Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Hay fever (also called rhinitis or allergies) refers to a sensitive or inflamed nose. Rhinitis can be allergic or nonallergic. Allergic rhinitis occurs when your body reacts to particles in the air called allergens.
If you have hay fever or allergic rhinitis, you are not alone. It is the most common allergy condition, affecting more than 40 million people in the United States.
Both allergic and nonallergic rhinitis can be present at the same time.
Common symptoms of allergic rhinitis include:
These symptoms may seem like the common cold, but there are some differences:
A family history of allergies increases your risk for developing allergic rhinitis. The following allergens may cause or trigger allergic rhinitis:
You cannot avoid getting allergies, but you can avoid the things that trigger your reactions. You can help to prevent your symptoms or make them less severe by becoming aware of how to avoid certain allergens. It is very helpful to know what may trigger your allergies, so that you can take steps to limit your exposure.
If you are allergic to the following allergens, take these steps.
For indoor mold:
For pollens and outdoor molds:
For dust and dust mites:
For pet dander:
We will diagnose allergic rhinitis based on the symptoms you've been having. However, you may need further allergy tests if:
Allergy testing, performed by a specially trained doctor called an allergist, may include:
You may wish to seek treatment if hay fever is affecting the quality of your life. If you feel like you are always fighting the symptoms, it is important to seek treatment. Other reasons for treatment include:
There are a number of effective over-the-counter and prescription medications available for hay fever symptoms. Many times using a combination of different types of medications, such as antihistamines or decongestants, may be more effective.
If your child is having symptoms, it is best to discuss treatment with your child's pediatrician. Read the labels carefully if you choose to give your child over-the-counter medications. Some are only for adults.
Nasal corticosteroid sprays, available by prescription, are the most effective treatment for allergic rhinitis. It may take a few weeks of use in order to achieve the full effect of the medicine. Commonly used nasal steroids include:
Antihistamines are available over-the-counter. Newer drugs cause less sleepiness but cost more. They include:
Older drugs can make you drowsy. Common over-the-counter ones are:
Prescription antihistamines include:
Decongestants are available by mouth, Sudafed PE (phenylepherin), or nasal spray. We do not recommend the use of decongestant nasal sprays for treatment of allergies because they can only be used for 2 to 3 days and allergies last longer than that. If overused, or improperly used, they can even make your symptoms worse.
Sinus rinses are nasal saline rinses such as Ocean Mist, which can be used to moisten or rinse your nose. A sinus rinse may help you with your nasal symptoms, such as congestion. Sinus rinsing may also help remove the allergens from your nose.
Other medications that may be helpful in treating hay fever include:
Allergy shots (also known as immunotherapy) may be recommended if tests show you have specific allergies that cannot be avoided, and symptoms cannot be controlled with medications.
Allergy shots are helpful in many ways. They are regular injections of purified extracts of the substance that you are allergic to. These work by desensitizing you to your triggers or allergens. They can:
Some people try herbal remedies, supplements, and alternative treatments for hay fever with varying results. There is not much scientific evidence about how well they work. Be careful of substances such as bee pollens. Some people have experienced severe allergic reactions. If you would like to try any alternative approaches, please talk with us first.
If you are having symptoms that concern you, your first contact will typically be with your personal physician, who will evaluate your health and symptoms.
If specialty care is needed, your personal physician will facilitate the process of scheduling an appointment in my department. If appropriate, she or he might call me or one of my colleagues while you are in the office so we can all discuss your care together. If we decide you need an appointment with me after that discussion, we can often schedule it the same day or soon thereafter.
Before your first office visit, we need for you to complete an Allergy new patient questionnaire. This will be provided by your personal physician when she or he schedules our visit. It is also available online, or you may arrive 15 minutes early and complete the form before your appointment.
During your office visit, we will discuss your medical and family history and I will perform a physical exam. I will explain the findings of your exam and answer any questions or concerns you may have. We will discuss treatment options, and together we will create a treatment plan that is right for you.
If you need to talk with me after your visit or procedure, please call my office. If you are a Kaiser Permanente member, you can also send a secure e-mail message to me with nonurgent issues from this website whenever it is convenient for you.
If you have urgent concerns or issues while my office is closed, or need general medical advice, you can call the Appointment and Advice line, available 24 hours a day, 7 days a week. You will be connected with a nurse who can give you immediate advice.
If you are experiencing an emergency, call 911 or go to the nearest Emergency Room.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology and specialists, makes getting your care easier for you.
Another major benefit is our comprehensive electronic medical record system which allows all of the doctors and clinicians involved in your care to stay connected on your health status and collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your condition, care is safer and more effective.
We will work together to monitor and assess how your medications are working and make adjustments over time. Prescriptions can be filled at any Kaiser Permanente pharmacy, or we may need to send them to an outside pharmacy, depending on your workers' compensation insurance carrier.
For lab or radiology tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory or radiology department. Certain studies, such as an MRI, require authorization from your workers' compensation insurance carrier, so it will be scheduled for you once authorization is received. When the results are ready, I will contact you with your results by letter, secure e-mail message, or phone. In addition, if you are a Kaiser Permanente member, you can view most of your laboratory results online, along with any comments that I have attached to explain them.
If we decide together that your condition would also benefit from the care of other types of specialists, my care team will facilitate the process of getting authorization from your insurance carrier, and getting an appointment for you.
I will recommend you review educational information and tools to help you prepare for your procedure or surgery. The information will often help you decide whether surgery is right for you. If you decide to have a surgery or procedure, the information will provide details about how to prepare and what to expect. My care team will facilitate the process of getting authorization from your insurance carrier.
As your occupational health specialist, I have a goal to provide high quality care, to help you resume your regular work duties, and to offer you choices that make your health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.
My Doctor Online is available to you even if you are not a Kaiser Permanente member, and at any time that is most convenient for you. With My Doctor Online you can:
If you are a Kaiser Permanente member, there are additional features on my home page that you can take advantage of:
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.