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.
Food intolerance (or sensitivity) is a response by your digestive system to an ingredient in certain foods. It occurs when the food ingredient irritates the digestive tract or your digestive tract is unable to break down the food.
Lactose intolerance is the most common example. This is a problem that occurs when you cannot fully break down lactose (milk sugar). Other foods that can cause sensitivity include gluten (found in wheat), tomatoes, berries, food dyes, preservatives, and additives.
The symptoms of food intolerance take longer to appear and are not as serious as in a food allergy. However, the symptoms can be unpleasant.
Common symptoms of food intolerance are mostly related to digestion and include:
It’s important to determine if your symptoms are being caused by a food allergy or by intolerance. Our first step is to ask you questions about your medical history and to do a physical exam. This will help determine if we need to perform additional allergy tests and how to interpret the results.
However, in most cases of food intolerance allergy, testing is not very helpful. Instead, we need to discover which food or foods might be causing the problem. To do this, we may recommend that you keep a food diary, which is a careful history of what you eat, to help determine which foods are causing your symptoms.
Elimination diets are also helpful if you suspect food intolerance. In an elimination diet, you remove the food you suspect is causing your intolerance from your diet. For example, if you suspect lactose intolerance, you would remove all diary products. This will require you to pay close attention to food labels and food preparation. Using an elimination diet, it may take a few weeks to see how you respond.
The next step in the process is to introduce foods back into your diet one food at a time. The foods are added back into your diet every 2 to 3 days. This helps determine which foods are causing your symptoms.
There is no cure for food intolerance. However, there are several things you can do to help prevent or reduce your symptoms, including:
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.
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. If we are able to determine which foods are triggering your food intolerance or adverse reaction, we can work with you to develop strategies for avoiding or treating a reaction.
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.