colonoscopy
  Because education is an important part of comprehensive medical care, you have been provided with this information to prepare you for this procedure. If you have questions about your need for colonoscopy, alternative tests, the cost of the procedure, methods of billing, or insurance coverage, do not hesitate to speak to our office staff. Our physicians are highly trained specialists and welcome your questions regarding their credentials and training. If you have questions that have not been answered, please discuss them with the nurse or your physician before the examination begins.
• Constipation
• Irritable Bowel Syndrome
  Recognizing celiac disease can be dif. cult because some of its symptoms are similar to those of other diseases. Celiac disease can be confused with irritable bowel syndrome, iron-deficiency anemia caused by menstrual blood loss, inflammatory bowel disease, diverticulitis, intestinal infections, and chronic fatigue syndrome. As a result, celiac disease has long been under diagnosed or misdiagnosed. As doctors become more aware of the many varied symptoms of the disease and reliable blood tests become more available, diagnosis rates are increasing.
• Diarrhea

Ophthalmologists

• Glaucoma
  As part of your anesthetic at this facility you may also receive the drug Robinul in your IV in the pre-procedure room before your exam. The primary purpose of this drug is to assist in drying up any oral secretions that you might have while deeply sedated for your exam. This will significantly reduce any coughing that you may experience during the procedure. Should you have severe glaucoma or significant prostate enlargement associated with urinary retention, please notify your nurse prior to the procedure. Your physician and anesthesia provider may choose not to administer the drug under those circumstances.

Gynecologists

• Female Infertility
• Pregnancy
  Women 50 years of age and under will be asked to provide a urine sample for pregnancy testing. If you have had a hysterectomy or tubal ligation, this will not be necessary.
• Labor and Delivery
  Celiac disease is genetic, meaning it runs in families. Sometimes the disease is triggered-or becomes active for the first time-after surgery, pregnancy, childbirth, viral infection, or severe emotional stress.

Internists

• Internal Medicine
  In 2002, Dr. Nakkala received his Bachelor of Medicine & Bachelor of Surgery from Manipal University, India. He earned his Master of Public Health with emphasis on Health Services Administration (MPH) from East Tennessee State University in 2005. He worked for Tennessee Department of Health at NorthEast Tennessee Regional Health Office NETRHO during his internship. He completed his post graduate training in Internal Medicine from Maimonides Medical Center, Brooklyn, NY in 2008.
• Gastroenterology
  He is a fellow of the American College of Gastroenterology and an active member of the North Carolina Medical Society and American Gastroenterological Association.
• Colon Cancer
  Hemorrhoids are dilated veins of the rectum or anus. They can cause bleeding. They can be painful and cause problems when passing stool. External hemorrhoids are present at the anal opening and internal hemorrhoids are inside the anus near the opening of the anal canal. They are caused by increased pressure in the anal and rectal veins. You are more likely to develop hemorrhoids with a sedentary life style, routinely sitting or standing for prolonged periods of time, obesity, pregnancy, previous rectal surgery, anal intercourse, colon cancer, or frequent constipation and straining. A diet low in fiber may make the stool more difficult to pass thus increasing the incidence of hemorrhoids.
• Endoscopy
  Originally established in July 1989, located in the heart of Cumberland County our Fayetteville office also serves patients in the five surrounding counties. In November 2009 we opened our Endoscopy Center, a state-of-the-art facility for performing outpatient endoscopic procedures. Our facility is Medicare & AAAHC accredited.
• Lung Cancer
  Cancer. All of these diseases do have one thing in common, however: the uncontrolled growth of abnormal cells and the spread of those cells. This is the definition of cancer. This uncontrolled growth can begin in many different parts of the body and behaves differently depending on where it starts. Cancer that spreads to another part of the body, still looks like and acts like the original cancer. As an example, if breast cancer spreads to the lungs, it is still breast cancer; it is not lung cancer.

Psychiatrists

• Depression
• Anxiety

Endocrinologist

• Diabetes Care
• Thyroid

Radiologist

• Ultrasound
  Endoscopists are highly trained specialists who welcome your questions regarding their credentials, training and experience. Your endoscopist will use a thin, flexible tube called an endoscope that has a built-in miniature ultrasound probe. Your doctor will pass the endoscope through your mouth or anus to the area to be examined. Your doctor then will use the ultrasound to use sound waves to create visual images of the digestive tract.
• MRI
  A. Your doctor may see something unusual in your blood test or notice that your liver is slightly enlarged during a routine checkup. These could be signs of a fatty liver. To make sure you don’t have another liver disease, your doctor may ask for more blood tests, an ultrasound, a CT scan or an MRI. If other diseases are ruled out, you may be diagnosed with NASH. The only way to know for sure is to get a liver biopsy. During a liver biopsy the radiologist removes a sample of liver tissue with a needle and sends it to a pathologist to look at under a microscope. Liver biopsies are only recommended for patients suspected of having severe fatty liver or to rule out other diseases.
• X-Rays
• Computed Tomography
  The disease can be identified by a flexible sigmoidoscopy or a colonscopy, both of which involve the insertion of a flexible tube into the colon, allowing the physician to visually examine specific areas of the colon and collect samples of tissue. Barium enemas, CT scans, MRIs and X-rays of the abdomen are also commonly employed in the evaluation process.
• Chemotherapy
  Radiation, chemotherapy, or both for the purpose of shrinking the tumor. By shrinking the tumor you will be able to eat and gain strength for possible surgical removal of the tumor. Additional nutritional support may also be needed. This can be done either intravenously (IV, through the bloodstream) or by a feeding tube placed in the stomach.

Surgeons

• General Surgery
  Dr. Sanjeev Slehria received his schooling in Delhi, India. He graduated from medical school and subsequently specialized in General Surgery from MP Shah Medical College in Gujarat, India. He served on the General Surgery Faculty at PS Medical College in Gujarat, India prior to moving to North America. Dr. Slehria did two years of research at Marion Bessin Liver Research Center at Albert Einstein College of Medicine in Bronx, NY from 1996 to 1998. He completed three years of Internal Medicine Training at Jacobi Medical Center, Albert Einstein University, NY in 2001. In 2004 he completed three years fellowship training in Gastroenterology and Hepatology from Kansas University Medical Center, Kansas City, Kansas.
• Hysterectomy

Dermatologists

• Cyst
• Ulcer
  Chronic gastritis is an inflammation (swelling, irritation, redness, or warmth) of the stomach lining that occurs gradually over time. There are many possible causes including bacterial infection (especially Helicobacter pylori); irritation from aspirin, non-steroidal anti-inflammatory medications, cigarette smoke, alcohol, and other drugs or environmental substances; reflux of bile or pancreatic secretions into the stomach from the upper portion of the small intestine (duodenum). The latter occurs most frequently following surgery or with peptic ulcer disease. It may also occur with certain disease states including pernicious anemia and diabetes. Chronic gastritis is seen most often in the elderly but may occur at any age.
• Lesions
  EUS is also used to evaluate known abnormalities, including lumps or lesions, which were detected at a prior endoscopy or were seen on x-ray tests, such as a computed tomography (CT) scan. EUS provides a detailed image of the lump or lesion, which can help your doctor determine its origin and help treatment decisions. EUS can be used to diagnose diseases of the pancreas, bile duct and gallbladder when other tests are inconclusive or conflicting.

Physical Therapists

• Neck Pain
• Back Pain

Allergists

• Allergies