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 affects the small breathing tubes in your child's lungs. Most people with asthma are sensitive to certain "triggers" that can affect the airways and make it hard to breathe. When your child is exposed to one or more asthma triggers, three reactions occur:
This makes it hard to breathe. This is called an asthma flare-up.
The good news is that asthma treatment helps. When your child's asthma is in good control, he or she will be able to participate in usual activities.
Allergic asthma is the most common form of asthma. It is triggered by allergens your child breathes into the lungs.
The most common allergens are:
Nonallergic 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.
Asthma symptoms may be different for each child. Your child's symptoms may not even be the same each time he or she has a flare-up. Some common asthma symptoms include:
Diagnosing asthma in young children can be challenging. Some asthma symptoms such as cough and wheeze also occur with a viral infection.
We can diagnose asthma based on a physical exam and history, your child's symptoms, and lung function testing in children ages 6 and older. Based on your child's history, we may also recommend allergy testing if we suspect your child has allergic asthma.
Keep track of any patterns related to your child's asthma symptoms and discuss them with us. You may want to keep an asthma diary to track and document your child's asthma symptoms. For example:
You may also want to note any family history of asthma or allergic disorders, such as eczema, hives, or hay fever.
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 child's asthma diagnosis.
We conduct the test in the clinic as part of the Allergy Consult appointment, and it takes about an hour.
We still don't know enough about the underlying causes of asthma. Current research shows that asthma is probably caused by many factors including genetics, the immune system, how the lungs develop and grow in early childhood, and exposures to infections and allergens in the environment.
Triggers can cause your child's asthma symptoms to get worse. If your child avoids triggers and limits his or her exposure to those that cannot be avoided, your child may need less medicine to keep his or her asthma in control.
The most common types of asthma triggers are:
Less common asthma triggers include:
When your child's asthma is in good control, he or she can live a healthy, symptom-free life. Your child should be able to:
Asthma symptoms are not always consistent. Sometimes your child's symptoms will be in better control than at other times. By keeping track of his or her 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 asthma 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 action plan to help you take action quickly when your child's asthma symptoms get worse.
Your child's asthma action plan will tell you which medications to use, what actions to take to prevent an asthma flare-up, and when to call for medical advice.
Your child will need support to manage his or her asthma at school or daycare. Here are some things you can do to help:
Work with your child's school or daycare facility to minimize exposure to asthma triggers in the indoor and outdoor environments.
Asthma medications are one of the keys to treating your child's asthma. Most children 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 child's 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 child's asthma symptoms quickly. Your child may also need to use relievers to prevent flare-ups before physical activity or contact with any of his or her 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 child's symptoms.
If your child is having symptoms that concern you, your first contact will typically be with your pediatrician, who will evaluate your child's health and symptoms.
If specialty care is needed, your pediatrician 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 discuss your child’s care together. If we decide your child needs 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 child's medical and family history and I will perform a physical exam. I will explain the findings of your child’s 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 your child.
If you need to talk with me after your child's visit or procedure, please call my office. You can also e-mail me with nonurgent issues from this web site 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 or assistance.
If your child is 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 care for your child easier.
Another major benefit is our comprehensive electronic medical record system which allows all of the doctors and clinicians involved in your child’s care to stay current on your child’s health status and collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your child’s condition, care is safer and more effective.
We will work together to monitor and assess how your child’s medications are working and make adjustments as needed.
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 the results by letter, secure e-mail message, or phone. In addition, you can view most of your child’s laboratory results online, along with any comments that I have attached to explain them.
If we decide together that your child’s 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 child's 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 help you manage your child's care at any time that is most convenient for you. From my home page you can:
You can begin to manage your child's care online by requesting access through our Act for a Family Member feature. Once you have added your child to your account, 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.