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.
Asthma is a lung disease that affects your breathing. The airways that carry air in and out of your lungs become inflamed and constricted. Wheezing, cough, chest tightness and difficulty breathing are common symptoms.
Asthma affects the small breathing tubes (bronchial tubes) in your lungs. Most people with asthma are sensitive to certain "triggers" that can affect the airways and make it hard to breathe. When you are exposed to one or more of your triggers, three reactions occur:
This makes it hard to breathe. This is called an asthma flare-up.
The good news is that asthma treatment works. When your asthma is in good control, you will be able to do whatever activities you want to do.
Allergic asthma is the most common form of asthma. It is triggered by allergens that you breathe into your lungs. The most common allergens are:
Non-allergic asthma can be triggered by viruses, other kinds of infections, smoke, irritants, exercise, cold dry air, anxiety, or stress.
Childhood-onset asthma begins in childhood and most often occurs in response to common allergens in the home and outdoors.
Adult-onset asthma starts after age 20. It is not as common as asthma in children. More women than men have adult-onset asthma. While allergies can play a role, adult-onset asthma may be non-allergic.
Asthma symptoms may be different for each person. Your symptoms may not even be the same each time you have a flare-up. Some common symptoms include:
We can diagnose asthma based on your physical exam, history, and symptoms and by doing lung function testing called spirometry. Spirometry measures the air taken into and exhaled from your lungs. This evaluation will help us determine if you have asthma. Based on your history, we may also recommend allergy testing if we suspect that you have allergic asthma.
Keep track of any patterns related to your symptoms and discuss them with us. You may want to keep an asthma diary to track and document your asthma symptoms.
Spirometry is helpful in diagnosing asthma because there are other health conditions that can mimic asthma symptoms.
It is more accurate than using a peak flow meter and may be used to confirm your asthma diagnosis. The results of this test may tell us whether medication will be helpful in treating your condition.
We conduct the test in the clinic, and it takes about an hour.
We still do not know enough about the underlying causes of asthma. Current research shows that asthma is probably caused by many factors, including your genes, your immune system, how your lungs develop and grow in early childhood, and your exposure to infections and allergens in the environment.
Triggers can cause your asthma symptoms to get worse. If you avoid your triggers and limit your exposure to those you cannot avoid, you may need less medicine to keep your asthma in control.
The most common types of asthma triggers are:
Less common asthma triggers include:
When your asthma is under control, you can live a healthy, symptom-free life. You should be able to:
Asthma symptoms are not always consistent. Sometimes your symptoms will be in better control than at other times. By keeping track of your symptoms, you can predict when a flare-up is coming and do something about it before it gets worse.
There are 2 ways to monitor your symptoms. It is important to use at least one of them. For best results, use both:
We can work together to create a written asthma self-management plan to help you take action quickly when your asthma symptoms get worse.
Your Asthma Action Plan will tell you which medicines to use to keep your asthma in good control and how to take action if symptoms are starting or to prevent an asthma flare-up.
Here are some tips for helping you to manage your asthma during your busy day:
Asthma medications are one of the keys to treating your asthma. Most people need more than one type of medicine to manage asthma.
There are 3 types of asthma medicines:
1. Long-term control medicines (also called "preventers" or "controllers"). Use these medicines to control your asthma. Usually they are used daily to prevent asthma symptoms and avoid flare-ups.
2. "Quick-relief" medicines ("relievers"). Use these medicines to relieve your asthma symptoms quickly. You may also need to use relievers to prevent flare-ups before physical activity or exposure to any of your triggers. Remember, these medicines do not reduce swelling or mucus.
3. Flare-up reversing medicines ("burst" medicines). Use these medicines for a severe flare-up of your symptoms.
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. We may have you wait a few days to come in so allergy testing can be done at your first appointment.
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. You can also e-mail 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 a serious problem or an emergency, call 911 or go to the nearest Emergency Room when the clinic is not open.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, 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. Just let me know which pharmacy works best for you, and I will send the prescription electronically in advance of your arrival at the pharmacy.If refills are needed in the future, you can:
For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, we will schedule an appointment with the Radiology department. When the results are ready, I will contact you with your results by letter, secure e-mail message, or phone. In addition, 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, our staff will help arrange the appointment(s) with one or more of my specialty colleagues.
As your specialist, I have a goal to provide high-quality care 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 at any time that is most convenient for you. From my home page you can:
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.