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.
Anorexia is a psychological condition that causes a person to restrict food in order to lose weight. This behavior can get out of control and result in extreme weight loss. Most people with anorexia have a distorted view of their body. They see themselves as fat, no matter how thin they are. They are often unusually sensitive about being perceived as fat and are terrified of gaining weight.
There are 2 types of anorexia:
Common signs and symptoms of anorexia include:
Other problems may develop as a result of anorexia, including extreme sensitivity to cold, weak or brittle nails, and growth of fine hair on the arms, face, shoulders, and back.
Left untreated, the disorder can lead to serious health problems with the heart, brain, and bones:
Taking vitamins, calcium, or other supplements does not protect against malnutrition.
Because people with eating disorders are quite good at hiding the signs, identifying an eating disorder can be difficult. If you suspect an eating disorder, contact us for an evaluation. The longer the person goes without treatment, the more challenging it may be to successfully treat the eating disorder.
During the clinic visit, we will assess the person's physical and mental health before diagnosing an eating disorder. We conduct a medical history and physical exam, including a check of weight and height. We may also ask about eating and exercise behaviors to see if they are within normal ranges.
Since malnutrition commonly occurs with eating disorders, we will also check for physical signs that involve heart rate or blood pressure, as well as examine the teeth, skin, hair, and nails. We will order lab tests to check for signs of malnutrition.
If we suspect further complications from an eating disorder, we may order additional tests.
We may ask about sleeping and eating patterns, sadness, anxiety, and stress levels. Typically, we assess eating habits, exercise routine, and the person's feelings about her current health status. We may want to know about thoughts on body image. If a young woman is suffering from an eating disorder, we may ask about the regularity of her menstrual cycle.
Often, people with eating disorders are secretive about their eating patterns, so we might ask further questions such as:
We do not know what causes anorexia, but we do know that a number of factors can influence the development of an eating disorder, including:
People with anorexia often suffer from low self-esteem and feelings of helplessness. Many with anorexia are perfectionists and have a strong desire to be in control. They often set unrealistic goals for themselves.
Treatment usually involves a team, including medical doctors, mental health professionals, and nutritionists. Family therapy may be part of the treatment plan. Our team will work with family members to help them understand anorexia and learn new techniques for coping with it. In some cases of severe malnutrition, a hospital stay may be necessary. Treatment can be difficult and require hard work from the patient and the family. Treatment for anorexia is most successful if the problem is recognized early.
If you think there might be a problem, don’t be afraid to talk to your child’s doctor. The earlier treatment begins, the better the outcome. It can help if you:
It’s very important that you bring your teen in for treatment even if they don’t want to come – his or her health depends on it. We can help them begin treatment. We know that dealing with eating disorders can be stressful and scary. We can support you and your family during treatment.
During the clinic visit, we will assess the person's physical and mental health before diagnosing an eating disorder. We will check height, weight, and blood pressure, and we may order lab tests to look for signs of malnutrition.
We may ask questions about eating and exercise behaviors, the regularity of thoughts on body image, feelings of sadness, anxiety, and stress levels. If we suspect further complications from an eating disorder, we may order additional tests.
You can connect with me in a variety of ways, depending on the situation and what is most convenient for you at the time. I am available online, by telephone, or in person.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting care easier.
Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your care to stay current on your health status and to 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 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.
If refills are needed in the future, you can:
Order them online or by phone. Order future refills from my home page or by phone using the pharmacy refill number on your prescription label.
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, such as X-rays, we will schedule an appointment with the Radiology Department.
When the results are ready, we will contact you with the results by phone. We may ask you for a phone number where you can receive your results confidentially. If you do not have a cell phone, we may ask you to call us for the results instead, to ensure that we protect your privacy.
My specialty colleagues are readily available to assist me if I need additional advice about your condition. In some cases, I may contact them during your visit, so we can discuss your care together. If we decide you need a specialty appointment after that discussion, we can often schedule it the same day or soon thereafter.
My goal is 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 to help you manage your care at any time that is most convenient for you. From my home page you can sign up for kp.org and:
*Secure means e-mail communication between you, me, and other members of your health care team is behind our firewall and password protected. Anyone who can act on your behalf (for example, your parents) will have access to this e-mail box. If you want to talk confidentially, l encourage you to call me or make an appointment to see me in person, instead of sending a secure message online.
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.