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Ankylosing spondylitis?
DefinitionAnkylosing spondylitis is a long-term disease that causes inflammation of the joints between the spinal bones, and the joints between the spine and pelvis. It eventually causes the affected spinal bones to join together.See also: ArthritisAlternative NamesRheumatoid spondylitis; Spondylitis; Spondylarthropathy; Seronegative bundle arthropathyCauses, incidence, and risk factorsThe cause of ankylosing spondylitis is unknown, but genes seem to play a role.The disease most often begins between ages 20 and 40, but may begin before age 10. It affects more males than females. Risk factors include:Family history of ankylosing spondylitisMale genderSymptomsThe disease starts with low back pain that comes and goes.Pain and stiffness are worse at night, in the morning, or when you are not active. It may wake you from your sleep.The pain typically gets better with activity or exercise.Back pain may begin in the sacroiliac joints (between the pelvis and the spine). Over time, it may involve all or part of the spine.You may lose motion or mobility in the lower spine. You may not be able to fully expand your chest because the joints between the ribs are involved.Fatigue is also a common symptom.Other, less common symptoms include:Eye inflammation or uveitisHeel painHip pain and stiffnessJoint pain and joint swelling in the shoulders, knees, and anklesLoss of appetiteSlight feverWeight lossSigns and testsTests may include:CBCESRHLA-B27 antigenX-rays of the spine and pelvisTreatmentYour doctor may prescribe nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain.Corticosteroid therapy or medications to suppress the immune system may also be prescribed. Drugs called TNF-inhibitors (etanercept, adalimumab, infliximab), which block an inflammatory protein, have been shown to improve the symptoms of ankylosing spondylitis.Some health care professionals use drugs that block cell growth (cytotoxic drugs) in people who do not respond well to corticosteroids or who are dependent on high doses of corticosteroids.Surgery may be done if pain or joint damage is severe.Exercises can help improve posture and breathing. Lying flat on the back at night can help maintain normal posture.Expectations (prognosis)The course of the disease is unpredictable. Symptoms may come and go at any time. Most people are able to function unless the hips are severely involved.ComplicationsRarely, people may have problems with the aortic heart valve (aortic insufficiency) and heart rhythm problems.Some patients may have pulmonary fibrosis or restrictive lung disease.Calling your health care providerCall your health care provider if:You have symptoms of ankylosing spondylitisYou have ankylosing spondylitis and develop new symptoms during treatmentPreventionPrevention is unknown. Awareness of risk factors may allow early detection and treatment.ReferencesGoldman L, Ausiello DA. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007.Sidiropoulos PI, Hatemi G, Song IH, et al. Evidence-based recommendations for the management of ankylosing spondylitis: systematic literature search of the 3E Initiative in Rheumatology involving a broad panel of experts and practising rheumatologists. Rheumatology (Oxford). 2008. 47(3):355-61.Dagfinrud H, Kvien TK, Hagen KB. Physiotherapy interventions for ankylosing spondylitis. Cochrane Database, Syst Rev. 2008. (1):CD002822.
Is mike tompkins still still alive?
having suffer
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no they can if there still having periods
What is still water?
Mineral water without carbonation. The water having no bubbles is still. :)
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No, having a baby does not emancipate someone. They are still considered a minor and are not adults. The parents are still responsible for their child.
What if the child is having a baby can that stop child support?
No, they are still your responsibility. You are still their parent, and they are still a minor. You still have to help take care of them.
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If you are having a period you cannot be pregnant
What is the probability of being pregnant and still having a period?
Unlikely
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yes. i got pregnant 1 year aftere having it
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Not being able to sit still having irritability issues having symptoms of bipolar deppression.
Why do eyebrow hairs hurt?
Having them no, having them pulled out yes! Still tolerable though so don't worry.
